Pregnancy Complaints
While pregnant for the first time I received a copy of a new obstetric textbook. One of the chapters was entitled "The Minor Problems of Pregnancy." As many of these problems were making me miserable, I was somewhat offended they were considered "minor." Although not a serious threat to the health of the mother and baby, I have found that attention to alleviating common pregnancy symptoms will improve the pregnancy experience
.Both hormonal and physical changes can contribute to constipation. If your stools are infrequent and hard and contributing to abdominal discomfort simple remedies can alleviate much distress. Dietary adjustments to include more fruits, vegetables and high fiber foods along with plenty of water are the best initial way to prevent and treat constipation. A fiber supplement can be taken once or twice a day with a large glass of water. If this is not effective, a stool softener can be used during pregnancy. Contact your obstetrician if these measures are not effective or if you are experiencing abdominal pain.
Backache is a common complaint in pregnancy also caused by both the enlarging uterus and hormonal changes that affect tendons and ligaments. Generally, rest alleviates back pain. Tylenol may be helpful as are warm baths or heating pads. If you use a heating pad make sure you do not overheat or fall asleep especially if using an electric heating pad. You may find that frequent changes in position or extra support while sitting or lying can help. Yoga, physical therapy, exercise and back massages are often recommended to prevent and alleviate low back pain. Protect your back by avoiding heavy lifting. If something is too heavy to lift get some help! Make sure you wear sensible shoes, high heels can exacerbate back problems.
If backache is severe, seems to come and go (i.e. lasts for 30-60 seconds, resolves then returns), is accompanied by painful urination or fever you should contact your doctor as this could be a sign of a serious problem.
Unpleasant burning sensations in the chest or taste of acid in your throat are typical signs of heartburn. This is common in pregnancy, as the muscle at the base of your esophagus doesn’t contract very well allowing acid to leave your stomach. Avoiding certain foods (excessively spicy or fatty foods) and eating smaller meals can decrease symptoms. Over the counter antacids are safe to use in pregnancy. If these don’t alleviate symptoms then your obstetrician should be consulted.
Edema or swelling of legs, ankles and fingers is a very common and usually a normal condition during pregnancy. Prolonged standing tends to make the swelling worse. Lying on your left side for several hours a day can alleviate some symptoms. If you have access to a bathtub or pool immersion in water will help decrease the swelling. Occasionally increased edema can be a sign of a potentially serious pregnancy complication, called preeclampsia, so if the swelling seems particularly severe or doesn’t resolve with rest you should notify your obstetrician.
Hemorrhoids are dilated veins in the rectal area. They are common in pregnancy and can be quite uncomfortable. Avoid straining during bowel movements. Eat a diet high in fruits and vegetables. Use a fiber supplement and\or stool softener if needed. Lying on your left side for several hours a day and sitz baths can also help. Using witch hazel pads can soothe the inflammation and aid in hygiene. Your physician can recommend medications if these measures don’t help.
Communicate all symptoms and concerns with your obstetrician or midwife, even if you think they are "minor." Although these symptoms are common and usually resolve after delivery they can make you miserable. Occasionally they can be a sign of a more serious medical problem and should not be ignored.