[Abstract] Pregnancy in ten months is a hard but happy thing. From early pregnancy to before delivery, expectant mothers should always pay attention to their body movements and take timely measures if any abnormalities are found. What is abnormal? This time I asked Wang Ping, chief physician of the Department of Obstetrics and Gynecology of North Jiangsu Hospital.
Symptoms – severe vomiting
Most pregnant women experience vomiting in the first trimester. If morning sickness is so frequent that you are unable to drink water or urinate, it can easily lead to severe dehydration, which can cause harm to both the pregnant woman and the fetus. If you suffer from \”hyperemesis gravidarum\”, the pregnant woman will continue to vomit throughout the pregnancy, affecting the normal development of the fetus.
Pregnant women are generally resistant. If the vomiting is severe, such as being unable to eat for two consecutive days, or the vomiting is accompanied by high fever, you should go to the hospital for a urine test to see if you have ketoacidosis and get symptomatic treatment in time.
Symptom 2 Edema of lower limbs
Some pregnant women often experience leg edema during pregnancy. Generally, physiological edema is not swollen in the morning, but is more obvious in the afternoon and evening. When lower limb edema occurs, in addition to adjusting sleeping and sitting postures, appropriate exercise, massage, etc., appropriate dietary adjustments can also have a certain effect on edema.
Experts remind:
Those who experience mild edema symptoms during pregnancy do not necessarily need drug treatment, but if severe edema occurs, such as if the edema occurs in the morning, noon, or late night, attention needs to be paid. You should go to the hospital promptly to check whether you have gestational hypertension.
Symptom 3 Increased leucorrhea
It is normal for vaginal discharge to increase during pregnancy. Part of the reason for increased vaginal discharge is that your estrogen production increases at this time, which increases blood flow to the vaginal area. These leucorrhea is composed of cervical and vaginal secretions, senescent cells in the vaginal wall, and normal vaginal flora. Before pregnancy, women would occasionally see such leucorrhea on their underwear, but now it is much more common than before.
Experts remind:
At less than 37 weeks, if you notice an increase in leucorrhea or a change in the shape of the leucorrhea, if it becomes thin, mucus-like, or bloody, even if it is just light pink or dark brown, go to the hospital immediately. This may be a sign of premature labor.
If your vaginal discharge is odorless, has a yellowish-white lump, and makes you feel uncomfortable (such as itching or burning in your vulva or vagina), or your vulva looks red and swollen, you may have candida. Vaginitis.
If your vaginal discharge is smelly, frothy, and yellow, green, or gray in color, you may have a different type of vaginal infection or sexually transmitted infection. Even if there is no allergy, itching, or burning sensation, you should go to the hospital for medical treatment.
Symptoms 4: Vaginal bleeding
Any time vaginal bleeding occurs, you should go to the hospital for examination immediately. Appears in early pregnancy, please note thatIt\’s not an ectopic pregnancy or a threatened abortion. Vaginal bleeding in the second or third trimester may indicate a placental tear or other problem that requires an ultrasound to confirm the diagnosis.
Experts remind:
When vaginal bleeding occurs during pregnancy, it doesn\’t necessarily mean something abnormal is happening. However, miscarriage, embryo suspension, ectopic pregnancy, abnormal placenta, abnormal hormone levels, cervicitis, polyps and some chronic diseases can cause abnormal bleeding during pregnancy, so you should still see a doctor. The doctor only needs to do a urine pregnancy test and B-ultrasound examination to make a diagnosis, and if necessary, do a serum HCG and progesterone test.
Symptoms: increased or decreased fetal movement
Fetal movement is a physiological activity of the fetus. For example, after 28 weeks of pregnancy, the fetal nervous system gradually develops, and the fetus will have a certain biological rhythm for sleeping and waking up. When sleeping, there are few fetal movements and the movement is small, and sometimes the mother cannot feel it; when waking up, there are many movements and big movements, and the mother will clearly feel it.
Because the fetus has a fixed rest and sleep time, it is sometimes difficult for expectant mothers to feel fetal movement. However, the maximum stay time of the fetus still does not exceed 1 hour. If the fetus does not move for an hour, the expectant mother can eat something, drink some sweet juice, or pat her belly. Normally, the fetus will resume fetal movements immediately. In addition, loud sounds and stimulating bright lights can increase fetal movements. In addition to the above, the health condition of the expectant mother sometimes also affects the frequency of fetal movement. For example, if you have a fever, the amount of fetal movement will be reduced, and the frequency of fetal movement will also be reduced accordingly.
Experts remind:
Fetal movements are a way for the baby to transmit information and are an important channel for pregnant mothers to understand the health of the fetus. Just as a mother uses facial expressions to determine her child\’s needs and problems, pregnant mothers need to use fetal movements to monitor the safety of their baby in the womb. If the fetal movement is abnormal, it is likely that there is intrauterine hypoxia. The fetal heartbeat will disappear within 24 hours after the fetal movement decreases until it disappears. Therefore, relying on the mother\’s self-monitoring and grasping the changes in fetal movements every day, she can always know whether the baby is safe and sound in the womb and detect problems early. Therefore, pregnant mothers should gently touch their belly every day to confirm fetal movement. When encountering situations such as \”no fetal movement for a long time\” or \”suddenly not moving\”, do not take it lightly and go to the hospital as soon as possible.
Symptom 6 Weight gain
After pregnancy, pregnant women must increase nutrition appropriately, but reasonable weight control is very important for pregnant women. Overweight pregnant women are associated with many dangerous complications, such as chronic hypertension, preeclampsia, gestational diabetes, pyelonephritis, thrombosis, postterm pregnancy, fetal size, dystocia, etc., and even give birth to children with congenital malformations.
Experts remind:
The ideal weight gain is 2 kg in the first trimester (within 3 months of pregnancy), 5 kg in the second trimester (3-6 months of pregnancy), and 5 kg in the third trimester (7-9 months of pregnancy), for a total of 12 kg before and after. If the entire pregnancy increasesWeighing more than 20 kilograms or pregnant women weighing more than 80 kilograms is a danger signal.