All about Pregnancy

       Complications & problems during pregnancy  
 



Reliable information on
pregnancy topics
by Heisje de Jong,
Certified Lactation Consultant

Welcome (home page)
Your pre-conception diet
Home pregnancy tests
Early signs of pregnancy
Diet for your pregnancy
Things to give up
Lifestyle changes
Childbirth classes
Breastfeeding - preparation
Complications during pregnancy
Prenatal testing
Pregnancy Week-by-Week
When to contact your doctor
What to ask your obstetrician
Hospital or home delivery?
    And your Packing Guide!

Pain relief in labor & birth
Medical intervention during
    labor and delivery

Post partum exercises
Breastfeeding

About Heisje de Jong
Useful links
Contact Heisje

 


 

   

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When you are pregnant many changes take place in your body. Some of these changes can cause discomfort. You may have some aches and pains. You may feel exhausted at times or experience other symptoms. Many of these symptoms are just the result of being pregnant and you do not need to worry about them too much. Just knowing what you can do to relieve the symptoms will make you feel more comfortable. Other symptoms may be cause for concern and you need to inform your doctor about them. Here is an overview of the most common problems.

 

VARICOSE VAINS

The increased flow of blood and the softening of the muscular wall of the blood vessels make it more likely that you will develop varicose veins on your legs during pregnancy. Some women are genetically predisposed to varicose veins. If your mother developed varicose veins during her pregnancy unfortunately there is a good chance that you will too.

Suggestions:

· Avoid excessive weight gain.
· Avoid standing for long periods of time, change position, walk up and down.
· Put your legs up when you are sitting.
· Do not cross your legs.
· Avoid tight clothing.
· Wear support stockings.
· Exercise regularly. Swimming and walking are very beneficial for your blood circulation.

CONSTIPATION

The hormones of pregnancy cause the intestines to relax and become less efficient. The result can be constipation. Iron tablets taken during pregnancy can also cause constipation. Constipation is a nuisance and can make toilet visit a daily chore.

Suggestions:

· Eat plenty of fibers in your diet, whole grain bread, bran cereals, fruits and vegetables.
· Drink plenty of water.
· Do regular exercises, especially squatting.
· Prune juice and kiwis are excellent to relieve your constipation.
· Ask your doctor for a stool softener when the suggestions above do not work.
· Sometimes another type of iron tablets can make a difference.

HEMORRHOIDS

Hemorrhoids are varicose veins of the rectum and can be caused by constipation. If you have hemorrhoids, they should be treated as soon as possible to avoid them protruding through the anus. Hemorrhoids can be itchy and during defaecation they can start bleeding. Many times they dissapear after birth.

Suggestions:

· Avoid straining.
· Eat plenty of fiber in your diet to avoid constipation.
· If necessary, ask your doctor for a stool softener or a cream to reduce itchiness and swelling.
· Apply a pad soaked in witchhazel or calendula for relief. This also reduces swelling.

LEG CRAMPS

Cramps in your leg may be caused by the extra weight you are carrying or circulation changes. It may also be a sign that you do not get enough calcium in your diet.

Suggestions:

· If the cramp starts, bring your toes towards you and massage the leg muscle.
· Exercise regularly to improve your blood circulation.
· Make sure you get enough calcium in your diet.

HEART BURN

Hormones released during pregnancy soften the sphincter between the esophagus and the stomach. This lets stomach acids back up into the esophagus, causing a burning sensation. Later in pregnancy, heartburn can also occur if your growing baby pushes your organs upwards.

Suggestions:

· Eat smaller, frequent meal.
· Avoid rich, spicy or greasy foods.
· Remain upright for a while after eating.
· Elevate the head of your bed.
· Eat some crackers and drink some milk when you have heartburn.
· Ask your doctor for an antacid.

BACKACHES

Backache is one of the most common complains during pregnancy. Usually it is the result of poor posture due to the weight of your baby. Also wrong lifting techniques can contribute to
backache.

Suggestions:

· Use good posture, avoid hollowing your back.
· Sit with a straight back, do not slouch.
· When you sit in a chair see that your spine is well supported. If necessary, use a cushion in your back.
· Use your legs not your back when you reach down for something. Kneel down to pick up something.
· Wear comfortable shoes that give good support, avoid high heels.
· Practice pelvic rocking while on all fours. This is a good exercise to relieve backache.
· Apply a hot water bottle to your back or take a warm bath or shower. This relaxes also the muscles of your back.

STRETCH MARKS

Stretch marks may appear as dark streaks on your tummy, buttock, thighs and breasts. They are a sign that the skin has been stretched from underneath. Stretch marks never completely disappear but after birth they fade and gradually change to a silvery color.
There are many creams and lotions on the market to prevent stretch marks. Many of them are very expensive but their effectiveness has never been proven. Although stretch marks can not really be prevented, it is a good idea to keep your skin in the best possible condition. This includes eating a healthy diet. Massaging with a good massage oil or lotion is beneficial for your skin and feels good too.

ANAEMIA

When you are anaemic during pregnancy, you tend to feel tired; you easily become exhausted and may even have dizzy spells or be short of breath. Most likely you are prescribed iron tablets by your doctor and your blood will be checked regularly. In addition to the iron tablets, you may adjust your diet so that it contains more iron. Iron rich foods are: leafy green vegetables, egg yolk, whole grains, nuts and dried apricots. Vitamin C helps your body to absorb iron so increase your vitamin C intake, possibly with supplements.

CYSTITIS

An infection of the urine bladder is very common during pregnancy owing to changes in the urinary system. The symptoms include frequent urination and a burning sensation while you are passing urine. Probably you will be prescribed a course of antibiotics by your doctor. In addition, there are some things that you can do yourself to avoid getting cystitis again.

· Increase your vitamin C intake.
· Lemon juice, barley water and marshmallow tea are also effective in preventing cystitis.
· Drink plenty of water.
· Wear cotton underwear.
· Avoid refined starches and too much sugar.
· Avoid using soap to wash your genitals, use just plain water.
· Wipe from front to back after toilet visit.
· After intercourse, empty your bladder and wash with plain water.

YEAST GROWTH

Increased vaginal discharge is normal during pregnancy. If however you feel itchy and your vagina is red and sore, you may have developed thrush. Thrush is more likely to develop during pregnancy because your vagina becomes more acid, encouraging the growth of yeast. If you have thrush when you go into labor, it may affect your baby's mouth on his passage through the vagina. A baby with thrush in his mouth may pass this on to your nipples during breastfeeding, causing extremely sore and cracked nipples. It may also cause poor healing if you have an episiotomy. It is therefor advisable to treat thrush as soon as the symptoms appear. Your partner may also need to be treated as thrush passes easily during intercourse. Your doctor will probably describe an antifungal cream or suppositories. In addition, you can try to avoid getting thrush in the future by following these suggestions:

· Use all cotton underwear and change it frequently.
· Wash hands carefully after toilet use.
· Do not share towels and wash cloths with family members.
· Avoid or decrease the amount of sugars and starches in your diet.
· Eat yogurt containing lactobacillus bacteria.
· Eat vitamin rich foods to boost the immune response of your body.

HEADACHE

When you experience headache during your pregnancy, it can be a result of stress, anxiety or just doing too much. (Severe headache with light flashes in late pregnancy can be a sign of pre-eclampsia or eclampsia, so contact your doctor in this case). If you are anxious or worried, try to find the reason, talk with your partner or your doctor what could be the reason of your anxiety. If you are doing too much you should slow down. Listen to your body and find ways to relax. Take a walk outdoors, lie down in a darkened room with a cold wash cloth on your forehead. It is best to avoid caffeine consumption.

INSOMNIA

Nearly every pregnant woman goes through a period of insomnia. Either you cannot drop off to sleep or you wake up frequently during the night. Your baby may be moving and kicking a lot. You need to empty your bladder often. Maybe you are not comfortable because of your growing belly and find it difficult to find a right position to sleep. Maybe you are anxious or worried and lying awake in the dark will make it even more difficult to fall asleep.

Here are some suggestions that may be helpful.

· Take a warm bath before you go to sleep.
· Drink a cup of hot milk or chamomile tea before bedtime.
· Use extra pillows to make yourself comfortable. Lying on your side is best, with one knee up to the chest and the other stretched out. Put a pillow under your upper knee.
· A massage, maybe right after you had your bath, will make you feel pleasantly drowsy and sleepy. Add a few drops of essential oil of lavender to your massage oil.
· Practice relaxation exercises with some deep breathing.
· Sleep in a well-ventilated room.

PAIN UNDER THE RIBS

In late pregnancy, you may experience pain under your ribs, at either side, depending on which side the baby is lying. Sitting straight up on a chair is probably more comfortable than sitting on a low couch. Try also sitting on the floor, legs crossed, with your back against the wall or sofa. Try to lift your ribcage off the uterus. Lifting your arms above your head is also helpful in relieving the pain.

PELVIC PAIN

In late pregnancy, pressure from your growing baby may cause pain around the pubic area where the pelvic joints have softened in preparation for birth. It is best to avoid standing for long periods and even when sitting change position often. Practice your exercises, rest regularly and apply a warm compress at the sore area.

SHORTNESS OF BREATH

In late pregnancy, you may find yourself short of breath when climbing stairs or doing exercises. Your enlarged uterus presses against your lungs and makes you feel breathless. Do not exert yourself, listen to your body when it tells you to slow down and take plenty of rest.

HIGH BLOOD PRESSURE

Your blood pressure will be checked during every visit to your obstetrician. Slight fluctuations are normal during pregnancy but if your blood pressure rises significantly it will have to be treated as it may be an indication of pre-eclampsia, which reduce the efficiency of the placenta.

PRE-ECLAMPSIA

Pre-eclampsia rarely occurs in the early part of pregnancy and the cause is still greatly unknown. The risk of pre-eclampsia is highest in first pregnancy. The symptoms of pre-eclampsia are rising of the blood pressure, fluid retention that causes swelling in hands or feet and the appearance of protein in the urine. A rise in blood pressure alone does not mean that you have pre-eclampsia, and neither does an increase in fluid retention. The two symptoms together however do point towards pre-eclampsia.

Treatment of pre-eclampsia varies on its severity but it usually consists of bed rest and treatment to lower the blood pressure. You may be admitted to the hospital where it is easier to check your blood pressure and urine. If your blood pressure falls and there is no longer protein in your urine you will probably allowed to go home. You will be advised to take it easy for the rest of the pregnancy and possibly to give up work. You will also be seen more frequently by your obstetrician.

With good antenatal care, monitoring of the blood pressure and checking the urine for protein, pre-eclampsia usually does not cause further problems. Only in rare cases pre-eclampsia develops into eclampsia. This situation can seriously affect you as well as your baby. Eclampsia can cause maternal fits, coma and placenta failure. Symptoms of eclampsia are: severe headache, flashing lights, nausea, vomiting and pain in the abdomen.

BLEEDING IN EARLY PREGNANCY

In the early months, it is possible that you have some bloody discharge around the time that you would otherwise have your period. This can happen because the level of the pregnancy hormones is not yet high enough to suppress the period totally. This bleeding is not from the embryo but from the lining of the uterus. As long as the bleeding is nor accompanied by cramps or period-like pains there is a large chance nothing is wrong, although you should go to bed and report it to your doctor. You may be given an ultrasound scan to make sure everything is normal.

BLEEDING IN LATE PREGNANCY

Some bloody discharge in late pregnancy may indicate that labor is on its way, it is usually a blood stained mucous plug the size of the palm of your hand.

Bleeding following intercourse is not uncommon in this stage of pregnancy as the cervix becomes engorged with blood. Your doctor can examine your cervix and see if this was the cause of the bleeding. Maybe you will be advised to avoid deep penetration while having intercourse.

Another cause of bleeding may be placenta praevia. In this case, the placenta is implanted in the lower part of the uterus and partly in front of the baby's head. During normal Braxton Hicks contractions, such a placenta can start bleeding. Placenta praevia can be confirmed by ultrasound scan. It almost certainly means that you will deliver your baby by Caesarean section.

Bleeding in late pregnancy can also mean that a part of the placenta, situated normally in the upper part of the uterus, has separated from the uterine wall. This is called Abruptio Placentae. This is always a potentially dangerous problem as it can mean that the baby is going to be cut of from its blood supply. You may have abdominal pain and dark vaginal bleeding. You should contact your doctor at once and you will be admitted in the hospital. If apruptio placentae is diagnosed you will probably be delivered by Caesarean section.

Note: Any blood loss from the vagina must always be reported immediately to your doctor. It may be nothing serious but the exact cause of the bleeding must be diagnosed.

PLEASE BOOKMARK THIS SITE NOW SO THAT YOU MAY RETURN AT YOUR CONVENIENCE

When you are pregnant many changes take place in your body. Some of these changes can cause discomfort. You may have some aches and pains. You may feel exhausted at times or experience other symptoms. Many of these symptoms are just the result of being pregnant and you do not need to worry about them too much. Just knowing what you can do to relieve the symptoms will make you feel more comfortable. Other symptoms may be cause for concern and you need to inform your doctor about them. Here is an overview of the most common problems.

VARICOSE VAINS

The increased flow of blood and the softening of the muscular wall of the blood vessels make it more likely that you will develop varicose veins on your legs during pregnancy. Some women are genetically predisposed to varicose veins. If your mother developed varicose veins during her pregnancy unfortunately there is a good chance that you will too.

Suggestions:

· Avoid excessive weight gain.
· Avoid standing for long periods of time, change position, walk up and down.
· Put your legs up when you are sitting.
· Do not cross your legs.
· Avoid tight clothing.
· Wear support stockings.
· Exercise regularly. Swimming and walking are very beneficial for your blood circulation.

CONSTIPATION

The hormones of pregnancy cause the intestines to relax and become less efficient. The result can be constipation. Iron tablets taken during pregnancy can also cause constipation. Constipation is a nuisance and can make toilet visit a daily chore.

Suggestions:

· Eat plenty of fibers in your diet, whole grain bread, bran cereals, fruits and vegetables.
· Drink plenty of water.
· Do regular exercises, especially squatting.
· Prune juice and kiwis are excellent to relieve your constipation.
· Ask your doctor for a stool softener when the suggestions above do not work.
· Sometimes another type of iron tablets can make a difference.

HEMORRHOIDS

Hemorrhoids are varicose veins of the rectum and can be caused by constipation. If you have hemorrhoids, they should be treated as soon as possible to avoid them protruding through the anus. Hemorrhoids can be itchy and during defaecation they can start bleeding. Many times they dissapear after birth.

Suggestions:

· Avoid straining.
· Eat plenty of fiber in your diet to avoid constipation.
· If necessary, ask your doctor for a stool softener or a cream to reduce itchiness and swelling.
· Apply a pad soaked in witchhazel or calendula for relief. This also reduces swelling.

LEG CRAMPS

Cramps in your leg may be caused by the extra weight you are carrying or circulation changes. It may also be a sign that you do not get enough calcium in your diet.

Suggestions:

· If the cramp starts, bring your toes towards you and massage the leg muscle.
· Exercise regularly to improve your blood circulation.
· Make sure you get enough calcium in your diet.

HEART BURN

Hormones released during pregnancy soften the sphincter between the esophagus and the stomach. This lets stomach acids back up into the esophagus, causing a burning sensation. Later in pregnancy, heartburn can also occur if your growing baby pushes your organs upwards.

Suggestions:

· Eat smaller, frequent meal.
· Avoid rich, spicy or greasy foods.
· Remain upright for a while after eating.
· Elevate the head of your bed.
· Eat some crackers and drink some milk when you have heartburn.
· Ask your doctor for an antacid.

BACKACHES

Backache is one of the most common complains during pregnancy. Usually it is the result of poor posture due to the weight of your baby. Also wrong lifting techniques can contribute to
backache.

Suggestions:

· Use good posture, avoid hollowing your back.
· Sit with a straight back, do not slouch.
· When you sit in a chair see that your spine is well supported. If necessary, use a cushion in your back.
· Use your legs not your back when you reach down for something. Kneel down to pick up something.
· Wear comfortable shoes that give good support, avoid high heels.
· Practice pelvic rocking while on all fours. This is a good exercise to relieve backache.
· Apply a hot water bottle to your back or take a warm bath or shower. This relaxes also the muscles of your back.

STRETCH MARKS

Stretch marks may appear as dark streaks on your tummy, buttock, thighs and breasts. They are a sign that the skin has been stretched from underneath. Stretch marks never completely disappear but after birth they fade and gradually change to a silvery color.
There are many creams and lotions on the market to prevent stretch marks. Many of them are very expensive but their effectiveness has never been proven. Although stretch marks can not really be prevented, it is a good idea to keep your skin in the best possible condition. This includes eating a healthy diet. Massaging with a good massage oil or lotion is beneficial for your skin and feels good too.

ANAEMIA

When you are anaemic during pregnancy, you tend to feel tired; you easily become exhausted and may even have dizzy spells or be short of breath. Most likely you are prescribed iron tablets by your doctor and your blood will be checked regularly. In addition to the iron tablets, you may adjust your diet so that it contains more iron. Iron rich foods are: leafy green vegetables, egg yolk, whole grains, nuts and dried apricots. Vitamin C helps your body to absorb iron so increase your vitamin C intake, possibly with supplements.

CYSTITIS

An infection of the urine bladder is very common during pregnancy owing to changes in the urinary system. The symptoms include frequent urination and a burning sensation while you are passing urine. Probably you will be prescribed a course of antibiotics by your doctor. In addition, there are some things that you can do yourself to avoid getting cystitis again.

· Increase your vitamin C intake.
· Lemon juice, barley water and marshmallow tea are also effective in preventing cystitis.
· Drink plenty of water.
· Wear cotton underwear.
· Avoid refined starches and too much sugar.
· Avoid using soap to wash your genitals, use just plain water.
· Wipe from front to back after toilet visit.
· After intercourse, empty your bladder and wash with plain water.

YEAST GROWTH

Increased vaginal discharge is normal during pregnancy. If however you feel itchy and your vagina is red and sore, you may have developed thrush. Thrush is more likely to develop during pregnancy because your vagina becomes more acid, encouraging the growth of yeast. If you have thrush when you go into labor, it may affect your baby's mouth on his passage through the vagina. A baby with thrush in his mouth may pass this on to your nipples during breastfeeding, causing extremely sore and cracked nipples. It may also cause poor healing if you have an episiotomy. It is therefor advisable to treat thrush as soon as the symptoms appear. Your partner may also need to be treated as thrush passes easily during intercourse. Your doctor will probably describe an antifungal cream or suppositories. In addition, you can try to avoid getting thrush in the future by following these suggestions:

· Use all cotton underwear and change it frequently.
· Wash hands carefully after toilet use.
· Do not share towels and wash cloths with family members.
· Avoid or decrease the amount of sugars and starches in your diet.
· Eat yogurt containing lactobacillus bacteria.
· Eat vitamin rich foods to boost the immune response of your body.

HEADACHE

When you experience headache during your pregnancy, it can be a result of stress, anxiety or just doing too much. (Severe headache with light flashes in late pregnancy can be a sign of pre-eclampsia or eclampsia, so contact your doctor in this case). If you are anxious or worried, try to find the reason, talk with your partner or your doctor what could be the reason of your anxiety. If you are doing too much you should slow down. Listen to your body and find ways to relax. Take a walk outdoors, lie down in a darkened room with a cold wash cloth on your forehead. It is best to avoid caffeine consumption.

INSOMNIA

Nearly every pregnant woman goes through a period of insomnia. Either you cannot drop off to sleep or you wake up frequently during the night. Your baby may be moving and kicking a lot. You need to empty your bladder often. Maybe you are not comfortable because of your growing belly and find it difficult to find a right position to sleep. Maybe you are anxious or worried and lying awake in the dark will make it even more difficult to fall asleep.

Here are some suggestions that may be helpful.

· Take a warm bath before you go to sleep.
· Drink a cup of hot milk or chamomile tea before bedtime.
· Use extra pillows to make yourself comfortable. Lying on your side is best, with one knee up to the chest and the other stretched out. Put a pillow under your upper knee.
· A massage, maybe right after you had your bath, will make you feel pleasantly drowsy and sleepy. Add a few drops of essential oil of lavender to your massage oil.
· Practice relaxation exercises with some deep breathing.
· Sleep in a well-ventilated room.

PAIN UNDER THE RIBS

In late pregnancy, you may experience pain under your ribs, at either side, depending on which side the baby is lying. Sitting straight up on a chair is probably more comfortable than sitting on a low couch. Try also sitting on the floor, legs crossed, with your back against the wall or sofa. Try to lift your ribcage off the uterus. Lifting your arms above your head is also helpful in relieving the pain.

PELVIC PAIN

In late pregnancy, pressure from your growing baby may cause pain around the pubic area where the pelvic joints have softened in preparation for birth. It is best to avoid standing for long periods and even when sitting change position often. Practice your exercises, rest regularly and apply a warm compress at the sore area.

SHORTNESS OF BREATH

In late pregnancy, you may find yourself short of breath when climbing stairs or doing exercises. Your enlarged uterus presses against your lungs and makes you feel breathless. Do not exert yourself, listen to your body when it tells you to slow down and take plenty of rest.

HIGH BLOOD PRESSURE

Your blood pressure will be checked during every visit to your obstetrician. Slight fluctuations are normal during pregnancy but if your blood pressure rises significantly it will have to be treated as it may be an indication of pre-eclampsia, which reduce the efficiency of the placenta.

PRE-ECLAMPSIA

Pre-eclampsia rarely occurs in the early part of pregnancy and the cause is still greatly unknown. The risk of pre-eclampsia is highest in first pregnancy. The symptoms of pre-eclampsia are rising of the blood pressure, fluid retention that causes swelling in hands or feet and the appearance of protein in the urine. A rise in blood pressure alone does not mean that you have pre-eclampsia, and neither does an increase in fluid retention. The two symptoms together however do point towards pre-eclampsia.

Treatment of pre-eclampsia varies on its severity but it usually consists of bed rest and treatment to lower the blood pressure. You may be admitted to the hospital where it is easier to check your blood pressure and urine. If your blood pressure falls and there is no longer protein in your urine you will probably allowed to go home. You will be advised to take it easy for the rest of the pregnancy and possibly to give up work. You will also be seen more frequently by your obstetrician.

With good antenatal care, monitoring of the blood pressure and checking the urine for protein, pre-eclampsia usually does not cause further problems. Only in rare cases pre-eclampsia develops into eclampsia. This situation can seriously affect you as well as your baby. Eclampsia can cause maternal fits, coma and placenta failure. Symptoms of eclampsia are: severe headache, flashing lights, nausea, vomiting and pain in the abdomen.

BLEEDING IN EARLY PREGNANCY

In the early months, it is possible that you have some bloody discharge around the time that you would otherwise have your period. This can happen because the level of the pregnancy hormones is not yet high enough to suppress the period totally. This bleeding is not from the embryo but from the lining of the uterus. As long as the bleeding is nor accompanied by cramps or period-like pains there is a large chance nothing is wrong, although you should go to bed and report it to your doctor. You may be given an ultrasound scan to make sure everything is normal.

BLEEDING IN LATE PREGNANCY

Some bloody discharge in late pregnancy may indicate that labor is on its way, it is usually a blood stained mucous plug the size of the palm of your hand.

Bleeding following intercourse is not uncommon in this stage of pregnancy as the cervix becomes engorged with blood. Your doctor can examine your cervix and see if this was the cause of the bleeding. Maybe you will be advised to avoid deep penetration while having intercourse.

Another cause of bleeding may be placenta praevia. In this case, the placenta is implanted in the lower part of the uterus and partly in front of the baby's head. During normal Braxton Hicks contractions, such a placenta can start bleeding. Placenta praevia can be confirmed by ultrasound scan. It almost certainly means that you will deliver your baby by Caesarean section.

Bleeding in late pregnancy can also mean that a part of the placenta, situated normally in the upper part of the uterus, has separated from the uterine wall. This is called Abruptio Placentae. This is always a potentially dangerous problem as it can mean that the baby is going to be cut of from its blood supply. You may have abdominal pain and dark vaginal bleeding. You should contact your doctor at once and you will be admitted in the hospital. If apruptio placentae is diagnosed you will probably be delivered by Caesarean section.

Note: Any blood loss from the vagina must always be reported immediately to your doctor. It may be nothing serious but the exact cause of the bleeding must be diagnosed.

PLEASE BOOKMARK THIS SITE NOW SO THAT YOU MAY RETURN AT YOUR CONVENIENCE

When you are pregnant many changes take place in your body. Some of these changes can cause discomfort. You may have some aches and pains. You may feel exhausted at times or experience other symptoms. Many of these symptoms are just the result of being pregnant and you do not need to worry about them too much. Just knowing what you can do to relieve the symptoms will make you feel more comfortable. Other symptoms may be cause for concern and you need to inform your doctor about them. Here is an overview of the most common problems.

VARICOSE VAINS

The increased flow of blood and the softening of the muscular wall of the blood vessels make it more likely that you will develop varicose veins on your legs during pregnancy. Some women are genetically predisposed to varicose veins. If your mother developed varicose veins during her pregnancy unfortunately there is a good chance that you will too.

Suggestions:

· Avoid excessive weight gain.
· Avoid standing for long periods of time, change position, walk up and down.
· Put your legs up when you are sitting.
· Do not cross your legs.
· Avoid tight clothing.
· Wear support stockings.
· Exercise regularly. Swimming and walking are very beneficial for your blood circulation.

CONSTIPATION

The hormones of pregnancy cause the intestines to relax and become less efficient. The result can be constipation. Iron tablets taken during pregnancy can also cause constipation. Constipation is a nuisance and can make toilet visit a daily chore.

Suggestions:

· Eat plenty of fibers in your diet, whole grain bread, bran cereals, fruits and vegetables.
· Drink plenty of water.
· Do regular exercises, especially squatting.
· Prune juice and kiwis are excellent to relieve your constipation.
· Ask your doctor for a stool softener when the suggestions above do not work.
· Sometimes another type of iron tablets can make a difference.

HEMORRHOIDS

Hemorrhoids are varicose veins of the rectum and can be caused by constipation. If you have hemorrhoids, they should be treated as soon as possible to avoid them protruding through the anus. Hemorrhoids can be itchy and during defaecation they can start bleeding. Many times they dissapear after birth.

Suggestions:

· Avoid straining.
· Eat plenty of fiber in your diet to avoid constipation.
· If necessary, ask your doctor for a stool softener or a cream to reduce itchiness and swelling.
· Apply a pad soaked in witchhazel or calendula for relief. This also reduces swelling.

LEG CRAMPS

Cramps in your leg may be caused by the extra weight you are carrying or circulation changes. It may also be a sign that you do not get enough calcium in your diet.

Suggestions:

· If the cramp starts, bring your toes towards you and massage the leg muscle.
· Exercise regularly to improve your blood circulation.
· Make sure you get enough calcium in your diet.

HEART BURN

Hormones released during pregnancy soften the sphincter between the esophagus and the stomach. This lets stomach acids back up into the esophagus, causing a burning sensation. Later in pregnancy, heartburn can also occur if your growing baby pushes your organs upwards.

Suggestions:

· Eat smaller, frequent meal.
· Avoid rich, spicy or greasy foods.
· Remain upright for a while after eating.
· Elevate the head of your bed.
· Eat some crackers and drink some milk when you have heartburn.
· Ask your doctor for an antacid.

BACKACHES

Backache is one of the most common complains during pregnancy. Usually it is the result of poor posture due to the weight of your baby. Also wrong lifting techniques can contribute to
backache.

Suggestions:

· Use good posture, avoid hollowing your back.
· Sit with a straight back, do not slouch.
· When you sit in a chair see that your spine is well supported. If necessary, use a cushion in your back.
· Use your legs not your back when you reach down for something. Kneel down to pick up something.
· Wear comfortable shoes that give good support, avoid high heels.
· Practice pelvic rocking while on all fours. This is a good exercise to relieve backache.
· Apply a hot water bottle to your back or take a warm bath or shower. This relaxes also the muscles of your back.

STRETCH MARKS

Stretch marks may appear as dark streaks on your tummy, buttock, thighs and breasts. They are a sign that the skin has been stretched from underneath. Stretch marks never completely disappear but after birth they fade and gradually change to a silvery color.
There are many creams and lotions on the market to prevent stretch marks. Many of them are very expensive but their effectiveness has never been proven. Although stretch marks can not really be prevented, it is a good idea to keep your skin in the best possible condition. This includes eating a healthy diet. Massaging with a good massage oil or lotion is beneficial for your skin and feels good too.

ANAEMIA

When you are anaemic during pregnancy, you tend to feel tired; you easily become exhausted and may even have dizzy spells or be short of breath. Most likely you are prescribed iron tablets by your doctor and your blood will be checked regularly. In addition to the iron tablets, you may adjust your diet so that it contains more iron. Iron rich foods are: leafy green vegetables, egg yolk, whole grains, nuts and dried apricots. Vitamin C helps your body to absorb iron so increase your vitamin C intake, possibly with supplements.

CYSTITIS

An infection of the urine bladder is very common during pregnancy owing to changes in the urinary system. The symptoms include frequent urination and a burning sensation while you are passing urine. Probably you will be prescribed a course of antibiotics by your doctor. In addition, there are some things that you can do yourself to avoid getting cystitis again.

· Increase your vitamin C intake.
· Lemon juice, barley water and marshmallow tea are also effective in preventing cystitis.
· Drink plenty of water.
· Wear cotton underwear.
· Avoid refined starches and too much sugar.
· Avoid using soap to wash your genitals, use just plain water.
· Wipe from front to back after toilet visit.
· After intercourse, empty your bladder and wash with plain water.

YEAST GROWTH

Increased vaginal discharge is normal during pregnancy. If however you feel itchy and your vagina is red and sore, you may have developed thrush. Thrush is more likely to develop during pregnancy because your vagina becomes more acid, encouraging the growth of yeast. If you have thrush when you go into labor, it may affect your baby's mouth on his passage through the vagina. A baby with thrush in his mouth may pass this on to your nipples during breastfeeding, causing extremely sore and cracked nipples. It may also cause poor healing if you have an episiotomy. It is therefor advisable to treat thrush as soon as the symptoms appear. Your partner may also need to be treated as thrush passes easily during intercourse. Your doctor will probably describe an antifungal cream or suppositories. In addition, you can try to avoid getting thrush in the future by following these suggestions:

· Use all cotton underwear and change it frequently.
· Wash hands carefully after toilet use.
· Do not share towels and wash cloths with family members.
· Avoid or decrease the amount of sugars and starches in your diet.
· Eat yogurt containing lactobacillus bacteria.
· Eat vitamin rich foods to boost the immune response of your body.

HEADACHE

When you experience headache during your pregnancy, it can be a result of stress, anxiety or just doing too much. (Severe headache with light flashes in late pregnancy can be a sign of pre-eclampsia or eclampsia, so contact your doctor in this case). If you are anxious or worried, try to find the reason, talk with your partner or your doctor what could be the reason of your anxiety. If you are doing too much you should slow down. Listen to your body and find ways to relax. Take a walk outdoors, lie down in a darkened room with a cold wash cloth on your forehead. It is best to avoid caffeine consumption.

INSOMNIA

Nearly every pregnant woman goes through a period of insomnia. Either you cannot drop off to sleep or you wake up frequently during the night. Your baby may be moving and kicking a lot. You need to empty your bladder often. Maybe you are not comfortable because of your growing belly and find it difficult to find a right position to sleep. Maybe you are anxious or worried and lying awake in the dark will make it even more difficult to fall asleep.

Here are some suggestions that may be helpful.

· Take a warm bath before you go to sleep.
· Drink a cup of hot milk or chamomile tea before bedtime.
· Use extra pillows to make yourself comfortable. Lying on your side is best, with one knee up to the chest and the other stretched out. Put a pillow under your upper knee.
· A massage, maybe right after you had your bath, will make you feel pleasantly drowsy and sleepy. Add a few drops of essential oil of lavender to your massage oil.
· Practice relaxation exercises with some deep breathing.
· Sleep in a well-ventilated room.

PAIN UNDER THE RIBS

In late pregnancy, you may experience pain under your ribs, at either side, depending on which side the baby is lying. Sitting straight up on a chair is probably more comfortable than sitting on a low couch. Try also sitting on the floor, legs crossed, with your back against the wall or sofa. Try to lift your ribcage off the uterus. Lifting your arms above your head is also helpful in relieving the pain.

PELVIC PAIN

In late pregnancy, pressure from your growing baby may cause pain around the pubic area where the pelvic joints have softened in preparation for birth. It is best to avoid standing for long periods and even when sitting change position often. Practice your exercises, rest regularly and apply a warm compress at the sore area.

SHORTNESS OF BREATH

In late pregnancy, you may find yourself short of breath when climbing stairs or doing exercises. Your enlarged uterus presses against your lungs and makes you feel breathless. Do not exert yourself, listen to your body when it tells you to slow down and take plenty of rest.

HIGH BLOOD PRESSURE

Your blood pressure will be checked during every visit to your obstetrician. Slight fluctuations are normal during pregnancy but if your blood pressure rises significantly it will have to be treated as it may be an indication of pre-eclampsia, which reduce the efficiency of the placenta.

PRE-ECLAMPSIA

Pre-eclampsia rarely occurs in the early part of pregnancy and the cause is still greatly unknown. The risk of pre-eclampsia is highest in first pregnancy. The symptoms of pre-eclampsia are rising of the blood pressure, fluid retention that causes swelling in hands or feet and the appearance of protein in the urine. A rise in blood pressure alone does not mean that you have pre-eclampsia, and neither does an increase in fluid retention. The two symptoms together however do point towards pre-eclampsia.

Treatment of pre-eclampsia varies on its severity but it usually consists of bed rest and treatment to lower the blood pressure. You may be admitted to the hospital where it is easier to check your blood pressure and urine. If your blood pressure falls and there is no longer protein in your urine you will probably allowed to go home. You will be advised to take it easy for the rest of the pregnancy and possibly to give up work. You will also be seen more frequently by your obstetrician.

With good antenatal care, monitoring of the blood pressure and checking the urine for protein, pre-eclampsia usually does not cause further problems. Only in rare cases pre-eclampsia develops into eclampsia. This situation can seriously affect you as well as your baby. Eclampsia can cause maternal fits, coma and placenta failure. Symptoms of eclampsia are: severe headache, flashing lights, nausea, vomiting and pain in the abdomen.

BLEEDING IN EARLY PREGNANCY

In the early months, it is possible that you have some bloody discharge around the time that you would otherwise have your period. This can happen because the level of the pregnancy hormones is not yet high enough to suppress the period totally. This bleeding is not from the embryo but from the lining of the uterus. As long as the bleeding is nor accompanied by cramps or period-like pains there is a large chance nothing is wrong, although you should go to bed and report it to your doctor. You may be given an ultrasound scan to make sure everything is normal.

BLEEDING IN LATE PREGNANCY

Some bloody discharge in late pregnancy may indicate that labor is on its way, it is usually a blood stained mucous plug the size of the palm of your hand.

Bleeding following intercourse is not uncommon in this stage of pregnancy as the cervix becomes engorged with blood. Your doctor can examine your cervix and see if this was the cause of the bleeding. Maybe you will be advised to avoid deep penetration while having intercourse.

Another cause of bleeding may be placenta praevia. In this case, the placenta is implanted in the lower part of the uterus and partly in front of the baby's head. During normal Braxton Hicks contractions, such a placenta can start bleeding. Placenta praevia can be confirmed by ultrasound scan. It almost certainly means that you will deliver your baby by Caesarean section.

Bleeding in late pregnancy can also mean that a part of the placenta, situated normally in the upper part of the uterus, has separated from the uterine wall. This is called Abruptio Placentae. This is always a potentially dangerous problem as it can mean that the baby is going to be cut of from its blood supply. You may have abdominal pain and dark vaginal bleeding. You should contact your doctor at once and you will be admitted in the hospital. If apruptio placentae is diagnosed you will probably be delivered by Caesarean section.

Note: Any blood loss from the vagina must always be reported immediately to your doctor. It may be nothing serious but the exact cause of the bleeding must be diagnosed.