Common Problems during Pregnancy

Common Problems during Pregnancy

Hyperemesis

This means excessive vomiting during pregnancy. Reassurance by the doctor with few modifications in the diet usually helps. Consumption of dry solids at frequent intervals is recommended. Sometimes a few drugs may be recommended by the doctor which could be helpful. This usually decreases at the end of first trimester (12 to 14 weeks of pregnancy).

Vaginal Discharge

This is commonly encountered in pregnancy due to bacterial/fungal infections. It may also be normal (physiological) when it is little in quantity without any symptoms like itching or foul smell. When it is associated with itching, foul smell or is yellow/green in colour it is considered to be due to an infection. It must be evaluated by a doctor and is usually treated after a high vaginal swab with vaginal pessaries, gels, antibiotics (oral or parenteral). Cotton undergarments are preferred and it is recommended to keep undergarments clean and dry.

Urinary tract infection

It is very common in pregnant women and is usually recognized by increased frequency of urination. The urination is frequently associated with burning sensation and pain while passing urine. It is sometimes picked up by a routine urine test in many women without any symptoms. But it must be adequately treated according to urine culture sensitivity with appropriate antibiotics. If under treated or neglected it may sometimes precipitate preterm delivery.

Discoloration of skin and breasts

Skin discoloration is very common among pregnant women. Areolae are darkened and there could be hyper pigmentation on the face and neck due to hormonal influences. This discoloration usually fades away after pregnancy and there is no role or necessity of lightening creams.

Gastritis

This is commonly referred to as heart burns. It usually occurs in the latter half of pregnancy where gastric reflux occurs frequently due to laxity of the sphincter around the food pipe, which is an effect of hormonal changes during pregnancy.

Increased frequency of urination

It is common in the first trimester (up to 14 weeks) due to the pressure effect of the gravid uterus on the urinary bladder. It is also seen in the third trimester (28 weeks till delivery) during head fixing when the fetal head manouvres into the maternal pelvis. This symptom may sometimes be associated with infection and requires evaluation if it is associated with other symptoms like burning sensation while passing urine and fever.

Itching

Itching with rashes over the stretch marks on the abdomen is common during pregnancy. It usually subsides with emolients (soothing lotions and creams). But itching, without rashes, present all over the body (mostly in the palms and soles) especially at night with an abnormal liver function test could suggest a serious problem that requires a detailed evaluation. This condition if not properly managed could harm the fetus.

Practice pains (Braxton Hicks contractions)

It is common to experience abdominal cramp-like pains starting from the late second trimester (26-28 weeks) which increase in frequency and duration to culminate as labor pains towards term. This cramp like pain is due to the contracting gravid uterus.

This is a brief overview of common problems during pregnancy. If you have any further queries, please reach us at info@milann.co.in or to schedule an appointment with one of our doctors, click here. We would be happy to be of assistance.

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