Mount Auburn Hospital - Great Expectations

BREAST CHANGES You’ll see changes in your breasts very early in your pregnancy:

CONTRACTIONS It’s normal for the muscles in your uterus to tighten off and on during your pregnancy until labor begins. These are known as Braxton Hicks contractions . Here’s what you need to know: • These contractions are usually painless and happen at random times • You may notice them more after physical or sexual activity • Close to your due date, they may become painful and make you think you’re in labor • They usually go away when you move around or change your activity • Call your health care provider if your contractions come closer and closer together, last longer, and/or become more painful CRAVINGS (PICA) Pica is the medical name for wanting to eat strange things that aren’t nutritious— ice, starch, dirt, or clay, for example. Cravings may be a sign that your diet is lacking in some essential nutrients. Helpful tip: No matter what you’re craving, keep eating balanced, healthy foods. It is normal to feel a little dizzy at times during pregnancy. Hormones can cause your blood pressure to decrease, and sometimes low blood sugar is to blame. Helpful tips • Move slowly when standing or changing positions • Avoid getting too hot or standing for a long time • Lie on your side when resting and sleeping • Eat frequent small meals or snacks • Stay hydrated by drinking plenty of water DIZZY SPELLS OR FEELING LIGHT-HEADED

• Breasts become larger, firmer, and more tender • Areola (dark area around the nipple) gets larger and darker • Nipples start to stick out more Halfway through your pregnancy, your breasts may start to leak small amounts of fluid called colostrum . You can buy special pads to protect your clothes if this happens. The veins under the skin of your breasts may also become more visible as your body gets ready to produce milk. Wearing a bra that fits properly can help provide comfort and support.

CONSTIPATION AND BLOATING Constipation and bloating are common problems during pregnancy. They can be caused by hormone changes, high levels of iron in prenatal vitamins, and pressure from your growing uterus on your lower bowel. NOTE: Certain laxatives may cause contractions and dehydration. Bulk-forming agents or stool softeners are the safest option during pregnancy. Helpful tips • Drink lots of water; prune juice can also be helpful • Eat high-fiber foods (vegetables, fruits, whole grains) • Find time to take a walk or do some exercise every day • Eat frequent small meals — they’re easier to digest • Avoid processed foods, fatty meats, and high-fat dairy • Avoid gassy foods (beans, cabbage, carbonated soda)

Your Guide to A Healthy Pregnancy

19