Common Discomforts In Pregnancy

Discomfort                   When                             What you can do to Help

Ankle/Foot Swelling  2nd trimester to the end    Wear comfortable shoes. Prop your
                                                                         feet up on a stool while sitting. Don’t
                                                                         cross legs. Drink lots of fluids

Breast Tenderness   Early and continues          Wear good sports bra day and night.
                                                                        Soak in warm bath       

Breast Leakage           2nd Trimester               Wear breast pads that don’t have
                                                                       plastic linings. Avoid harsh soaps,
                                                                       creams, ointments. Avoid hot water on
                                                                       breasts. Do not squeeze nipple or
                                                                       breasts

Bleeding Gums                  All                        Use a very soft tooth brush and gently
                                                                      brush teeth. Get routine dental care.

Constipation           2nd Trimester to end         Eat foods high in fiber everyday. Drink
                                                                      lots of fluids. Exercise daily, Walk after
                                                                      meals. Avoid stimulants or laxatives
Contractions
(Braxton-Hicks)
            After 20wks                Lie down on your left side for about 20
                                                                     minutes. Drink 2-3 glasses of water or
                                                                     juice. Walk around.   

Enlarging Belly
& Breasts  
            2nd half of pregnancy         Sleep on your side with a pillow between
                                                                     your legs and lower abdomen. Wear
                                                                     loose, comfortable clothing. Wear a
                                                                     supportive bra even to bed.   

Fatigue
or Tiredness 
    Early and again in the last month   
                                                                     Take extra naps during day if possible.
                                                                     Continue exercise but not to the point of
                                                                     exhaustion.  Try to get at least 8 hrs of
                                                                     sleep a night   

Flatulence        Anytime, especially after 20wks
                                                                    Try to schedule your daily bowel
                                                                    movements. Avoid gas forming foods
                                                                    such as beans and soda. Increase bulk
                                                                    and water to diet. Increase exercise

Food Cravings     First half of pregnancy        OK to indulge as long as diet is otherwise
                                                                    healthy. Call office if you are craving non
                                                                    food items such as soap, dirt,baking                                                                      soda       

Frequent
Urination
  Early, gets better in middle,           Know where the bathrooms are when out
               then increased towards the end        and about. Don’t cut back on fluids.
                                                                    Expect to make many trips to the
                                                                    bathroom day and night. Avoid
                                                                    drinking lots of fluids right before bedtime

Headaches            1st Half                          Avoid Aspirin or Ibuprofen, Motrin, Advil,
                                                                   Alleve. Avoid eye strain. Frequent eye
                                                                   rests and computer breaks. Use Tylenol
                                                                   regular or extra strength as directed

Heartburn  2nd Trimester until the end          Eat more frequently and smaller meals. Do
                                                                  not lay down right away after eating. Eat
                                                                  slowly and chew your food well. Avoid deep
                                                                  fried, greasy, spicy foods. Antacids as
                                                                  directed are safe. Drink fluids between
                                                                  meals and not so much during. Go for a
                                                                  walk afterward

Hemorrhoids          Anytime                       Avoid constipation. Apply cold witch hazel
                                                                 pads or hemorrhoid ointment. Do kegal
                                                                 exercises.  Take sitz baths

Increased              Anytime                       Increase fluids. Easily washable,
Sweating                                                  comfortable, loose fitting clothes. Good
                                                                 hygiene. Try a different brand of deodorant

Increased Saliva    1st Trimester              Gum and hard candy. Mouthwash. Avoid
                                                                starchy foods   

Increased        Throughout Pregnancy       Wear cotton underwear, don’t wear
Vaginal                                                   pantyliners or pads. Avoid nylon panty hose,
Discharge                                                feminine hygiene soaps or sprays. No
                                                                douching. Report to office if discharge is
                                                                greenish, thick, cheesy or has strong fish
                                                                odor

Insomnia         Anytime but mainly in        Try a warm bath prior to bed. Do not have
                           3rd Trimester                  stimulating activity before bed, sex is OK.    
                                                                Use relaxation technique. Place pillow
                                                                between legs and under lower abdomen

Leg Cramps    2nd half of pregnancy         Try eating bananas or drinking OJ
                                                               everyday. Stand up on flat surface, point your
                                                               ankle and toes as if you were standing, try
                                                               walking or curling your toes       

Ligament Pain     Increases with increasing uterus size
(sharp pulling                        
sensation on either                               Support your weight with your hands when
side of the lower                                   changing positions. Move slower. Tylenol as
abdomen)                                             directed. Apply ice to affected side. Use
                                                             maternity belt. Lean back in a slant position
                                                             support-ing your back with your knees bent

Light headedness Begins early and       Stop what you are doing and lie on your left
& Dizziness              continues               side with legs curled up for a short time. Get
                                                             up slowly from a lying down position       

Low Backache      2nd half of                 Good body mechanics helps. Keep back
                             pregnancy                 straight and head up, Avoid bending at waist.
                                                             Wear supportive shoes, no flats or high heels.
                                                             Avoid prolonged standing, move around
                                                             frequently. Get back rubs, firm mattress, do
                                                             pelvic rock exercise to strengthen back

Nasal Stuffiness   1st trimester and         Use humidifier/vaporizer if air is dry
& Nose Bleeds      again at the end         Sudafed or Benadryl as directed. Saline Nasal
                                                             Spray. Blow nose gently

Nausea, morning  Early in pregnancy     Nibble some cracker or ginger snaps before
Sickness                 & usually improves   getting up in the morning. Wait an hour before
                               after 1st trimester    drinking any liquids. Avoid strong odors. Drink
                                                             between meals only. Chew gum and hard
                                                             candy. Sip on room temperature drinks. Eat
                                                             small snacks in between meals. Sit and put
                                                             your head down between your legs

Varicose Veins   Increases as               Put support hose, ace wraps or elastic
                         pregnancy continues     stockings on while in bed, before getting up for
                                                            the day. Avoid tight clothing. Avoid crossing
                                                            legs. Use good posture

Vision             Throughout pregnancy    Don’t buy a new prescription for your glasses
Changes                                             b/c your vision will probably go back to pre-
                                                           pregnancy vision. Take frequent eye breaks
                                                           You may not be able to wear contact lenses   

Activities to AVOID

Exposure to diseases passed from animals to humans is important. In order to be safe, Do NOT change or clean the cat’s litter box or the bird cages. Do NOT play in Children’s sand boxes (big cat litter box). Do NOT garden without gloves.

You may also want to avoid exposure to things that may cause birth defects such as:

*X-rays, working around radiation or radioisotopes
*Dry cleaning & other solvents, petroleum products, working around lead or mercury
*Manicuring acrylic nails
*Working on ladders, scaffolding and such where nausea, fatigue or sudden lightheadedness would be hazardous to your health should be avoided.

AVOID the following FOODS

*Neither raw nor undercooked fish including sushi, meat, poultry, eggs, hotdogs.
*Swordfish, shark, king mackerel and tile fish. These have too much mercury in them.
*Raw sprouts, unpasteurized juices or cheeses or milks.
*All alcoholic beverages.
*All tobacco products and recreational drugs.

AVOID the following OVER THE COUNTER Medications

*Aspirin
*Ibuprofen (Motrin)
*Dayquil or Nyquil liquid and any drug that says “elixir” because it contains alcohol
*Excessive caffeine (more than 2 servings a day)
*Any illegal drugs
  
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