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The Pregnancy Book (3)

The Pregnancy Book (3)

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Published by Javie
pages 79-118
pages 79-118

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Published by: Javie on Oct 15, 2009
Copyright:Attribution Non-commercial

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02/01/2013

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79
FEELING HOT IN PREGNANCY

During pregnancy you\u2019re likely to
feel warmer than normal. This is
due to hormonal changes and to an
increase in blood supply to the skin.

You\u2019re also likely to sweat more. It
helps if you:
\u2022wear loose clothing made of

natural \ufb01bres, as these are more
absorbent and \u2018breathe\u2019 more
than synthetic \ufb01bres;

\u2022keep your room cool \u2013 consider
using an electric fan;
\u2022wash frequently to stay fresh.
HEADACHES

Some pregnant women \ufb01nd they get
a lot of headaches. A brisk walk may
be all you need, as well as a little
more regular rest and relaxation.
Although it is wise to avoid drugs in
pregnancy, an occasional paracetamol
tablet is generally considered safe.

If you often have bad headaches,
tell your doctor or midwife so that
they can advise you. Severe
headaches may be a sign of high
blood pressure (see page 84).

INDIGESTION AND HEARTBURN

This is partly caused by hormonal
changes and later the growing womb
pressing on the stomach. If you
suffer from indigestion:

\u2022try eating smaller meals more
often;
\u2022sit up straight when you are
eating as this takes the pressure
off your stomach;
\u2022avoid particular foods which
cause trouble, for example fried

or highly spiced ones, but make
sure you are still eating well
(see pages 8-12 for information
on healthy eating).

Heartburn is more than just
indigestion. It is a strong, burning
pain in the chest. It is caused by the
valve between your stomach and the
tube leading to your stomach
relaxing in pregnancy, so that
stomach acid passes into the tube.
It is often brought on by lying \ufb02at.
To avoid heartburn you could:

\u2022sleep well propped up \u2013 try
raising the head of your bed with
bricks or have plenty of pillows;
\u2022try drinking a glass of milk \u2013 have
one by your bed in case you wake
with heartburn in the night;
\u2022avoiding eating or drinking for a
few hours before you go to bed;
\u2022ask your doctor or midwife for
advice;
\u2022don\u2019t take antacid tablets or
mixture before checking that they
are safe in pregnancy.
ITCHING
Mild itching is common in pregnancy

because of the increased blood
supply to the skin. In late pregnancy
the skin of the abdomen is stretched
and this may also cause itchiness.
Wearing loose clothing may help.

Itching can, however, be a sign of
a more serious problem called obstetric
cholestasis (see page 84). If itching
becomes severe, or you develop
jaundice (yellowing of the whites of
the eyes and skin), see your doctor.
Itching which is associated with a rash
may also need treatment if it is severe.
Problems
80
NAUSEA AND MORNING
SICKNESS

Nausea is very common in the early
weeks of pregnancy. Some women
feel sick, some are sick. Some feel
sick in the mornings, some at other
times, some all day long.

The reasons are not fully
understood, but hormonal changes
in the \ufb01rst three months are probably
one cause. Nausea usually disappears
around the 12th to 14th week.
Nausea can be one of the most
trying problems in early pregnancy.
It comes at a time when you may be
feeling tired and emotional, and
when many people around you may
not realise you are pregnant and
expect you to be your normal self.

\u2022If you feel sick \ufb01rst thing in the

morning, give yourself time to
get up slowly. If possible, eat
something like dry toast or a plain
biscuit before you get up. Your
partner could bring you some

sweet tea.
\u2022Get plenty of rest and sleep
whenever you can. Feeling tired
can make the sickness worse.
\u2022Eat small amounts often rather
than several large meals, but don\u2019t
stop eating.
\u2022Drink plenty of \ufb02uids.
\u2022Ask those close to you for extra
support.
\u2022Distract yourself as much as you
can. Often the nausea gets worse
the more you think about it.
\u2022Avoid the foods and smells that

make you feel worse. It helps if
someone else can cook but, if
not, go for bland, non-greasy
foods such as baked potatoes,
pasta and milk puddings, which
are simple to prepare.

\u2022Remedies containing ginger
may be helpful.
\u2022Wear comfortable clothes. Tight
waistbands can make you feel
worse.

If you are being sick all the time and
cannot keep anything down then
inform your doctor or midwife.
Some pregnant women experience
severe nausea and vomiting. This
condition is known as hyperemesis
gravidarum. (See page 149 for
support group.)

NOSE BLEEDS

Nose bleeds are quite common in
pregnancy because of hormonal
changes. The nose bleeds are usually
short but can be quite heavy. To help
the bleeding stop, press the sides of
your nose together between your
thumb and fore\ufb01nger just below the
bony part of your nose for ten
minutes. Repeat for a further ten
minutes if this is unsuccessful. As
long as you don\u2019t lose a lot of blood,
there is nothing to worry about.
Blow your nose gently and try to
avoid explosive sneezes. You may
also \ufb01nd that your nose gets more
blocked up than usual.

PASSING WATER OFTEN

Needing to pass water often is an
early sign of pregnancy. Sometimes it
continues right through pregnancy.
In later pregnancy it\u2019s the result of
the baby\u2019s head pressing on the
bladder.

If you \ufb01nd that you\u2019re having to
get up in the night, you could try
cutting out drinks in the late
evening but make sure you keep

drinking plenty during the day.
Later in pregnancy, some women
\ufb01nd it helps to rock backwards and
forwards while they are on the toilet.
This lessens the pressure of the
womb on the bladder so that you

Problems
81

can empty it properly. Then you
won\u2019t need to pass water again quite
so soon.

If you have any pain while passing
water, or pass any blood, you may
have a urine infection which will
need treatment. Drink plenty of
water to dilute your urine and
reduce irritation. You should contact
your GP within 24 hours.

Sometimes pregnant women are
unable to prevent a sudden spurt of
urine or a small leak when they
cough, sneeze or laugh, or when
moving suddenly or just getting up
from a sitting position. This may be
temporary because the pelvic \ufb02oor
muscles relax slightly to prepare for
the baby\u2019s delivery.

The growing baby will increase
pressure on the bladder. If you \ufb01nd
this a problem, you can improve the
situation by doing exercises to tone
up your pelvic \ufb02oor muscles (see
page 16). Ask a midwife or obstetric
physiotherapist (see pages 62 and 63)
for advice.

PILES

Piles, also known as haemorrhoids,
are swollen veins around the back
passage which may itch, ache or feel
sore. You can usually feel the
lumpiness of the piles around the
back passage. Piles may also bleed a
little and they can make going to the
toilet uncomfortable or even painful.
They occur in pregnancy because
the veins relax under the in\ufb02uence
of pregnancy hormones. Piles usually
go shortly after delivery. If you suffer
from piles you should:

\u2022eat plenty of food that is high in

\ufb01bre, like wholemeal bread, fruit
and vegetables, and you should
drink plenty of water \u2013 this will
prevent constipation, which can
make piles worse;

\u2022avoid standing for long periods;
\u2022take regular exercise to improve
your circulation;
\u2022sleep with the foot of the bed
slightly raised on books or bricks;
\u2022use an ice pack to ease

discomfort, holding this gently against the piles, or use a cloth wrung out in iced water;

\u2022if the piles stick out, push them
gently back inside using a
lubricating jelly;
\u2022ask your doctor, midwife or
pharmacist if they can suggest a
suitable ointment;
\u2022consider giving birth in a position

where the pressure on your back
passage is reduced \u2013 kneeling, for
example.

SKIN AND HAIR CHANGES

Hormonal changes taking place in
pregnancy will make your nipples
and the area around them go darker.
Your skin colour may also darken a
little, either in patches or all over.
Birthmarks, moles and freckles may
also darken. Some women develop a
dark line running down the middle
of their stomachs. These changes
will gradually fade after the baby has
been born, although your nipples
may remain a little darker.

If you sunbathe while you are
pregnant, you may \ufb01nd you tan
more easily. Protect your skin with
a good, high-factor sunscreen.
Don\u2019t stay in the sun for very long.

Hair growth is also likely to
increase in pregnancy. Your hair may
also be greasier. After the baby is
born it may seem as if you\u2019re losing a
lot of hair. In fact, you\u2019re simply
losing the increase that occurred
during pregnancy.

Problems

If you sometimes can\u2019t help
wetting or soiling yourself,
you can get help.
Incontinence is a very
common problem. It can
affect anyone, sometimes
during and after pregnancy.
In many cases it is curable,
so if you\u2019ve got a problem
talk to your doctor,
midwife or health visitor,
or ring the con\ufb01dential
Continence Foundation
on 020 7831 9831

(9.30a.m.\u20131p.m. Mon\u2013Fri).

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