I'm 5ft 9in tall; and height before pregnancy 145 lbs. I am currently 152 pounds and 19 weeks along with my second bra size 32D. I bought this for a trip 32-34 weeks (7.5 months) pregnant and showed that size by putting a blanket under my shirt (later updated, photo added 33 weeks, 168 pounds - the one with the thai Elephants.I'm wore a coral top L and XL pants and I didn't make any changes.) MEDIUM SIZE REVIEW (coral shirt on house photos): If I was a little smaller I would have gone for a medium size. The medium size fits the bust better, but since I'm tall, the underbust hem is too high. The arms are quite long, but I can say that I would lower them a bit when active. I'm going to mosquito land and I don't want to get Zika so I don't want to worry. The shirt is tight and reaches up to the thigh and covers the entire upper body and buttocks despite my size. Show belly but maybe that would be too tight especially when wet as my journey is 32-34 weeks. LARGE SIZE GUIDE (turquoise shirt in photos): large in the bust is loose, but the underbust seam is much more comfortable. I can just sew up the sides or tie a bow at the back (and then maybe do the darning!) if I want it to be more form fitting as I'm good at sewing. The sleeves are looser and longer which makes it easier to take off when wet, they don't ride up too much during activities and the looser sleeves prevent mosquitoes from biting through them. As my belly grows, the upper body becomes more comfortable and even at 7.5. Months pregnant he is quite long. (I've never reworked them at all and they were fine; see photo of the elephant.) These are pants that fit well on the L for pregnancy and the first, maybe second trimester, but for the third trimester I prefer the XL size comfort . Roll up the strap and lengthen it a bit: https://www.amazon.com/gp/product/B0783BRW5M/ref=oh_aui_detailpage_o00_s00?ie=UTF8&psc=1
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