THE A TO Z OF PREGNANCY COMPLAINTS
Shortness of Breath
Shortness of breath most commonly occurs during the last months of pregnancy . An enlarging uterus compressing on the diaphragm causes changes in your pulmonary system that change the function of your lungs . Your doctor should evaluate severe , persistent shortness of breath .
TREATMENT : Slow , deep breathing is often helpful . Lying on your left side or sleeping with pillows propped under your back to keep your body in a semi-sitting posture will help .
Skin Changes
Elevated levels of the hormones estrogen and progesterone result in several changes in your skin . Extra deposits of pigmentation may be noted as a brown discoloration on your cheeks , nose , and forehead . This is known as chloasma or “ the mask of pregnancy .” You may also notice some darkening of the linea nigra , the line from your navel to the pubic area . Many women will experience darkening of skin growths and surgical scars . Tiny red patterns known as spider angiomas may appear on your shoulders , arms , and face . Itching may occur late in pregnancy .
TREATMENT : Skin changes are normal and usually cannot be prevented . Areas of pigmentation will slowly fade after your delivery . Moisturizing lotion will help relieve the itching . Minor itching may be treated with 1 % hydrocortisone cream applied sparingly to the skin and Benadryl 25mg capsules . Report any uncontrollable itching or a persistent , severe rash to your doctor .
Stretch Marks
Most women are very concerned about stretch marks . Initially appearing as red streaks , they eventually fade into a light , silvery color after delivery . Stretch marks most commonly develop on the abdomen , thighs , and breasts .
TREATMENT : Stretch marks are a normal consequence of pregnancy and are not preventable . Cocoa butter and skin lotions may provide relief from the itching and dryness . Avoiding excessive weight gain during pregnancy can minimize stretch marks .
Swelling
All pregnant women experience some swelling , especially during the last months of pregnancy . Swelling is most common in the feet , ankles , legs , and hands .
TREATMENT : Resting on your side will promote fluid clearance by increasing blood flow to the kidneys . Drink plenty of fluids . Avoid tight-fitting clothes and stockings and remove rings before they become too tight . Diuretics ( water pills ) are generally not recommended for use in pregnancy .
66 My Prenatal Care Book