HealthPartners - Preparing for childbirth

JOINT PAIN During pregnancy, your joints may feel achy and loose when you walk. Gaining body weight also puts extra pressure on your

knees. Swelling can increase stiffness in your hands, feet, hips, knees, and ankles. This stiffness makes you feel as if you have arthritis. Swelling in your hands can also cause carpal tunnel syndrome or make existing symptoms worse. This condition produces pain and tingling in your fingers, especially at night. What you can do • Wear hand splints to relieve carpal tunnel syndrome • Lie down and rest during the day with your feet up • Reduce the high-sodium foods (salt) in your diet • Eat foods rich in omega-3s (salmon, other oily fish) • Try heat and cold therapy (heating pads/ice packs)

HEARTBURN Heartburn (indigestion) is another common problem. Heartburn causes a burning pain

in your chest and throat and sometimes a dry, hacking cough. Heartburn happens when acid is forced from your stomach into your throat. It may get worse in the second half of your pregnancy. What you can do • Eat 4 to 5 small meals during the day • Don’t eat or drink close to bedtime • Avoid fried, acidic (tomatoes, fruit), or spicy foods; caffeine; and chocolate • Don’t lie flat on your back; put pillows under your head and shoulders • Try over-the-counter antacids such as Mylanta, Rolaids, or Tums if your provider approves

HEMORRHOIDS Hemorrhoids are swollen veins at the opening of the rectum that can become painful, itchy, and even bleed. They can

LEG CRAMPS Muscle cramps in your lower legs and feet are normal. They can happen at night and wake you up. If you have frequent, painful leg cramps or notice redness and swelling in your legs or feet, call your provider right away.

occur if constipation causes you to strain during bowel movements. Your growing uterus can also cause fecal movement to slow down. If you have hemorrhoids: • Eat plenty of grains and other high-fiber foods • Drink lots of water to avoid constipation • Rest lying on your side instead of your back • Use ice packs or witch hazel pads on the hemorrhoids

If you have leg cramps:

• Exercise or walk every day • Wear supportive shoes • Eat foods high in magnesium • Drink lots of water • Take a warm shower or bath • Ice packs may help

• Soak in a warm tub several times a day • Use ointments or creams if approved by your provider

26 Your Guide to Labor and Birth