Discover how pregnancy changes every organ in the body— from the heart, to the brain and kidneys— and what we still don’t know about it. -- Muscles and joints shift and jostle. The heart’s pounding rhythm speeds up. Blood roars through arteries and veins. Over the course of a pregnancy, every organ in the body changes. Initiated by a range of hormones, these changes begin as soon as a pregnancy begins. Explore what we know— and don’t know— about pregnancy's effects on the body and brain. Lesson by TED-Ed, directed by Roxane Campoy and Charlotte Cambon.
Muscles and joints shift and jostle. The heart’s pounding rhythm speeds up. Blood roars through arteries and veins. Over the course of a pregnancy, every organ in the body changes. Ignited by a range of hormones, these changes begin as soon as pregnancy begins.
Just days after fertilization, the embryo implants in the lining of the uterus. Because its DNA doesn’t exactly match the mother’s, the immune system should theoretically recognize it as an invader, attack, and destroy it, like it would bacteria or other harmful microbes. That’s the challenge: the mother’s immune system needs to protect both her and the fetus, but can’t act as it usually does.
What happens is not as simple as decreasing the immune response. Instead, it’s a complex interaction we’re just beginning to understand, involving many different types of immune cells— some of which seem to protect the fetus from attack by other immune cells.
The body also creates an antibacterial plug made of mucus on the cervix, which keeps germs away and stays sealed until labor.
As a pregnancy progresses, the uterus expands upward and outward with the growing fetus. To make room, hormones called progesterone and relaxin signal muscles to loosen. The muscles that propel food and waste through the digestive tract also loosen, which makes them sluggish, causing constipation as passage through the tract slows down. Loosened muscles at the top of the stomach might allow acid to escape into the esophagus and throat, causing heartburn and reflux.
These changes can worsen morning sickness, which is caused in part by hormone HCG— and can also happen at other times of day.
As the uterus grows, it pushes on the diaphragm, the muscle that expands and contracts the chest with each breath. This limits the diaphragm’s range. To compensate, the hormone progesterone acts as a respiratory stimulant, making the pregnant woman breathe faster so both she and the baby can both get enough oxygen with less lung capacity. This all may leave the pregnant woman feeling short of breath.
Meanwhile, the kidneys make more erythropoietin, a hormone that increases red blood cell production. The kidneys also keep extra water and salt rather than filtering it out into urine to build up the volume of the blood. A pregnant woman’s blood volume increases by 50% or more. But it’s also a bit diluted, because it only has 25% more red blood cells.
Usually, the body makes blood cells using iron from our food. But during pregnancy, the fetus is also building its own blood supply from nutrients in the mother’s food— leaving less iron and other nutrients for the mother.
The heart has to work extra hard to pump all this blood through the body and placenta. A pregnant woman’s heart rate increases, but we don’t fully understand how blood pressure changes in a healthy pregnancy— an important area of research, because some of the most serious complications are related to the heart and blood pressure.
The expanding uterus may press on veins— causing fluid buildup in the legs and feet. If it presses on a large vein called the inferior vena cava, it might interfere with blood returning to the heart, causing a dizzying drop in blood pressure after standing for too long.
Some of these changes start to reverse even before birth. Shortly before delivery, the fetus drops down, decreasing the pressure on the diaphragm and allowing the pregnant woman to take deeper breaths. During labor and birth, much of the extra fluid in the body is lost when the water breaks. The uterus shrinks back down in the weeks after birth.
Like the rest of the body, pregnancy affects the brain— but its effects here are some of the least understood. Recent studies show differences in brain scans after pregnancy and early parenting, and suggest that these changes are adaptive. That means they could help with parenting skills, such as an increased ability to read facial cues since babies can’t talk.
The lack of information about pregnancy’s effects on the brain highlights a general truth: historically, almost all the research around pregnancy has focused on the fetus, rather than pregnant women.
Experiences of pregnancy vary widely, both within the range of healthy pregnancies and due to complicating health conditions— new research will help us understand why, and develop effective treatments where necessary.
In the meantime, every pregnancy is different, and it’s important to consult a doctor with any specific questions. Today, we’re turning an exciting corner, as more research is devoted to the astounding biology of pregnancy.
Infertility affects 1 in 8 couples worldwide. But in the last 40 years, more than 5 million babies have been born using in vitro fertilization (IVF). How does it work? Nassim Assefi and Brian A. Levine detail the science behind making a baby in a lab. Lesson by Nassim Assefi and Brian A. Levine, animation by Kozmonot Animation Studio.
Explore what happens in the body during miscarriage, and learn about three common treatment options for pregnancy loss. -- Globally, around 23 million pregnancies end in miscarriage each year. Despite how common it is, miscarriage can still feel isolating, and for some, emotionally traumatizing. And myths about miscarriage add to the stigma, leading many to blame themselves for the loss. So what happens in the body during miscarriage? Nassim Assefi & Emily M. Godfrey take a closer look at pregnancy loss and treatment. Lesson by Nassim Assefi and Emily M. Godfrey, directed by Lené van Heerden, We Are Batch TV.
Explore the common causes and treatments of yeast infections, which affect 3 out of every 4 people with a vagina. -- The vagina harbors hundreds of different kinds of microorganisms. Candida yeasts are usually present in small quantities and most of the time, these fungi are harmless. But, under certain conditions, Candida yeasts can cause infections. One species in particular is the usual culprit of vaginal yeast infections. So, how exactly does a yeast infection happen? Liesbeth Demuyser investigates. Lesson by Liesbeth Demuyser, directed by Mette Ilene Holmriis, The Animation Workshop.
Dig into how African clawed frogs can help detect human pregnancy, and how their use in experiments had unintended consequences. -- In the early 20th century, pregnancy testing required a slippery piece of equipment: a female African clawed frog. For decades, hospitals and research labs had a trusted supply of these handy creatures, employing their help in testing for pregnancy and in numerous other scientific endeavors. So what makes these frogs so special? Carly Anne York shares the secrets of these remarkable amphibians. Lesson by Carly Anne York, directed by Yajun Shi.
Dig into the science of how modern over-the-counter pregnancy tests detect pregnancy with such a high rate of accuracy. -- Over-the-counter pregnancy tests give potentially life-changing results with a pretty high rate of accuracy. But how do they work? Tien Nguyen explains how each test performs a scientifically rigorous, multi-stage experiment that goes from start to finish in the time that it’ll take you to watch this video. Lesson by Tien Nguyen, animation by Andrew Foerster.
A handful of species on Earth share a seemingly mysterious trait: a menstrual cycle. We’re one of the select few mammals on Earth that menstruate, and we also do it more than any other animal, even though it’s a waste of nutrients, and can be a physical inconvenience. So where’s the sense in this uncommon biological process? TED-Ed describes the history and evolution of menstruation. Lesson by TED-Ed, animation by TED-Ed.
