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Obstetrics and Gynecology > Pregnancy and Childbirth > Pregnancy and Prenatal Care > Common discomforts during pregnancy

Common discomforts during pregnancy

Backache

Possible causes
  • Prolonged standing or sitting
  • Softening of ligaments and joints (caused by normal hormonal changes during pregnancy)
  • Overweight
  • Poor mattress
  • Poor posture
Relief measures
  • Get off your feet. If you have to stand for a long time, stand on one foot and alternate as needed. Wear low-heeled (not flat) shoes with good support.
  • Maintain good posture.
  • Sit in chairs with good back support or use a small pillow for your lower back.
  • Try rocking on your hands and knees.
  • Avoid excessive bending, lifting or walking. Use proper form when lifting.
  • Apply a heating pad, water bottle or cold compress.
  • Sleep on your side. Use pillows or cushions for support.
  • Buy an abdominal support garment  (such as a brace v2 supporter) to alleviate pelvic pressure in advanced pregnancy.

Fatigue

Possible causes
  • Lack of sleep, waking often to use the bathroom
  • Anemia (when your body has fewer red blood cells and less oxygen, making you weak. It is a common condition during pregnancy that needs treatment).
Relief measures
  • Rest often during the day. Take breaks at work: morning, midday and afternoon.
  • Include a nap in your daily routine, when possible.
  • Go for a brisk walk each day. A walk or other exercise will increase your energy level.
  • Take a warm bath before bed.
  • Try to do relaxing activities, such as reading, listening to music or taking a bath, between your evening meal and bedtime.
  • Use pillows to help find a comfortable position.
  • Try progressive relaxation (tensing, then relaxing the muscles throughout your body).
  • Reduce the amount of fluid you drink after dinner. Try to drink eight glasses of fluid before this time.
  • Work with your provider to keep track of the amount of iron in your blood. Include iron-rich foods in your diet and take prescribed supplements.

Pelvic discomfort or pain

Possible cause
  • Pressure from the baby
Relief measures
  • Rest often. Take breaks during the day. Lie down when possible.
  • Try sleeping on your side with one leg forward and one back, as if running. Use a pillow under the upper leg for support.
  • Soak in a warm tub. Place a heating pad on the affected area.
  • Wear a maternity support, (such as a sacroiliac maternity belt), to alleviate pelvic pressure in advanced pregnancy.
  • Exercise. Pelvic rock, yoga, swimming and water exercise can help reduce pressure on your pelvis.
  • Rehabilitation services can help with pelvic pain if no other measures are effective.

Heartburn

Possible causes
  • Increased pressure on stomach from growing uterus
  • Hormones relax muscular opening to the stomach, which allows stomach acid to back up into the throat.
Relief measures
  • Eat several small meals each day rather than a few larger ones.
  • Avoid or limit fried, fatty or spicy foods and other foods that may cause discomfort (chocolate, coffee, alcohol, carbonated beverages).
  • Eat slowly and avoid lying down right after meals.
  • Raise the head of your bed or use pillows and cushions to keep your head elevated.
  • Talk to your provider about using antacids.

Constipation

Possible causes
  • Progesterone relaxing the digestive system
  • Decreased physical activity
  • Pressure on intestines from the enlarging uterus
  • Change in diet
  • Iron supplements
Relief measures
  • Drink plenty of liquids (eight to 10, 8-ounce glasses per day). Try prune juice or other high-fiber juices.
  • Eat high-fiber foods such as raw fruits, vegetables, beans, whole-grain bread and bran cereal.
  • Exercise. Activity aids your digestive system.
  • Ask your doctor, nurse practitioner or certified nurse-midwife about other ways to relieve constipation.

Hemorrhoids (varicose veins in the rectal area)

Possible causes
  • Extra blood in the pelvic area and pressure from the baby
Relief measures
  • Prevent constipation (see above).
  • Keep your weight within the limits suggested by your doctor, nurse practitioner or certified nurse-midwife.
  • Move around to shift the weight of your uterus off these veins.
  • Apply ice packs or gauze pads soaked with witch hazel (Tucks® pads). Ask your provider about other medications.
  • Soak in a warm bath a few times each day.
  • Rest in bed with hips and legs elevated. This will reduce some of the pressure the baby is putting on the hemorrhoids.

Leg cramps

Possible causes
  • Fatigue in calf muscles
  • Pressure on nerves to the leg
  • Impaired circulation
  • Fluid buildup in the legs
  • Mineral imbalance (too little calcium or too much phosphorus)
Relief measures
  • Avoid pointing toes or standing on tiptoes.
  • Avoid curling toes.
  • Relieve a calf cramp by straightening your leg and slowly flexing ankle and toes upward.
  • Relieve a foot cramp by pulling your toes up toward your shin.
  • Talk to your doctor, nurse practitioner or certified nurse-midwife about adjusting your calcium or phosphorus intake.

Numbness or tingling in arms or hands

Possible causes
  • Pressure of excess tissue fluid on nerves in the arms and wrists
  • Pregnancy may increase carpal tunnel symptoms
Relief measures
  • Use different positions and pillows and cushions to avoid sleeping on arms or hands.
  • Place hands on shoulders and rotate elbows to do shoulder circles.
  • Raise one arm and stretch upward. Wiggle fingers for a count of five. Repeat with the other arm. Do several times each day.
  • Talk to your doctor, nurse practitioner or certified nurse-midwife about carpal tunnel syndrome.

Aching legs or swollen ankles

Possible causes
  • Standing or sitting for long periods of time
  • Pressure of the uterus on blood vessels
Relief measures
  • Walk, swim or use a stationary bike several times a week.
  • When sitting, rotate your feet and ankles in a circle. Do not cross your legs at the knees.
  • Elevate legs periodically.
  • Wear support stockings. Put them on before you get out of bed, when there is the least amount of swelling.

Dizziness or light-headedness

Possible causes
  • Pressure of uterus on large abdominal blood vessels
  • Decreased blood sugar
  • Anemia
Relief measures
  • Do not lie on your back or stand for long periods of time.
  • Avoid sudden changes in posture or positions. Always stand up slowly.
  • Eat nutritious foods and include protein throughout the day. Do not skip meals.
  • Drink enough fluids (about 10 cups each day).
  • Stay in cool, well-ventilated areas. Get fresh air if needed.

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Pregnancy, Prenatal Care

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