THE A TO Z OF PREGNANCY COMPLAINTS
Frequent Urination
Frequent urination is normal in pregnancy . The early increase in urination frequency is due to hormonally induced changes in the urinary system . As pregnancy progresses , the uterus becomes a contributing factor by pressing on the urinary bladder . Frequent urination is usually insignificant unless it is accompanied by pain or burning , which may be a sign of a urinary tract infection .
TREATMENT : You can eliminate some of your nighttime trips to the bathroom by decreasing your fluid intake just prior to bedtime . During the day you may decrease the need to urinate by avoiding caffeinated beverages .
Headaches
Nasal congestion , fatigue , eyestrain , anxiety , hormonal changes and tension are among the many causes of headaches . Often no cause is identified . A headache that persists despite medication , especially during late pregnancy , should be reported to your physician .
TREATMENT : First , try rest and relaxation . If your headache persists , do not hesitate to take Tylenol . If your headache still persists , please notify your physician .
Heartburn
Heartburn results from the hormonally induced relaxation of the sphincter at the junction of the esophagus and the stomach . The enlarging uterus also compresses the stomach . These changes allow food and gastric juices to be regurgitated into the esophagus , which causes irritation and discomfort .
TREATMENT : Avoid overeating . Try to eat several small meals each day rather than three large ones . Avoid fried and spicy foods . Do not lie down immediately after eating . Sleeping partially propped up on pillows is often beneficial . Mylanta , Maalox , Tums , Pepcid , and Rolaids are antacids and are safe during pregnancy . Do not use baking soda , since the extra sodium tends to cause water retention . See the list of new guidelines for safer medications in pregnancy located on page 40 .
Hemorrhoids
Hemorrhoids are a common problem during the second half of pregnancy . They result from dilation of the large veins in your rectum . As with other conditions during pregnancy , this is caused by the hormonally induced increase in vascularity and the compression by the enlarging uterus of vessels returning from the legs . Hard bowel movements and straining at the stool have a tendency to cause these veins to protrude through the rectal opening and to cause local irritation , bleeding , and itching .
TREATMENT : The best treatment is prevention through the avoidance of constipation . Over-the-counter medication such as Anusol , Preparation H ( with or without hydrocortisone ), and Tucks pads may be helpful . Sitz baths can also be soothing .
64 My Prenatal Care Book