Renaissance Women's Group – Austin OBGYN

Common Pregnancy Problems

Along with pregnancy and your changing body will come a variety of discomforts.

Additionally, you will be limited in the types of medications that are safe to take for common illnesses, such as allergy and gastrointestinal disturbances. Below is a list of common problems and ways to alleviate them, along with a list of medications that can be utilized during pregnancy.


 

NAUSEA OR “MORNING SICKNESS” can occur at any time during pregnancy and is the most common complaint, especially in the first twelve weeks. Often this nausea is referred to as “morning sickness,” but as any pregnant woman will attest, it can occur at any time of the day. The cause of this nausea is human chorionic gonadotropin (HCG), a hormone released by the placenta. The HCG level is at its highest during the first twelve weeks of pregnancy and then begins to drop and level off for the rest of the pregnancy.

Prevention and treatment

  • Take small bites and eat slowly.
  • Eat frequent, light meals throughout the day.
  • Avoid fried, greasy, and highly seasoned foods, as well as sweets and caffeine, which tend to aggravate the stomach and worsen the nausea.
  • Increase your intake of foods high in vitamin C, such as fresh fruits, vegetables, and juices. Also increase your intake of vitamin B, which is in foods with brewer’s yeast, whole grains, dairy products, and organ meats. Take a 25mg vitamin B6 supplement every day.
  • Have unsalted unbuttered toast and crackers in the morning.
  • Engage in some light exercise, like walking, after eating to help digestion.
  • If vomiting occurs, drink plenty of clear liquids such as Gatorade, ginger ale, 7-Up, broth, or Jell-O. If you are unable to tolerate clear liquids for over 12-24 hours, notify the office.
  • Sip on room temperature/warm liquids, such as broth, tea or chicken noodle/rice soup. Ginger ale, Sprite or Gatorade may settle easier in your stomach. Try Jell-O, toast, Popsicles, bananas, rice, applesauce or plain baked potatoes when you’re feeling better.

 

HEARTBURN / INDIGESTION is, unfortunately, another very common complaint of pregnant women. The old wives’ tale says that if you have heartburn, then you will have a baby with lots of hair. Alas, most women suffer from heartburn, but few have babies with a full head of hair. During pregnancy, your body and the placenta will secrete progesterone. This hormone relaxes the esophageal sphincter, allowing the stomach contents to reflux up the esophagus, thus creating heartburn.

Prevention and treatment

  • Take small bites, eat slowly, and chew food completely.
  • Avoid greasy and highly seasoned foods.
  • Increase your vitamin B intake.
  • Do not mix fats and sweets in the same meal.
  • Antacids – see list under Medications

 

CONSTIPATION is also caused by elevated progesterone levels. It causes relaxation of the intestines and slows digestion.

Prevention and treatment

  • Drink an 8-ounce glass of water at least 6-8 times daily.
  • Maintain a high fiber diet
  • Exercise daily
  • Do not use artificial laxatives, as they inhibit the absorption of nutrients from the intestines.
  • Stool softener – see list under Medications

 

HEADACHES can also be caused by the hormonal changes in pregnancy, most commonly during the first eighteen weeks of pregnancy. Stress and tension can also cause headaches.

Prevention and treatment

  • Eat regularly
  • Get plenty of rest
  • Avoid crowded and noisy places
  • Avoid poorly ventilated or smoke filled rooms

Acetaminophen can be taken for headaches according to the package directions. If this, along with rest, does not help your headache, you should notify the office or physician on call.


 

DIARRHEA
• Avoid dairy, caffeine, and raw fruits and vegetables
• Drink clear liquids – (i.e. Sprite, Ginger ale, Apple/Grape juice)

FATIGUE OR INSOMNIA
• Increase calcium and vitamin B intake
• Exercise
• Take relaxation breaks
• Take warm tub baths
• Massage

LEG OR JOINT PAIN
• Rest
• Increase calcium and vitamin B intake
• Exercise
• Maintain good posture
• Use a heating pad on a low to moderate setting

BURNING, ITCHING, AND VAGINAL DISCHARGE
• Eat yogurt and buttermilk to keep bacterial balance in the vagina and body
• Wear white, all cotton under garments
• Do not douche, as this only worsens the problem
• After the first trimester, if you are sure that you have a “yeast” infection and itching or burning bothers you, you may use one round of an over-the-counter anti-fungal of your choice (Monistat, Mycelex).
• Notify the office is symptoms persist

SWELLING IN YOUR ANKLES, FEET, AND HANDS is common during pregnancy and is caused, in part, by the increased blood volume caused by pregnancy. Swelling is also caused by the body’s inability to transport the extra volume without displacing extra fluid in dependent areas of the body, such as feet and ankles.
• Elevate your feet and lie on your left side as much as possible. Lying on your left side allow for unrestricted return of blood from the limbs to the heart through the vena cava, a major vein on the right side of your body.
• Avoid adding salt to your diet. Be aware of foods high in sodium and avoid them.

ANEMIA, LOW RED BLOOD CELL COUNT can occur during pregnancy. The developing baby often takes from the mother’s iron stores and if they are not replaced by adequate iron intake anemia will occur.
• Increase dietary iron intake by increasing consumption of foods such as red and organ meats (three times per week), dark green leafy vegetables such as greens and spinach (at least once or twice a day), raisins, prunes, and sunflower seeds.
• Take your prenatal vitamins.
• Your physician will add an iron supplement if indicated.

HERPES
• Soak in a warm bath.
• Check with your physician about medications that may relieve the symptoms.

SEXUALITY – Some women have an increased need for physical contact and closeness, while experiencing a decrease in libido (sex drive). This is normal during pregnancy, but it is sometimes confusing and upsetting. If you experience this change, discuss and express your needs to your partner.

DEPRESSION occasionally can result from hormonal changes during and after pregnancy.
• Don’t be afraid to voice your concerns and to talk things out.
• Do things that you enjoy. Get out of the house. Take care of yourself.
• If you have severe symptoms and are unable to sleep, eat, or participate in daily activities, please notify the office.

VARICOSE VEINS
• Increase intake of vitamins E and C
• Elevate feet
• Do not cross legs at the knee
• Do not wear tight clothing or garters around your legs
• Do wear support hose
• Walk daily
• If you note severe pain or redness notify the office