Complaints during pregnancy and situations that need attention are summarized by our physician as follows.
- Abdominal pain, vomiting, headache, weakness, frequent urination…
All these problems are among the most common complaints during pregnancy due to hormones and physiological changes. While some of these may be natural symptoms that can be seen in every person; others can be the harbinger of important problems. Groin pain is seen in 4-5 weeks.
Groin pain can be seen generally within the 4th-5th weeks of the pregnancy process, during embryo implantation in the inner wall of the uterus. This groin pain is expected as long as there is no vaginal bleeding. In general, the severity of the pain is not experienced too much such that it prevents the mother-to-be from walking or to affect the quality of life. - All bleeding is not considered as normal
This complaint, especially seen in the first 3 months of pregnancy, may possibly ocur because of the bleeding from the inner wall of the uterus during the burying process of the pouch. It can also occur during the fusion process of the fetal membranes in the period corresponding to the 12th week. However, if there is such bleeding, it is also investigated whether there is a “threat of miscarriage”. 90% of these bleeding passes by resting; However, the first thing to do is to exclude the presence of the threat of miscarriage or bleeding areas. - Hormone changes can trigger chest pains.
The increase in the secretion of estrogen, prolactin and progesterone hormones is the main cause of the changes in the mother’s breasts. During the first few weeks of pregnancy, slight changes may be felt in the breasts and it may be painful. Avoiding overstimulation of the nipple will prevent the pain from increasing. - Frequent urination is one of the most natural complaints.
In the first three months, the growing volume of the uterus and changes in kidney functions are the main reason for this complaint. Urinary complaints subside after the 4th month; However, in the last months, the baby’s head may pressure the bladder and the urinary complaints can increase again. If frequent urination is accompanied by the complaint of burning while urinating, it should be investigated and treated afterwards due to the presence of “urinary tract infection”. - If nausea and vomiting are severe…
In nausea and vomiting in early pregnancy; hormones secreted from the placenta, mother’s psychological troubles, vitamin B6 deficiency, changes in the gastrointestinal system due to pregnancy, thyroid gland work more than normal are possible reasons.
If there is no abnormality in the routine pregnancy tests in the first weeks of pregnancy, it can be accepted as the possible effect of pregnancy hormones or psychological effect. Severe vomiting, poor nutrition due to vomiting and continuous weight loss may require treatment. - There may be weakness, fatigue, and the desire to sleep constantly.
This change, which occurs especially in the first 3 months of pregnancy, is dependent on the “progesterone” hormone, which increases in the body, and this hormone may cause weakness, fatigue and the need for continuous sleep. It is a complaint that is expected to finish after 3 months. - Dehydration can cause headaches.
The reason for the headache, especially in the first 3 months, is hunger for long hours due to nausea and vomiting and a considerable decrease in water intake. Dehydration, can lead to headaches. Since headaches, which have been seen in recent months, may also occur due to high blood pressure and preeclampsia, it should be investigated. For this reason, a doctor should be consulted without delay for headaches in recent months. - Stomach and digestive system problems
One of the most important causes of reflux in pregnancy is the growing uterus pushing the stomach up. Another reason is that food moves more slowly than the esophagus under the effect of the hormone progesterone. Your stomach’s emptying is delayed and food is emptied more slowly from the digestive system. As a result, complaints such as indigestion, bloating and nausea may be seen. Starting the necessary medication according to the condition of the complaint will alleviate this complaint. - Watch out for skin problems and stretch marks.
One of the most common problems of pregnancy is that some parts of the body turn brown and get darker. This condition most frequently occurs in the face (chloasma, pregnancy mask), nipples, abdomen, groin and around the navel. Although the true cause of these darkening of the skin is not known exactly, it is thought to be due to the increasing estrogen hormone during pregnancy. Skin darkening during pregnancy can be exacerbated by exposure to sunlight or other ultraviolet light. - Constipation increases as the digestive system slows down.
Constipation is a common problem in pregnancy, the most common cause of which is the general slowdown of the digestive system and the pressure of the growing uterus on the last part of the intestines. In addition, constipation increases the formation of hemorrhoids and anal fissures (cracking in the rectum) in the last terms of pregnancy. The most important treatment and prevention method is fiber-rich nutrition and abundant fluid consumption. Any raw vegetables and fruits that wash well are also recommended. During this period, laxatives or similar drugs should not be taken without consulting a doctor.
Gynecology and Obstetrics Specialist
Op. Dr. Serap Mollaoğlu Özveren