Common Concerns During Pregnancy: What’s Normal and What’s Not

Welcoming a new life into the world is an incredible journey filled with physical, emotional, and mental changes. During this transformational period, it’s crucial to be aware of the common concerns, what’s normal, what’s not, and when it’s essential to seek medical attention. At Advantia Health, we understand the importance of addressing both the typical and atypical aspects of pregnancy. We are here to help you navigate this process. 

Typical Physical Changes During Pregnancy

Pregnancy comes with a remarkable set of physical changes as the body adapts for the growth and nurturing of a baby. As the baby develops, the uterus gradually expands, providing a nurturing environment for the fetus to thrive. This expansion is a natural and essential process that may cause sensations of stretching and pressure within the abdomen. About 80% of women experience heartburn during their pregnancy, which is caused by both hormonal changes and the uterus growing and putting pressure on the stomach.

Additionally, the breasts undergo significant changes in preparation for lactation. They may increase in size and become more sensitive as the body readies itself for breastfeeding. These changes are a testament to the body’s ability to nurture and nourish the new life growing within. Expectant mothers are encouraged to embrace the physical transformations occurring as an integral part of the pregnancy process.

Common Symptoms That Are Usually Normal

Pregnancy comes with many different symptoms, and while each woman’s experience is unique, some symptoms are universally shared. These symptoms are generally considered a normal part of pregnancy:

Nausea and Vomiting

Often referred to as “morning sickness,” nausea and vomiting are common symptoms experienced during pregnancy and affecting about 70-80% of women. While they can occur at any time of day, it’s most prevalent in the morning. This can be unsettling, but it’s important to know that for most women, these symptoms tend to subside around 12 to 20 weeks of gestation. 

Fatigue

Feeling unusually tired is a frequent complaint during pregnancy, particularly in the first and third trimesters. The body is using a significant amount of energy to support the developing fetus, leading to feelings of exhaustion. Adequate rest and proper nutrition can help alleviate some of this fatigue. 

Mood Swings

Hormonal fluctuations can lead to sudden and intense changes in mood. It’s very common for expectant mothers to experience periods of heightened emotional sensitivity, ranging from elation to tearfulness. These mood swings are a natural part of the pregnancy experience.

In addition to mood swings, hormonal shifts during pregnancy can also bring changes in appetite. Some women may find their appetite increasing, while others might experience a decrease in hunger. These symptoms, while challenging, are often indicative of a healthy pregnancy. It’s important for expectant mothers to recognize that they are not alone in experiencing these symptoms and that healthcare providers are available to offer support and guidance throughout this process.

Warning Signs That Require Medical Attention

While many changes and symptoms are a normal part of pregnancy, certain warning signs should never be overlooked. Do not hesitate to seek medical attention or call your healthcare provider if you are experiencing any of the following symptoms: 

• High Fever: A persistent high fever during pregnancy could indicate an underlying infection and should be addressed promptly by a healthcare professional.
• Severe Abdominal Pain: Intense or persistent abdominal pain that is not alleviated by rest or positional changes should be evaluated to rule out potential issues such as ectopic pregnancy or other abdominal complications.
• Changes in Fetal Movement: Significant changes in fetal movement patterns, especially a decrease in movement, should be reported to a healthcare provider. Fetal movement is an important indicator of the baby’s well-being. This is especially important during the third trimester and why you may be asked to count your baby’s kicks each day.
• Sudden Swelling: Sudden or excessive swelling in the face, hands, feet, or legs could be a sign of preeclampsia or other conditions related to fluid retention. Any sudden and unexplained swelling should be assessed by a healthcare provider.
• Vaginal Bleeding: Any vaginal bleeding during pregnancy, especially if it’s heavy or accompanied by abdominal pain, should be reported to your healthcare provider immediately. Vaginal bleeding could indicate a variety of issues, including miscarriage, placental abruption, or preterm labor. It’s crucial to seek medical attention promptly if you experience any vaginal bleeding during pregnancy.

While experiencing these warning signs can be concerning, it’s essential for expectant mothers to understand that early intervention and medical attention can play a critical role in ensuring the health and well-being of both the mother and the baby. Promptly addressing any of these warning signs is crucial for the timely diagnosis and management of potential complications. 

Emotional and Mental Health Concerns During Pregnancy

Pregnancy can be a rollercoaster of emotions, and it’s entirely normal to experience periods of anxiety, stress, or mood fluctuations. Many people have heard of postpartum depression, but depression during pregnancy–antenatal or perinatal depression–is also a common mental health condition that affects about 10% of women during this period. It can be characterized by feelings of sadness, hopelessness, anxiety, and a lack of interest in previously enjoyable activities. Recognizing the signs and seeking support are crucial, as untreated depression can affect both the mother and the baby.

In addition to seeking support, being physically active and taking care of oneself play important roles in maintaining emotional well-being during pregnancy. Engaging in safe and appropriate physical activities, such as prenatal yoga or walking, can contribute to improved mood and overall health. Practicing self-care, whether through relaxation techniques, hobbies, or seeking social support, is equally significant. By prioritizing their mental and emotional well-being, expectant mothers can create a supportive and nurturing environment for themselves and their developing baby. It’s essential for expectant mothers to understand that they are not alone and to reach out to healthcare providers for appropriate care and guidance at any point. 

How to Manage Common Pregnancy Discomforts

Pregnancy often brings about a multitude of discomforts, including back pain, swollen ankles, heartburn, and constipation. These physical challenges can impact an expectant mother’s daily life and overall well-being. Integrating gentle exercise routines, adhering to a balanced and nutritious diet, and ensuring adequate rest can significantly alleviate many of these discomforts. Exercises tailored for pregnant women, such as prenatal yoga or swimming, can help improve muscle strength, reduce back pain, and alleviate swelling. Meanwhile, maintaining a diet rich in fiber, fruits, and vegetables, and staying hydrated can aid in managing issues like constipation and heartburn. Taking the time to rest and relax is equally important for relieving physical discomforts and promoting overall wellness during pregnancy.

Moreover, maintaining open communication with healthcare providers is essential for addressing and managing these discomforts effectively. Regular check-ins with obstetricians or midwives allow for discussing any physical challenges experienced, ensuring that appropriate guidance and support are provided. Healthcare professionals can offer tailored advice, recommend safe remedies, and monitor the well-being of both the mother and the developing baby. By engaging in open dialogue with healthcare providers, expectant mothers can gain valuable insights and support while navigating the journey of pregnancy, ultimately promoting a more comfortable and healthier experience for themselves and their baby.

Postpartum Concerns: What to Expect After Delivery

Following delivery, the body continues to undergo changes as it returns to its non-pregnant state. It’s normal to experience postpartum bleeding, also known as lochia, which can last for around 4 to 6 weeks, gradually transitioning from bright red to a pink or brown color before eventually tapering off. Initially, the bleeding is bright red, and over time, it becomes lighter in color and flow. However, if the bleeding becomes excessively heavy or if very large blood clots (larger than a golf ball) are present, it may indicate a potential issue and should be promptly reported to a healthcare provider.

In addition to postpartum bleeding, mood changes are common during this period. Many women experience “baby blues,” which include feelings of sadness and anxiety, typically resolving within a few weeks. However, if these feelings persist or intensify, it’s essential to seek support as it could be a sign of postpartum depression or anxiety. Breastfeeding challenges are also common as both the mother and the infant adjust to the process. Seeking guidance from lactation consultants or healthcare providers can provide invaluable support and advice for navigating these challenges.

The Role of Regular Prenatal and Postpartum Care

The role of regular prenatal and postpartum care is pivotal in ensuring the well-being of both the mother and the newborn. It involves a series of essential appointments with healthcare providers to monitor the pregnancy’s progression, address any concerns, and prepare for childbirth. 

Equally important is the postpartum care, which includes a crucial 6-week checkup following delivery. This comprehensive examination allows healthcare providers to assess the mother’s physical recovery, emotional well-being, and address any challenges that may have arisen during the postpartum period. It’s an opportunity for healthcare professionals to check for any lingering issues related to childbirth, evaluate the uterus’s healing, discuss contraception, as well as provide guidance on managing postpartum symptoms and adjusting to the demands of new motherhood. 

While the postpartum period is generally thought of as the first six to eight weeks after delivery, it really extends much longer, as the transition to motherhood can be quite challenging. Don’t hesitate to reach out to your healthcare provider at any point during your pregnancy or postpartum. 

Book An Appointment with Advantia Health!

At Advantia Health, our compassionate team is dedicated to supporting you throughout your pregnancy journey. From routine prenatal visits to addressing any concerns, we’re here for you. Schedule an appointment today and let’s embark on this journey together.