Mount Auburn Hospital - Great Expectations

FATIGUE Feeling very tired (fatigue) is a

common early sign of pregnancy. Some people feel more energy after

their first trimester, then become tired again near the end of their pregnancy. Fatigue is caused by hormonal and other changes. Your body is now providing nutrients to your growing baby, and you may be experiencing emotional changes that can leave you feeling more tired. Helpful tips: Try to rest more often, eat healthy, and ask for help if you need it. Even though you might not feel like walking or moving, light exercise can help boost your energy.

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

burning pain in your chest and throat and sometimes a hacking cough. It is caused by acid that is forced from your stomach into your throat. Heartburn may get worse in the second half of your pregnancy. Helpful tips • 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 like 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. This can happen if constipation causes you to strain during bowel movements. Your growing uterus and hormonal changes can also cause fecal movement to slow down. Helpful tips • Eat healthy (especially high-fiber) foods • Drink plenty of water to avoid constipation • Rest on your side • Use ice packs or witch hazel pads on the hemorrhoids • Soak in a warm tub several times a day • Use ointments or creams if approved by your provider

HEADACHES You may have headaches during the first few months of your pregnancy. They are caused by blood circulation changes. They usually disappear on their own by the second half of pregnancy. Call your

health care provider if your headaches include sensitivity to light, excessive nausea or vomiting, fever, vision problems, weakness, numbness, or speech problems. Certain foods or smells can cause headaches. Try to eat regular meals or snacks and drink plenty of fluids. Getting enough rest and sleep can also help. You can also try applying cold or heat packs to your head and neck area.

20 Your Guide to A Healthy Pregnancy