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Nine Months : Common Concerns in Pregnancy

Fainting

Causes: Feeling light-headed and dizzy is common in pregnancy (any trimester) and may be due to:

*Not enough oxygen reaching the brain

* Low blood sugar

* Pressure of expanding uterus on your blood vessels

* Anaemia

Things to Remember:

* Avoid standing for long periods of time.

* Take your time when getting up from a sitting or lying position.

* Eat regularly and don't go without food for a long time.

* If you feel faint, try to lie down with your feet up to improve circulation to your brain.

* Avoid lying on your back in later pregnancy as it puts pressure on your blood vessels. if you feel faint while lying on your back, roll over to one side gently.

Risk: Although there is reduced oxygen to your brain when you faint, the baby's oxygen supply is not affected. If you feel faint or dizzy quite often and even actually faint, you must mention it to your midwife to rule out anaemia.

Fibroids

What is it? A fibroid is a non-cancerous growth in the inner walls of the womb and occurs most commonly in women over 35. A fibroid may be noticed only during a scan or an internal examination.

In pregnancy: The pregnancy hormones may cause the fibroid to increase in size. Fibroids normally do not cause any harm to the baby. However, they may occasionally increase the risk of ectopic pregnancy, miscarriage, placenta praevia or breech position of baby. All these problems occur if the fibroid becomes too large and starts obstructing the cervix. It is, therefore, very important to be under a doctor's care all throughout pregnancy.

Discomforts: Women with fibroids may feel a pressure or pain in the abdomen. This is nothing to worry but should be reported to the doctor. Pain killers for a few days accompanied with bed rest should provide relief.

Complications: Sometimes the fibroids may degenerate or twist causing severe abdominal pain and fever. In such instances, surgery may sometimes be required to remove the fibroid. In other instances, if the doctor feels that the fibroid will interfere with normal vaginal birth, a caesarean delivery may be planned.



Frequent Urination

Cause: In the first trimester, frequent urination is caused by an increase in the volume of body fluids combined with increased efficiency of the kidneys. In later pregnancy, it is caused by the pressure of the growing uterus on the bladder.

What to do? Although you can't do much except make frequent trips to the bathroom to relieve yourself, you can try the following:

* Try to empty your bladder completely. You can do this by moving forward while on the toilet seat.

* If you feel that you are getting up often at night to relieve yourself, try and limit fluid intake in late evening. However, remember not to cut down on your fluid intake for the day.




               

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