Warnings
"Don't do this, don't do that." You've probably heard every old wives' tale. Here are some warnings worth heeding:
- Don't smoke. Smoking raises your risk for miscarriage, premature birth, low birth weight and many other problems.
- Don't use drugs. Cocaine, heroin, marijuana and other drugs increase your risk of miscarriage, premature birth and birth defects. Your baby could also be born addicted to the drug you've been abusing, which can cause serious health problems.
- Don't drink alcohol. Drinking alcohol during pregnancy is the major cause of preventable birth defects, including fetal alcohol syndrome.
- Don't clean your cat's litter box or eat raw or undercooked red meat. You could get toxoplasmosis, a disease that can cause birth defects.
- Don't sit in a sauna or hot tub. The high heat raises your risk of miscarriage and birth defects.
- Don't douche. Douching could force air into the vagina, which can cause an air embolism. The vagina doesn't require cleansing in addition to normal bathing. Douching disrupts the helpful bacteria that keep the vagina clean.
Here are the most common discomforts of pregnancy and some tips for handling them:
- Morning sickness. Nausea or vomiting may strike anytime during the day (or night). Try eating frequent, small meals and avoid greasy foods. Keep crackers by your bed to eat before getting up.
- Talk to your doctor if morning sickness lasts past the first 3 months of pregnancy or causes you to lose weight.
- Tiredness. Sometimes tiredness in pregnancy is caused by anemia, so tell your doctor. Get enough rest. Take a daytime nap if possible.
- Leg cramps. Gently stretch the calf of your leg by curling your toes upward, toward your knee.
- Constipation. Drink plenty of fluids. Eat foods with lots of fiber, such as fruits, vegetables and bran cereal. Don't take laxatives without talking to your doctor first. Stool softeners may be safer than laxatives.
- Hemorrhoids. Don't strain during bowel movements. Try to avoid becoming constipated. Clean yourself well after a bowel movement (wet wipes may be less irritating than toilet paper). Take several warm soaks (sitz baths) a day if necessary.
- Urinating more often. You may need to urinate more often as your baby grows because he or she will put pressure on your bladder. This can't be helped.
- Varicose veins. Avoid clothing that fits tightly around your legs or waist. Rest and put your feet up as much as you can. Move around if you must stand for long periods. Ask your doctor about support or compression hose, which may help ease or prevent varicose veins.
- Moodiness. Your hormones are on a roller coaster ride during pregnancy. Plus, your life is undergoing a big change. Don't be too hard on yourself. If you feel very sad or think about suicide, talk to your doctor.
- Heartburn. Eat frequent, small meals. Avoid spicy or greasy foods. Don't lie down right after eating. Ask your doctor about taking antacids.
- Yeast infections. The amount of discharge from the vagina increases during pregnancy. Yeast infections, which can also cause discharge, are more common during pregnancy. It's a good idea to talk with your doctor about any unusual discharge.
- Bleeding gums. Brush and floss regularly, and see your dentist for cleanings. Don't put off dental visits because you're pregnant, but be sure to tell your dentist you're pregnant.
- Stuffy nose. This is related to changes in the levels of the female hormone estrogen. You may also have nosebleeds.
- Edema (retaining fluid). Rest with your legs up. Lie on your left side while sleeping so blood flows from your legs back to your heart better. Don't use diuretics (water pills). If you're thinking about cutting down on salt to reduce swelling, talk with your doctor first. Your body needs enough salt to maintain the balance of fluid and cutting back on salt may not be the best way to manage your swelling.
- Skin changes. Stretch marks appear as red marks on your skin. Lotion with shea butter can help keep your skin moist and may help reduce the itchiness of dry skin. Stretch marks often can't be prevented, but they often fade after pregnancy.
- Other skin changes may include darkening of the skin on your face and around your nipples, and a dark line below your belly button. Staying out of the sun or using a sunscreen may help lessen these marks. Most marks will probably fade after pregnancy.
Call your doctor if you have:
- Blood or fluid coming from your vagina
- Sudden or extreme swelling of your face or fingers
- Headaches that are severe or won't go away
- Nausea and vomiting that won't go away
- Dizziness
- Dim or blurry vision
- Pain or cramps in your lower abdomen
- Chills or fever
- A change in your baby's movements
- Less urine or burning when you urinate
- Any illness or infection
- Anything that bothers you
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