Learning you are pregnant is a joyous occasion. For the next nine months, you will go through many changes. Although each woman’s pregnancy is different, this month-by-month guide can help you plan for some of the changes that may occur.

Month Four

Your Body

You may notice that you have more energy. Nausea and fatigue may stop. You may also notice that your belly looks larger because the baby has grown.

Your Diet

During pregnancy, your need for iron increases. To be sure you get enough iron, eat lean, red meats, leafy green vegetables, whole grain breads, dried fruits and beans.

Childbirth Preparation Classes

Childbirth classes should begin in month seven. Register now since classes often fill up early.

Month Five

Your Body

Changes in your circulation require that you stand and move often. Continue to do this throughout the remainder of your pregnancy. Your breasts may begin to leak a yellowish fluid called colostrum in preparation for breastfeeding. You may begin to feel the baby move during this month.

Your Diet

Be sure to eat food rich in Vitamin C. Your body does not store Vitamin C, so it is important to get a fresh supply every day. Good sources of Vitamin C are oranges, broccoli and tomatoes.

Choosing a Healthcare Provider for your Baby

Before you are admitted to the hospital, you need to decide who will care for your baby after the delivery. This is a good time in your pregnancy to start looking for a healthcare provider for your baby if you have not already chosen one. Talk to your friends and ask them if they are happy with the healthcare provider who cares for their children. Many pediatricians and family care physicians will meet with you before your baby is born and let you interview them. It is a good idea to select someone close to where you live.

Month Six

Your Body

You may gain 3 to 4 pounds this month. Your feet may swell during the latter stages of pregnancy. Putting your feet up may help reduce any ankle swelling. Shop for wide, comfortable shoes, preferably with a flat heel.

Your Diet

You may crave certain foods or find that other foods smell or taste bad, even if you liked them before you were pregnant. If this happens, try to find substitutes that provide the right nutrients.

Hospital Pre-registration

If you have not already pre-registered at the hospital where you will deliver, this is a good time to do so. If you are delivering at a Sutter Health hospital, you can pre-register online. If you are delivering at a non-Sutter Health hospital, check with your healthcare provider or call the hospital directly for pre-registration information.