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Fallopian Tubes

The doctor who specializes in Tubal Ligation Reversal usually performs laparoscopy surgery to see if a woman would make a good candidate. If her fallopian tubes were clips or tied with rings around the tubes, then she has a good chance to become pregnant again by performing the reversal procedure. If her tubes were burn or had a large section of the tube removed, then it would make her to be less than ideal candidate for the Tubal Ligation Reversal procedure.

Age

Age plays a vital role to determine the success rate of the Tubal Ligation Reversal procedure. Women who are younger than 40 years have much better chances for successful reversal procedure. This has much to do with the fertility cycle of a female body. Naturally women who are 40 years in age or older are less likely to get pregnant. This is due to the decreasing ovarian reserve and abnormal number of chromosomes in the egg or the embryo.

General Health

The overall health condition of the candidate has a significant influence to the successful operation. Obese women are less likely to be successful when undergoing the Tubal Ligation Reversal. A woman who has done Tubal Ligation procedure over 10 years ago would not make a good candidate.

The Physician

The experience and knowledge of the physician who performs the Tubal Ligation reversal procedure makes a lot of different. Patients should ask their surgeon about pregnancy and complication rates in patients treated in the past.

What it is?
Tubal Ligation Reversal is a surgical procedure to reverse the Tubal Ligation procedure. In the nutshell, tubal ligation procedure is a sterilization surgery for woman who wants to stop the eggs in the ovary to travel into the uterus. Click this for more information about tubal ligation.

Why Tubal Ligation Reversal?
Tubal Ligation procedure might not be the best choice for everyone. Depending on the age and other medical complication, woman might want to take on the alternative procedures such as Birth Control Implant, Endometrial Ablation and Intrauterine Device (IUD). Many young women tend to regret having Tubal Ligation procedure within 5 years after the surgery. The common reasons include getting into a new relationship and the loss of a child.

There is times when Tubal Ligation Reversal is not regretted because of the need to have another child, but rather because of the Post Tubal Ligation Syndrome. It is common side effect after undergoing the Tubal Ligation procedure. The complications include irregular menstrual cycles, Tubal Pregnancy and pelvic pain.

What is the procedure like?
The procedure involves a microsurgery to reattach the two sections of the fallopian tubes together. Patients are normally put under general anesthesia. The success rate of the reversal procedure depends on how the Tubal Ligation was done. The best case of success is when those two parts of the fallopian tubes have identical diameter.

How long does it normally take?
On most cases, the Tubal Ligation Reversal procedure takes about one to three hours depending on the patient condition and the surgeons’ experience. For some cases, a hospital overnight stay maybe required. The less time it takes for the operation means the faster recovery time for the patient. Generally the recovery time takes anytime from three to six weeks.

Surgical risks
During Tubal Ligation surgery, if bleeding occurs and this would increase the chance of getting an infection. There are chances that the surgical instruments might cause unintentional injury to your surrounding internal organs such as perforation of the intestine and pulmonary embolism. You should consult with your surgeon before the surgery. Ask for more information on the specific procedure that you would have.

Long-term risks
Tubal Ligation procedure is permanent. In most cases it is irreversible. After the surgery you might experience the “Post Tubal Ligation Syndrome”, which include but not limited to pelvic pain and painful menstrual cycles.

There is a myth that points out that those women who had Tubal Ligation surgery would be likely to have irregular menstrual cycles. This is not true. Irregular menstrual cycles are more likely caused by Birth Control Pills that Tubal Ligation. When a woman has been taking the Birth Control Pills for a long time, her menstrual cycles are actually influenced by the pills. A sudden stop of taking these pills will shock her body menstrual cycles.

Having said all of that, there are also many advantages that come with those risks. They are:
- Permanent birth control.
- Practical with no daily maintenance.
- Decrease Ovarian Cancer Risk for certain women
- For the long run, it is economical.
- Very effective (95% success rate).

Tubal Ligation is a female sterilization surgical procedure, in which the woman's tubes are cut off, blocked or tied in order to stop the eggs in the ovary to travel to the uterus. In layman term, it means "getting your fallopian tubes tied". Thus it will prevent the male sperm to fertilize the eggs. Although Tubal Ligation is considered as a permanent type of sterilization, it is possible to reverse the procedure using Tubal Ligation Reversal surgery.

How is Tubal Ligation Procedure performed?

There are quite a few procedures to get a Tubal Ligation, but the two most popular procedures are Laparoscopy and Minilaparotomy. Both of these procedures are minimally-invasive procedures with higher success rate. Others like Culpotomy and Culdoscopy are generally performed due to certain medical condition like obesity. All of these procedures can be performed under either general or local anesthesia. Each procedure carries different risks and benefits.

Laparoscopy

Using this procedure, a patient’s abdomen will be filled with carbon dioxide gas to distant the abdominal wall from the fallopian tubes and uterus. There are two incisions made to the body. First, a small abdominal incision is made to insert a laparoscope (looks like mini telescope). Then the second incision is on the upper part of the pubic hairline. The second incision is meant as an entrance of the instrument that will be used to clip or burn the fallopian tubes. The whole procedure takes about thirty minutes.

Minilaparotomy

It is performed by making a small abdominal incision above the pubic bone. This procedure is used to minimize the visibility of the scar after the surgery. Instead of utilizing the surgical retractors and packs, this procedure uses microsurgical instruments.

Culdoscopy

This procedure involves making a small incision in the vaginal wall. The patient must be in a knee-to-chest position during anesthesia. A culdoscope (viewing tube) is inserted into the incision to find the fallopian tubes and then seal them.

Culpotomy

Similar to Culdoscopy, it is performed by making a small incision in vaginal wall. The patients would also need to be in a knee-chest position under anesthesia. Using this procedure, the fallopian tubes are bought out using a medical instrument in order to be sealed. Once done, they are put back and stitched the incision.

Can You Get Pregnant with Tubal Ligation?

Tubal Ligation is a very effective method for birth control. It has a success rate of 95% to prevent pregnancy.

Treatment

If you are diagnosed with a tubular, a.k.a. tubal, a.k.a. ectopic, pregnancy, you have a couple of treatment options, but no matter which method is used, the ultimate result is the same. That is, removal of the foetal tissue. It is impossible for an ectopic pregnancy to be a viable pregnancy; the fallopian tube cannot sustain a pregnancy. Without treatment, the tube will rupture and the resulting excessive bleeding can lead to the death of the mother. All ectopic pregnancies must be treated, even though that may result in the damage or loss of a fallopian tube. If the pregnancy is determined to be tubal early enough, you may be able to avoid surgery by having an injection of methotrexate instead. Methotrexate ceases the growth of the egg and the cells are generally absorbed back into the bloodstream by the body.

If the use of medication is not an option or is unsuccessful, you will need to have surgery to remove the abnormal pregnancy. This may be laparoscopic surgery or the more “traditional” surgery involving general anaesthesia and an incision in the abdomen. Sometimes the surgery is emergency surgery; such would be the case if you are having a lot of bleeding or if the fallopian tube has already burst. Most doctors will attempt to save the tube if possible, but the primary purpose is to ensure the life and well being of the mother, so if it is necessary, the tube may be removed.
Discovery or Diagnosis

In the very early stages of an ectopic pregnancy, the symptoms are just like those of a healthy pregnancy. A little morning sickness, some breast tenderness, being tired, and missed periods – the same symptoms that lead to the pregnancy diagnosis. A little bit into the pregnancy, however, some other signs that the pregnancy may be ectopic may occur. Such symptoms include cramping or pain in the abdomen, spotting, and dizziness or light-headedness. If the pregnancy is not determined ectopic until the tube actually ruptures, the symptoms include severe, sharp, or sudden pain.

If you know you are pregnant or it is possible that you are pregnant, it is imperative that you seek medical care if you have any of the above symptoms, as ectopic pregnancies can have severe consequences. The earlier the tubular pregnancy is discovered, the more successful and less invasive treatment can be.

What exactly is a tubal pregnancy? A tubal pregnancy, also called an ectopic pregnancy, is a pregnancy in which the fertilized egg attaches to an area outside the uterus – most frequently one of the fallopian tubes. A viable, normal pregnancy occurs when the fertilized egg moves through the fallopian tube and attaches to the uterine lining, where it will remain and grow throughout the pregnancy.

Will a baby be able to grow and be born if the pregnancy is tubal? No, the fallopian tubes are not designed to support the growth of a fertilized egg to a baby. The necessary nutrients are not present, and the tube cannot stretch enough to house a foetus for very long. Frequently, the fallopian tube suffers damage to some degree as a result of the ectopic pregnancy, even when the tubal pregnancy is discovered early.

How do you know if you have an ectopic pregnancy? It can be difficult to tell the difference between a normal, intrauterine pregnancy and an abnormal, tubal pregnancy in the beginning. Both types of pregnancies have the same types of symptoms, which include missed periods, some tenderness in the breasts, and nausea or vomiting. Sometimes, the ectopic embryo will be expelled by the body with no intervention, as the body’s way of stopping a non-viable pregnancy. Often, however, a tubal pregnancy will require medical attention.

About five to eight weeks into a tubal pregnancy is when you are most likely to have some symptoms that indicate the pregnancy is ectopic. You may suffer from cramping or pain in the pelvic area; frequently the pain will be on one side only. There may also be vaginal bleeding or spotting. Any pregnant woman who presents with these complaints should be tested to see if the pregnancy is ectopic. The doctor will most likely do a manual pelvic exam as well as blood work and some sort of imaging test, such as an ultrasound. The risks associated with ectopic pregnancies make testing quite necessary, as ectopic pregnancies are abnormal, are not viable, and may have severe or even life-threatening consequences to the mother.

Who is most at risk for developing a tubal pregnancy? If you have already had one or more ectopic pregnancies, you are at greater risk to have another. Your doctor should be immediately made aware of your previous tubular pregnancy. If you have had fertility issues and have taken medications intended to increase your fertility by stimulating ovulation, you are at increased risk. If you have had an infection of the fallopian tubes or uterus, again, the risk of ectopic pregnancy is greater. Pelvic Inflammatory Disease (PID) and some sexually transmitted diseases can also increase the chances of developing an ectopic pregnancy, as can becoming pregnant while using chemical contraceptives.

Modern Medicine and the Ectopic Pregnancy

Ectopic pregnancies are dangerous to the mother. They may cause future risk of ectopic pregnancies, cause infertility or decreased fertility, and may even cause excessive bleeding that can lead to the death of the mother.

Treatment of tubal pregnancies, however, has been improving greatly, although the mortality rate of mothers is still a concern, as are the less severe consequences associated with tubal pregnancies.

The successful treatment of ectopic pregnancies can be attributed to many improvements in modern medicine, such as:

• Improvements to and development of medications
• Improved surgical techniques
• Improved and better supply of blood
• Early detection of pregnancy

Risk Factors to be Aware Of

Although the exact causes of tubal pregnancy may remain unknown in some women, there are risk factors associated with the condition. They include:

• A previous ectopic pregnancy
• Having had abdominal surgery
• PID – pelvic inflammatory disease
• Damaged fallopian tubes
• Abnormally shaped fallopian tubes
• Using medications to stimulate ovulation
• In Vitro Fertilization
• Becoming pregnant while using an IUD (rare)
• Endometriosis
• Scar tissue in the abdomen, particularly in the fallopian tubes or uterus
• Having been exposed to DES in-utero (getting rarer, as women who may have been given DES during pregnancy are exiting the childbearing years)
• Chlamydia that has adversely affected the tubes
• Gonorrhoea hat has adversely affected the tubes

Life after Ectopic Pregnancy

With improved medical techniques and improved medications, the mortality rate for mothers whose pregnancy was ectopic has been greatly reduced. In fact, nowadays, the focus is not only on preserving the life of the mother, but also on preserving her fertility.

If surgery was the treatment method used in the mother’s pregnancy, the surgeon may or may not have had to remove the fallopian tube. Sometimes it is possible to repair the damage, although if the mother’s fallopian tube was ruptured, she will most likely have lost all or part of the fallopian tube. Surgeons frequently have to remove the tube as the quickest and safest way to keep bleeding under control.

Even if a fallopian tube was damaged (or even removed), however, it is often possible to conceive again and to have a normal pregnancy. If you wish to conceive again, seek the advice of your physician and be watchful for adverse symptoms.

Any situation that would make it more difficult for the egg to travel to the uterus increases the risk of a tubular pregnancy. Such circumstances might include a previous surgery on the fallopian tube or an infection or sexually transmitted disease that has resulted in a narrowing of the tube or scar tissue on the tube. Most commonly, that infection is PID, or pelvic inflammatory disease.

Other risk factors include being aged 35 to 44 years old, having had a previous ectopic pregnancy, or having had certain fertility problems and/or treatments, including the use of medicines that stimulate ovulation.

Signs of a Tubular Pregnancy

The first indication that you may have an ectopic pregnancy is usually pain, so if you are pregnant and are experiencing abdominal pain, you should consult your doctor as soon as possible, especially if one of the above risk factors applies to you. Other indications of a tubal pregnancy are the same as or similar to those of a normal pregnancy, such as soreness or tenderness in the breasts, missed periods, and morning sickness.

The Dangers of an Ectopic Pregnancy

An ectopic pregnancy does not result in a live birth. The fallopian tube is not an adequate environment for the full development of a foetus, and the greatest risk is that the baby will grow too large for the tube and the tube will rupture. A rupture of the fallopian tube can be a risk to the woman’s life and causes severe pain and bleeding.

Treatment

If a doctor discovers that your pregnancy is ectopic, and it is discovered early enough in the pregnancy, the least invasive treatment is to give the woman a shot of the drug methotrexate. Methotrexate allows the body to reabsorb the fertilized egg, and there is usually no scarring of the tube when this treatment is possible.

Sometimes, however, the injection is not an option. In that case, the mother will need to have surgery, in which the fertilized egg is removed from the body. Often, if the tubal pregnancy is discovered early enough, the surgery can be done via a laparoscope, which generally only requires a very small incision and is the second least invasive treatment for a tubal pregnancy. If the egg has grown too large or there is damage to the tube already, the woman may need to undergo more traditional surgery to remove the egg.

Once you and your doctor do discover that your pregnancy is tubal, it becomes necessary to remove the foetal tissue. Failure to do so has the potential to cause serious harm to or even the death of the mother. If the diagnosis is made very early, your doctor may be able to treat the ectopic pregnancy with one or more shots of a medication called methotrexate. If successful, methotrexate causes the cells to cease growing and allows the body to reabsorb the cells once they have dissolved.
Continued monitoring is necessary to ensure that the treatment was successful. If, for some reason, you are unable to have the methotrexate treatment or if it is unsuccessful, the next step would be to remove the ectopic tissue surgically. The surgery would be completed either laparoscopically or with a large abdominal incision. In either surgery, the surgeon removes the ectopic tissue and repairs or removes the fallopian tube.

Of course, if you have an ectopic pregnancy and the treatment is successful, your immediate health risks are pretty much over, however, there can be some emotional issues to contend with. If you knew you were pregnant before the ectopic diagnosis, you may be saddened or even depressed by the fact that your pregnancy resulted in the necessary removal of the ectopic tissue. You may be worried about your ability to conceive again. You may be angry and asking yourself, why me?
In fact, there may be any range of possible emotions, or you may not find yourself with these kinds of feelings. In any event, know that whatever you are feeling is not “wrong” or “stupid.” With the loss of any pregnancy can be devastating, so if you find yourself feeling lost, sad, confused, or whatever, realize that it is perfectly acceptable to grieve over the loss of your pregnancy. Seek the time you need to mourn and the consolation and comfort of loved ones and friends. Discuss your feelings with your doctor. Seek a support group. In short, do whatever it takes to make yourself feel better, and also realize that if you are not struggling with emotional difficulty after your ectopic pregnancy, that is certainly okay too.

The Danger of a Tubular Pregnancy

A tubular pregnancy is not normal. The fallopian tubes are not designed to sustain a baby. If the egg implants in the tube and continues to grow, the foetus will become too big for the tube and eventually the tube will rupture, or burst. A ruptured fallopian tube or ovary causes excessive amounts of bleeding and pain and can cause the death of the mother, so a tubal pregnancy cannot be carried to term.

The Symptoms

In the early stages of a pregnancy, the signs of a tubal pregnancy are just about the same as they are for a normal pregnancy. Those symptoms include breast tenderness, missed periods, a more frequent need to use the bathroom, and perhaps nausea and vomiting (morning sickness).

A little later, however, other symptoms that may indicate a tubular pregnancy can occur. Pain, spotting, low blood pressure, a fainting spell or dizziness, and pain in the small of the back can all be indicators of an ectopic pregnancy. So, too, are lower-than-expected levels of HCG (the “pregnancy hormone”). Of course, you would have no way of knowing that your hCG levels were low, other than to have them tested, so although that is a symptom, it is usually used as one of the methods of diagnosing an ectopic pregnancy.

The pain is usually the first sign; most women who are diagnosed with a tubular pregnancy seek the advice of a physician because they are having abdominal pain. The pain may be a sharp, stabbing pain – “like a knife” – and it may stay or be intermittent. It may hurt very badly at times and be less severe at other times, and usually the pain is only on one side of the abdomen – the one that has the tube in which the egg is implanted.

The Risk Factors

Any woman may experience an ectopic pregnancy, but there are risk factors that make it more likely. Since an ectopic pregnancy usually occurs because the egg does not successfully travel to the uterus, anything that makes it more difficult for the egg to get through the tube can be a risk factor. A previous ectopic pregnancy that has damaged the fallopian tube puts a woman at higher risk, as does having any type of surgery on a tube because of the chances of scar tissue blocking the normal path of the egg. Other conditions such as infections like Pelvic Inflammatory Disease (PID) can have a similar consequence. Also, for some reason, women who are a little on the older-than-average age for childbearing may have a greater risk. Many tubular pregnancies occur in women between 35 and 44 years of age. In addition, women who have used medications to enhance the chances of getting pregnant may also have a higher risk.

Diagnosing an Ectopic Pregnancy

If you are pregnant and go to the doctor or hospital complaining of abdominal pain, the doctor will almost always give you tests to determine if your pregnancy is ectopic or normal.

Usually, the tests will include a pelvic exam, both external and internal. The doctor will look for unusual qualities and will check to see if your uterus looks to be the proper size for the baby’s length of gestation. If the uterus appears smaller than expected, that is an indicator that the egg may be growing elsewhere.

Another test you may be given is a test that measures the amount of HCG in your system. HCG is sometimes known as the “pregnancy hormone” and many home pregnancy tests check for this hormone; if your levels are higher than they are for a non-pregnant woman, he test gives a positive result. As your pregnancy gets farther along, the amount of HCG in the bloodstream increases, but with an ectopic pregnancy, there may be less HCG than there is in a uterine (normal) pregnancy, so lower-than-expected HCG levels is another possible indication of a tubular pregnancy.

In addition to those tests, you will likely have an ultrasound done. That test uses sound waves to check for pregnancy or masses in the abdomen. Ultrasounds are reliable tests, and they are commonly done on most pregnant women at some point in the pregnancy. However, not every ectopic pregnancy may be detected by an ultrasound, particularly if you are less than six weeks along. At that point, the egg is still quite small, and as such may not be detectable. If you are less than six weeks along and are complaining of pain that cannot be explained in some other way, the doctor will carefully monitor you and will most likely want to check your HCG levels very frequently.

A tubal pregnancy is also referred to as a tubular pregnancy or an ectopic pregnancy, and it is an abnormal pregnancy. In a normal pregnancy, the fertilized egg travels down the fallopian tube and attaches to the lining of the uterus where the cells get nutrients and have plenty of room to grow. An ectopic pregnancy occurs when the egg does not reach the uterus and attaches itself to some other abdominal organ, which sometimes includes the cervix or an ovary. Most frequently, the ectopic pregnancy is tubal, so called because the egg adheres to the fallopian tube.

Viability of a Tubal Pregnancy

A tubal pregnancy cannot produce a baby. The fallopian tubes are not designed to house and feed a foetus.

Risks of Tubal Pregnancies
An ectopic pregnancy has the potential to be quite serious and poses a number of risks to the mother. If a fertilized egg that attaches itself to a fallopian tube continues to grow long enough, it may damage the tube, and in fact may even cause it to rupture. Such a rupture frequently causes severe pain and bleeding and surgery becomes necessary. Attempts to repair the damage to the tube may be made, but usually the fallopian tube needs to be surgically removed. Sometimes, the excessive bleeding can endanger the life of the mother. There are occasions when a tubal pregnancy resolves on its own, in which case you are unlikely to have even known the pregnancy was ectopic. In addition, having one tubal pregnancy increases the risk of having another one if you should conceive again.
Symptoms of Tubal Pregnancies

If you are pregnant, you should seek immediate medical attention for any of these signs that may indicate ectopic foetal development:
• Dizziness
• Light-headedness
• Abdominal cramping
• Abdominal pain
• Back pain
• Shoulder pain
• Spotting or vaginal bleeding

Treatments for Tubal Pregnancy

A tubal pregnancy is not viable; it cannot result in the birth of a child and poses serious risk to the mother; therefore, the tissue must be removed. There are two ways for this removal to happen: surgery or medication. If the diagnosis is made early enough, it may be possible to avoid surgery and stop the growth of the ectopic cells with one or more injections of methotrexate. If the methotrexate treatment is successful, the body will reabsorb the tissue. It may, however, be necessary to surgically remove the ectopic tissue, in which case the surgeon will determine if you are a candidate for laparoscopic surgery or whether you will need the more invasive Laparotomy. In either surgery, the doctor removes the tubal pregnancy cells and will either attempt to repair any damage to the fallopian tube or remove the tube.

• Fainting
• Dizziness
• Light-headedness
• Vaginal spotting
• Heavy vagina bleeding
• Abdominal cramping
• Abdominal pain
• Pain in the shoulder or neck
• Pain on one side of the pelvis

Although many of these symptoms may be signs of something else, any pregnant woman who experiences them should be tested to see if the pregnancy is developing normally in the womb or abnormally in the fallopian tube.

Tests will generally consist of a pelvic examination, blood tests, a urinalysis, and an ultrasound. Generally, if you have been pregnant for longer than six weeks, an ectopic pregnancy can be diagnosed using one or several of these techniques. However, it is sometimes impossible to either diagnose a pregnancy as ectopic or rule it out; this is especially true very early in the gestation period. If you present with any of the above symptoms and a tubal pregnancy is neither diagnosed nor ruled out, your doctor will most likely continue to monitor you very closely, and you may need to return every few days for more testing.

Fainting, dizziness, and light-headedness are all symptoms because they are frequently caused by blood loss, and ectopic pregnancies may cause bleeding. Spotting and vaginal bleeding may be seen as symptoms of ectopic pregnancy because when the egg attaches to the tube, bleeding may result, and if the tube actually ruptures, heavy bleeding is likely. Abdominal cramping or pain may present itself because the egg is not where it belongs, and that pain may be on only one side of the pelvis because the pain will likely emanate from the tube in which the egg has attached itself. Shoulder pain may seem like an odd symptom, and it is rarer than the other symptoms, but it can be the result of excessive internal bleeding.

It is important for all pregnant women to receive prenatal care, and with such proper care, it is more likely that an ectopic pregnancy will be discovered earlier rather than later. As is true with most conditions, the earlier an ectopic pregnancy is diagnosed the better the treatment options.

Treatment

If your pregnancy is determined to be ectopic, or tubal, the treatment is to remove the fertilized cells. If the pregnancy is in the very early stages, this may be done non-surgically with one or more injections of a medication called methotrexate. Methotrexate discontinues the pregnancy by prohibiting the continued growth of the cells, and the tissue is then reabsorbed by the body. Sometimes one shot is sufficient; sometimes more than one shot is necessary.

If the pregnancy is discovered to be tubular too late for the methotrexate option, surgery is required. The surgery can frequently be laparoscopic in nature, which is am fairly non-invasive surgical technique. With laparoscopic surgery, the doctor makes a very small incision in your abdomen – usually right near or inside the belly button. Then, he or she takes the laparoscope – a thin tube that has a light on the end of it – and inserts it into the opening to look for the location of the pregnancy and any resulting damage to the fallopian tube. Once the cells are located, the doctor removes them, and if it is possible to repair any damage that may have happened to the tube, the doctor does that, too. Sometimes, he or she may need to remove the fallopian tube.

If the pregnancy proceeds long enough before it is diagnosed as ectopic, it may be necessary for you to have regular abdominal surgery to remove the tissue and repair or remove the fallopian tube. Generally, this would require general anaesthesia and all the risks associated with major surgery.

Seeking Advice
If you are pregnant or think you may be pregnant, it is extremely important that you seek qualified medical advice if you experience bleeding, spotting, or abdominal pain immediately to ascertain whether or not the pregnancy is tubal.

Studies show that your baby will react to sounds and noises at around the 24 week mark. So, when you are around 3 months pregnant, you can start to interact with your baby and he will be able to interact with you.
Your baby will love one sound more than any others he may hear while in the womb, and that is your voice. He will hear your voice through the air as you speak. The sound will travel through your belly to your baby safely tucked up in your womb. He will also be able to feel the vibrations that come from your voice as you speak. You don’t have to speak loudly for your baby, because he can feel the vibrations, he will still be able to hear you softly talking.

Some mothers to be find it difficult to talk to their unborn baby as they don’t know what to say! Just talk to your baby about the things you are doing, the things you are going to do, how loved he is, what you are going to do when he arrives and so forth. Once you start, you will notice that it does get easier over time. Just see it as he is in front of you, and talk to him as if he is in your arms.

Playing music that is gentle and soft is another sound your baby will love. He will respond to the music in your womb and also once he is born. Music that you played before he was born may settle him off to sleep or relax him when he is in the world!

You can also get your partner and close members of the family to talk to him too. This will get him used to hearing other people’s voices.

Bonding with your baby before he is born is a great way to develop that special connection between the two of you.