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Common Discomforts During Pregnancy
What are some common discomforts during pregnancy?
Symptoms of anguish due to pregnancy vary from woman-to-woman. The following are some common discomforts. However, apiece mother-to-be might experience symptoms differently or not at all:
nausea and vomiting
About half of all pregnant women experience nausea and sometimes vomiting in the first trimester – also called morning sickness because symptoms are most severe in the morning. Some women might have nausea and vomiting throughout the pregnancy. The cause of morning sickness might be due to the changes in hormone levels during pregnancy.
Morning sickness seems to be aggravated by stress, traveling, and certain foods high in accelerator and fat. To lessen the symptoms, intake small meals several times a day might help. A diet high in complex carbohydrates (such as whole wheat bread, pasta, bananas, and green, leafy vegetables) might also help reduce the severity of the nausea.
If vomiting is severe, causing a woman to lose fluids and weight, it might indicate a condition called hyperemesis gravidarum. Hyperemesis can lead to dehydration and might require hospitalization for intravenous fluids and nutrition. Call your doctor if you are having constant or severe nausea and vomiting.
fatigue
As the body works overtime to wage a nourishing environment for the fetus, it is no wonder a pregnant woman often feels tired. In the first trimester, her blood volume and other fluids increase as her body adjusts to the pregnancy. Sometimes anemia is the underlying cause of the fatigue. Anemia is a reduction in the oxygen-carrying ability of red blood cells, and is usually due to low iron levels. A easy blood test performed at a prenatal visit will check for anemia.
hemorrhoids
Because of increased pressure on the rectum and perineum, and the increased likelihood of becoming constipated as the pregnancy progresses, hemorrhoids are common in late pregnancy. Avoiding constipation and straining might help to prevent hemorrhoids. Always check with your doctor before using any medication to treat this condition.
varicose veins
Varicose veins – swollen, purple veins – are common in the legs and around the vaginal opening during late pregnancy. In most cases, varicose veins are caused by the increased pressure on the legs and the pelvic veins, and by the increased blood volume.
heartburn and indigestion
Heartburn and indigestion, caused by pressure on the intestines and stomach (which, in turn, pushes stomach contents back up into the esophagus), can be prevented or reduced by intake smaller meals throughout the day and by avoiding lying down shortly after eating.
bleeding gums
Gums might become more spongy as blood flow increases during pregnancy, causing them to bleed easily. A pregnant woman should continue to take care of her teeth and gums and go to the dentist for regular checkups. This symptom usually disappears after pregnancy.
pica
Pica is a rare craving to take substances other than food, such as dirt, clay, or coal. The craving might indicate a nutritional deficiency.
swelling/fluid retention
Mild swelling is common during pregnancy but severe swelling that persists might indicate preeclampsia (abnormal condition marked by high blood pressure). Lying on the left side, elevating the legs, and wearing support hose and comfortable shoes might help to relieve the swelling.
skin changes
Due to fluctuations in hormone levels, including hormones that stimulate pigmentation of the skin, brown, blotchy patches might occur on the face, forehead, and/or cheeks. This is often called the mask of pregnancy, or chloasma, and often disappears soon after delivery.
Pigmentation might also increase in the skin surrounding the nipples, called the areola. In addition, a dark line frequently appears down the middle of the abdomen.
stretch marks
Pinkish stretch marks might appear on the abdomen, breasts, thighs, or buttocks. Stretch marks are generally caused by a rapid increase in weight, and the marks usually drop after pregnancy.
yeast infections
Due to hormone changes and increased vaginal discharge, also called leukorrhea, a pregnant woman is more susceptible to yeast infections. Yeast infections are characterized by a thick, whitish discharge from the vagina and itching. Yeast infections are highly treatable. Always consult your doctor before taking any medication for this condition.
congested or bloody nose
During pregnancy, the lining of the respiratory tract receives more blood, often making it more congested. This congestion can also cause stuffiness in the nose or nosebleeds. In addition, small blood vessels in the nose are easily dilapidated due to the increased blood pressure, causing nosebleeds.
constipation
Increased pressure from the pregnancy on the rectum and intestines can interfere with digestion and subsequent bowel movements. In addition, hormone changes might slow down the food being processed by the body. Increasing fluids, regular exercise, and increasing the fiber in your diet are some of the ways to prevent constipation. Always check with your doctor before taking any medication for this condition.
backache
As a woman’s weight increases, her equilibrise changes, therefore, straining her back. Pelvic joints that start to loosen in preparation for childbirth also contribute to this back strain. Proper posture and proper lifting techniques throughout the pregnancy can help reduce the strain on the back.
dizziness
Dizziness during pregnancy is a common symptom, which might be caused by: low blood pressure due to the uterus compressing major arteries
low blood sugar
low iron
quickly moving from a sitting position to a standing position
To prevent injury from falling during episodes of dizziness, a pregnant woman should stand up slowly and hold on to the walls and other stable structures for support and balance.
headaches
Hormonal changes might be the cause of headaches during pregnancy, especially during the first trimester. Rest, proper nutrition, and sufficient fluid intake might help alleviate headache symptoms. Always consult your doctor before taking any medication for this condition.
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The following are some of the more common tests performed during pregnancy:
What is Prenatal Screening?
First Trimester Prenatal Screening Tests
First trimester screening is a combination of fetal ultrasound and maternal blood testing performed during the first trimester of pregnancy. This screening process can help to determine the risk of the fetus having certain birth defects. Screening tests might be used alone or in combination with other tests.
There are three parts of first trimester screening:
ultrasound test for fetal nuchal translucency (NT)
Nuchal translucency screening uses an ultrasound test to analyze the area at the back of the fetal neck for increased fluid or thickening.
two maternal serum (blood) tests
The blood tests measure two substances found in the blood of all pregnant women: pregnancy-associated plasma accelerator screening (PAPP-A) – a accelerator produced by the placenta in primeval pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
human chorionic gonadotropin (hCG) – a hormone produced by the placenta in primeval pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
When used together as first trimester screening tests, nuchal translucency screening and maternal blood tests have a greater capability to determine if the fetus might have a birth defect, such as Down syndrome, trisomy 18, or trisomy 13.
If the results of these first trimester screening tests are abnormal, genetic counseling is recommended. Additional testing such as chorionic villus sampling, amniocentesis, or other ultrasounds might be needed for accurate diagnosis.
Second Trimester Prenatal Screening Tests
Second trimester prenatal screening might include several blood tests, called multiple markers. These markers wage information about a woman’s risk of having a baby with certain genetic conditions or birth defects. Screening is usually performed by taking a sample of the mother’s blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal). The multiple markers include:
alpha-fetoprotein screening (AFP) – a blood test that measures the level of alpha-fetoprotein in the mothers’ blood during pregnancy. AFP is a accelerator normally produced by the fetal liver and is present in the fluid surrounding the fetus (amniotic fluid), and crosses the placenta into the mother’s blood. The AFP blood test is also called MSAFP (maternal serum AFP).
Abnormal levels of AFP might signal the following: open neural tube defects (ONTD) such as spina bifida
Down syndrome
other chromosomal abnormalities
defects in the abdominal surround of the fetus
twins – more than one fetus is making the protein
a miscalculated due date, as the levels vary throughout pregnancy
hCG – human chorionic gonadotropin hormone (a hormone produced by the placenta)
estriol – a hormone produced by the placenta
inhibin – a hormone produced by the placenta
Abnormal test results of AFP and other markers might indicate the need for additional testing. Usually an ultrasound is performed to confirm the dates of the pregnancy and to look at the fetal spine and other body parts for defects. An amniocentesis might be needed for accurate diagnosis.
Multiple marker screening is not diagnostic. This means it is not 100 percent accurate, and is only a screening test to determine who in the population should be offered additional testing for their pregnancy. There can be false-positive results – indicating a problem when the fetus is actually healthy or false negative results – indicating a normal result when the fetus actually does have a health problem.
When a woman has both first and second trimester screening tests performed, the capability of the tests to detect an abnormality is greater than using just one screening independently. Almost all cases of Down Syndrome can be detected when both first and second trimester screening are used.
What is an amniocentesis?
An amniocentesis is a procedure used to obtain a small sample of the amniotic fluid that surrounds the fetus to diagnose chromosomal disorders and open neural tube defects (ONTDs) such as spina bifida. Testing is acquirable for other genetic defects and disorders depending on the family history and availability of work testing at the time of the procedure. An amniocentesis is generally offered to women between the 15th and 20th weeks of pregnancy who are at increased risk for chromosome abnormalities, such as women who are over age 35 years of age at delivery, or those who have had an abnormal maternal serum screening test, indicating an increased risk for a chromosomal abnormality or neural tube defect.
How is an amniocentesis performed?
An amniocentesis is a procedure that involves inserting a long, thin needle through the mother’s abdomen into the amniotic cover to withdraw a small sample of the amniotic fluid for examination. The amniotic fluid contains cells shed by the fetus, which contain genetic information. Even though specific details of apiece procedure vary slightly, generally, an amniocentesis follows this process:
The woman’s abdomen is sanitized with an antiseptic.
The doctor may/may not give a local anesthetic to numb the skin.
Ultrasound is used to help guide a hollow needle into the amniotic sac.
A small sample of fluid is withdrawn for work analysis.
Strenuous activities should be avoided for 24 hours following an amniocentesis.
Women might feel some cramping during or after the amniocentesis.
Women with twins or other multiples need sampling from apiece amniotic sac, in order to study apiece baby. Depending on the position of the baby, placenta, amount of fluid, or patient’s anatomy, sometimes the amniocentesis can't be performed. The fluid is sent to a genetics work so that the cells can grow and be analyzed. Alpha-fetoprotein, a accelerator prefabricated by the fetus that is present in the fluid, is also measured to rule out an open neural tube defect, such as spina bifida. Results are usually acquirable in about 10 days to two weeks, depending on the laboratory.
What is a chorionic villus sampling (CVS)?
Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of some of the placental tissue. This tissue contains the same genetic material as the fetus and can be tested for chromosomal abnormalities and some other genetic problems. Testing is acquirable for other genetic defects and disorders depending on the family history and availability of work testing at the time of the procedure. In comparison to amniocentesis (another type of prenatal test), CVS does not wage information on neural tube defects such as spina bifida. For this reason, women who undergo CVS also need a follow-up blood test between 16 to 18 weeks of their pregnancy, to screen for neural tube defects.
How is CVS performed?
CVS might be offered to women who are at increased risk for chromosomal abnormalities or have a family history of a genetic defect that is testable from the placental tissue. CVS is usually performed between the 10th and 12th weeks of pregnancy. Even though exact methods can vary, the procedure involves inserting a small tube called a catheter through a woman’s vagina and into her cervix and usually follows this process:
Ultrasound is used to guide the catheter into place near the placenta.
Tissue is removed using a syringe on the other end of the catheter.
Another method is transabdominal CVS, which involves inserting a needle through the woman’s abdomen and into her uterus to sample the placental cells.
Women might feel some cramping during and after the CVS procedure.
The tissue samples are sent to a genetic work to grow and be analyzed. Results are usually acquirable in about 10 days to two weeks, depending on the laboratory.
Women with twins or other multiples usually need sampling from apiece placenta. However, because of the complexity of the procedure, and positioning of the placentas, CVS is not always feasible or successful with multiples.
Some women might not be candidates for CVS or might not obtain results that are 100 percent accurate, and might therefore require a follow-up amniocentesis. In some cases there is an active vaginal infection such as herpes or gonorrhea, which will prohibit the procedure. Other times the doctor obtains a sample that does not have enough tissue to grow in the laboratory, such that results are incomplete or inconclusive.
What is fetal monitoring?
During late pregnancy and during labor, your doctor might want to monitor the fetal heart rate and other functions. Fetal heart rate monitoring is a method of checking the rate and rhythm of the fetal heartbeat. The average fetal heart rate is between 110 and 160 beats per minute. The fetal heart rate might change as the fetus responds to conditions in the uterus. An abnormal fetal heart rate or pattern might mean that the fetus is not getting enough oxygen or there are other problems. An abnormal pattern also might mean that an emergency or cesarean delivery is needed.
How is fetal monitoring performed?
Using a fetoscope (a type of stethoscope) to listen to the fetal heart beat is the most basic type of fetal heart rate monitoring. Another type of monitoring is with a hand held Doppler device. This is often used during prenatal visits to count the fetal heart rate. During labor, continuous electronic fetal monitoring is often used, especially if an abnormal rhythm is heard with the fetoscope. Even though the specific details of apiece procedure vary slightly, generally, electronic fetal monitoring follows this process:
Gel is applied to the mother’s abdomen to act as a medium for the ultrasound transducer.
The ultrasound transducer is attached to the abdomen with straps and transmits the fetal heartbeat to a recorder. The fetal heart rate is displayed on a screen and printed onto special paper.
During contractions, an external tocodynamometer (a monitoring device that is put over the top of the uterus with a belt) can record the patterns of contractions.
Sometimes, internal fetal monitoring is necessary for a more accurate reading of the fetal heart rate. Your bag of waters (amniotic fluid) must be broken and your cervix must be partially dilated to use internal monitoring. Internal fetal monitoring involves inserting an electrode through the dilated cervix and attaching the electrode to the scalp of the fetus, called a fetal scalp electrode.
What is a glucose tolerance test?
A glucose tolerance test, usually conducted in the 24 to 28 weeks of pregnancy, measures levels of sugar (glucose) in the mother’s blood. Abnormal glucose levels might indicate gestational diabetes.
How is a glucose tolerance test performed?
Although the specific details of apiece procedure vary slightly, generally, a glucose tolerance test follows this process:
The mother-to-be might be asked to only drink water on the day the glucose tolerance test is given.
An initial fasting sample of blood is drawn from a vein.
You will be given a special glucose solution to drink.
Blood will be drawn several times over the course of several hours to measure the glucose levels in your body.
What is a Group B strep culture?
Group B Streptococcus (GBS) are bacteria found in the lower genital tract of about 25 percent of all women. GBS infection usually causes no problems in women before pregnancy, but can cause serious illness in the mom during pregnancy. GBS might cause chorioamnionitis (a severe infection of the placental tissues) and postpartum infection. Urinary tract infections caused by GBS can lead to preterm fag and birth.
GBS is the most common cause of life-threatening infections in newborns, including pneumonia and meningitis. Newborn babies contract the infection during pregnancy or from the mother’s genital tract during fag and delivery.
The Centers for Disease Control and Prevention (CDC) advocates screening of all pregnant women for vaginal and rectal group B strep colonization between 35 to 37 weeks’ gestation. Treatment of moms with certain risk factors or positive cultures is important reduce the risk of transmission of GBS to the baby. Babies whose moms receive bactericide treatment for a positive GBS test are 20 times less likely to develop the disease than those without treatment.
What is an ultrasound?
An ultrasound scan is a diagnostic technique which uses high-frequency sound
waves to create an image of the internal organs. A screening ultrasound is sometimes done during the course of a pregnancy to check normal fetal growth and verify the due date. Ultrasounds might be performed at various times throughout pregnancy for different reasons:
In the first trimester:
to establish the dates of a pregnancy
to determine the number of fetuses and refer placental structures
to diagnose an ectopic pregnancy or miscarriage
to analyze the uterus and other pelvic anatomy
in some cases to detect fetal abnormalities
Mid-trimester: (sometimes called the 18 to 20 week scan)
to confirm pregnancy dates
to determine the number of fetuses and analyze the placental structures
to assist in prenatal tests such as an amniocentesis
to analyze the fetal anatomy for presence of abnormalities
to check the amount of amniotic fluid
to analyze blood flow patterns
to notice fetal behavior and activity
to analyze the placenta
to measure the length of the cervix
to monitor fetal growth
Third trimester:
to monitor fetal growth
to check the amount of amniotic fluid
as part of other testing such as the biophysical profile
to determine the position of a fetus
to assess the placenta
How is an ultrasound scan performed?
Although the specific details of apiece procedure vary slightly, generally, ultrasounds follow this process. Two types of ultrasounds can be performed during pregnancy:
abdominal ultrasound
In an abdominal ultrasound, gel is applied to the abdomen and the ultrasound transducer glides over the gel on the abdomen to create the image.
transvaginal ultrasound
In a transvaginal ultrasound, a smaller ultrasound transducer is inserted into the vagina and rests against the back of the vagina to create an image. A transvaginal ultrasound produces a sharper image and is often used in primeval pregnancy.
There are several types of ultrasound imaging techniques. The most common is two dimensional, or 2D. This gives a flat picture of one aspect of the image.
If more information is needed, a 3D ultrasound examination can be performed. This technique, which provides a three-dimensional picture, requires a special organisation and special training. But the 3D image grants the doctor to see width, height, and depth of images, which can be helpful in diagnosis. The 3D images can also be captured and saved for later review.
The latest technology is 4D ultrasound, which grants the doctor to visualize the unborn baby moving in real-time. With 4D imaging, a three-dimensional image is continuously updated, providing a “live action” view. These images often have a golden color, which helps show shadows and highlights.
Ultrasound images might be captured in still photographs or on video to document findings.
Ultrasound is a technique that is constantly being improved and refined. As with any test, results might not be absolutely accurate. However, ultrasound can wage valuable information for parents and health care providers to help manage and care for the pregnancy and fetus. In addition, ultrasound gives parents have a one-of-a-kind opportunity to see their baby before birth, helping them to bond and establish an primeval relationship.
What is genetic screening?
Many genetic abnormalities can be diagnosed before birth. Your doctor might advocate genetic testing during the pregnancy if you or your partner have a family history of genetic disorders and/or you have had a fetus or baby with a genetic abnormality.
Examples of genetic disorders that can be diagnosed before birth include the following:
cystic fibrosis
Duchenne muscular dystrophy
hemophilia A
thalassemia
sickle cell anemia
polycystic kidney disease
Tay-Sachs disease
What do genetic screening methods include?
Genetic screening methods might include the following:
ultrasound scan
alpha-fetoprotein test (AFP) or multiple marker test
chorionic villus sampling (CVS)
amniocentesis
percutaneous umbilical blood sampling (withdrawing a small sample of the fetal blood from the umbilical cord)
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What is implantation bleeding?
It is not uncommon that some women experience implantation bleeding in the primeval stages of pregnancy. Any vaginal bleeding outside implantation bleeding of pregnancy is classified as a threatened miscarriage, meaning the pregnancy is threatening to miscarriage. About 25% of all pregnancies are actually miscarried but 50% of all threatened miscarriages settle down and a normal pregnancy happens.
When does implantation bleeding occur?
Implantation bleeding occurs very primeval in pregnancy as a direct result of the fertilized egg (your growing baby) burying and snuggling its way into the lining of your womb. Implantation bleeding occurs about 10-14 days after the egg has been fertilized or when conception occurred. This is also around the time when your menstrual cycles would be expected.
Signs of Implantation Bleeding:
Signs of implantation bleeding can vary from one pregnant woman to another. It normally mild in nature and is much lighter than a normal menstrual period.
The color of implantation bleeding:
The color of implantation bleeding can vary form bright red to brown implantation bleeding. Bright red implantation bleeding means that there is an active area of bleeding within the womb and blood is flowing from the site of implantation to the vagina very quickly. It might indicate that implantation has just occurred.
Brown implantation bleeding is the color of old blood. When you get brown implantation bleeding it normally means that when the fertilized egg buried it way into the womb, a tiny blood was released. The bleeding that occurred at the moment of implantation stayed in the womb for some time so by the time you see it on your underwear or when you wipe yourself it showed up as brown implantation bleeding.
How long does implantation bleeding last?
Most cases of implantation bleeding last for a few minutes to a few days. If implantation bleeding lasts more than a few days then it might be a sign of vaginal infection or a threatened miscarriage.
How heavy is implantation bleeding?
Heavy implantation bleeding is unusual. The only thing you might notice with implantation bleeding is a pinkish or brown discharge when you wipe yourself after you go to the bathroom.
Cramps with implantation bleeding:
Cramps with implantation bleeding can happen. You might even experience cramps with or without bleeding. The reason you might experience cramps with implantation bleeding is because as the fertilized egg buries into your womb, it caused the muscle of your womb to contract. These contractions press on nerve endings and might result in mild to moderate menstrual like pains for 24-48 hours.
What to do if you have signs of implantation bleeding:
Don’t panic if you have any of the above signs of implantation bleeding. Remember 50% of all cases of implantation bleeding end up in a normal pregnancy.
Know your blood type. Depending on your partner’s blood type and if you are a rhesus negative blood type then it might be necessary to have an Rh-immune globulin injection within 24 hours of any pregnancy bleeding.
If you suspect you might be pregnant and your bleeding is from implantation bleeding then do a home pregnancy test. This home test should remain positive. If it is positive and you do not know your blood Rhesus factor, then call your bourgeois for consultation for doable Rh-immune globulin.
Never insert a tampon, douche, or have sexual intercourse while you are bleeding.
Keep track of whether the bleeding is increasing or decreasing and how many pads you are using.
If you feel your pregnancy bleeding is heavier or lasting longer than the above ranges then call your health care bourgeois for consultation immediately.
Bleeding during pregnancy is scary. Your fear is picked up by your unborn child. Intra uterine fear can stay with your child for a lifetime, so constantly reassure your baby that he or she is wanted and loved. Want to know more about how pregnancy is like from your babies viewpoint then check out my Birth, A Conscious Choice. at http://www. PregnancySuccessCoach. com
You might also be very interested in an astonishing message that was telepathically dictated to me for humanity from my son when he was seven-weeks old. Yes you read correctly! I have the capability to communicate with baby’s emotions from inside and outside the womb. Down load this AMAZING MESSAGE FREE at http://www. PregnancySuccessCoach. com/Message_For_Humanity. html
If you wish to ask me a individualized question about your pregnancy or an issue in your life then visit http://www. PregnancySuccessCoach. com/Ask_Hannah_Section. html
Hannah Bajor. C. N. M. ,M. S. N.
Certified Nurse Midwife
Pregnancy Success Coach
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Constipation in pregnancy can cause bloating, pain and even pre term labor. Read on to see what options pregnant women have for constipation relief during pregnancy.
Constipation relief during pregnancy is a question many pregnant women ask. Approximately half of all women experience constipation in pregnancy.
Why do women get constipation in pregnancy?
The pregnancy hormone progesterone has a resting effect on the intestines and this slows the movement of the bowel causing pregnancy constipation.
The growing fetus needs as much vitamins, minerals and nutrients as possible. Therefore the increasing hormone levels of a pregnant woman cause food to move slower through the bowels. This results in constipation but also gives the body more time to absorb extra nutrients.
Pregnant women need extra water for the extra blood volume required for pregnancy. Therefore the mom will absorb more water from the bowel than normal which will result in a harder, dryer bowel movement resulting in constipation.
The longer food stays in the intestines, the more water is reabsorbed from the bowel into the body to accommodate for the extra blood volume required during pregnancy.
All prenatal vitamins contain iron which is known to cause constipation in pregnancy.
Constipation relief during pregnancy:
Drink at least 8-10 glasses of oxygen rich purified water a day.
Increase fiber in your diet such as whole grains and brown rice.
Eat more fresh fruit and vegetables, particularly prunes (which can be taken via prune juice).
Peppermint tea or peppermint water can help with gas or bloating pains.
Try to reduce stress in your life as stress can cause constipation.
You might have to switch you prenatal vitamins over to a different brand. Even though they all have iron, some brands might be less pregnancy constipating to you than others.
Add a tiny more exercise to your regular routine. If you do not normally exercise then begin with 10-15 minutes travel each day. If you routinely exercise change your exercise routine slightly to see if you can stimulate bowel activity.
Mangosteen juice Mangosteen juice has been shown to have a positive effect on all systems of the body including bowel mobility. Mangosteen is a fruit and is very effective in preventing pregnancy complications.
Consult with a homeopath for a pregnancy innocuous homeopathy cure for constipation. Avoid over-the-counter laxatives as they can stimulate uterine contractions resulting in miscarriage or pre-term labor.
Prevention of constipation is the ideal place to start. Many of my pregnant clients have experienced a constipation free pregnancy by taking mangosteen and minerals on a regular basis prior and during pregnancy. Mangosteen is present in different quantities in different products. Wondering where to get more information about a high calibre mangosteen and mineral product? Mangosteen is present in different quantities in different products, so do your research.
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I am 28 weeks and 3 days and so far, i’ve gained 18 lbs. most people state that these next two months are crucial and thats when to watch out. some people have told me not to worry that the worst is over. which is right?
