I AM PREG­NANT

Woman's Era - - Contents -

IAM IN THE FIFTH MONTH OF MY FIRST PREG­NANCY. I WOULD def­i­nitely like to avoid de­vel­op­ing stretch marks. Please tell me what pre­cau­tion to take? Striae gravi­darum or as stretch marks are called in med­i­cal par­lance, are prob­a­bly the most dis­cussed of the skin changes dur­ing preg­nancy. Nearly ev­ery woman fears them or thinks about them. They ap­pear in 80% of all preg­nant women, usu­ally show­ing up in the lat­ter half of preg­nancy. While the ma­jor­ity will be on the lower ab­domen they can also be found on the thighs, hip, but­tocks, breast and arms of women.

These are most com­monly seen as small de­pres­sions in the skin. They tend to be pink­ish in light skinned women, and in dark skinned women they will be lighter than the sur­round­ing. They re­flect the sepa­ra­tion of col­la­gen of the skin. While not painful the stretch­ing of the skin may cause a tin­gling or itchy sen­sa­tion.

Though the mar­ket is flooded with creams or lo­tions to pre­vent stretch marks there is re­ally noth­ing that one can do about them. You'll ei­ther get them or not. Fac­tors that con­trib­ute to stretch marks are fam­ily his­tory, rapid weight gain, your nu­tri­tional sta­tus (a well hy­drated and healthy skin stretches bet­ter). Do not de­spair if you de­velop stretch marks even­tu­ally they will fade to be­come faint sil­very lines.

IHAVE CON­CEIVED SOON AF­TER MAR­RIAGE. AS WE ARE STILL ex­plor­ing each other’s sex­u­al­ity and en­joy­ing it im­mensely I would like to now if we would have to put a stop to such ac­tiv­i­ties or can we con­tinue?

Hav­ing sex­ual in­ter­course dur­ing preg­nancy will not harm the foe­tus. You can con­tinue to have in­ter­course right up to the on­set of labour. As your ab­domen en­larges, you may find in­ter­course more com­fort­able in po­si­tions that put less pres­sure on your ab­domen like side by side or you on top. As your body un­der­goes dra­matic changes in preg­nancy so do your feel­ings about sex. If dur­ing the course of your preg­nancy you de­velop com­pli­ca­tion like bleed­ing/ pain your doc­tor may rec­om­mend avoid­ing in­ter­course and nip­ple stim­u­la­tion. These ac­tiv­i­ties may cause con­trac­tions of the uterus and preterm labour.

THE UL­TRA­SOUND AT 38 WEEKS OF PREG­NANCY SHOWED THAT my baby has the um­bil­i­cal cord wrapped around his neck three times. The doc­tor says they will have to do a caesarean sec­tion the tight­en­ing and short­en­ing of the cord dur­ing labour can harm the baby. I am not too keen on a caesarean sec­tion. Is there any other way by which the loops of the cord can be un­wound?

There is no way by which we can un­wind the loops of the cord around the baby’s neck. A caesarean sec­tion is very safe these days and you do not have to worry about it.

THE PIMPLES THAT I THOUGHT HAD GONE FOR good with ado­les­cence have re­turned with a bang dur­ing preg­nancy. Why is this so? While many women ac­tu­ally find that the hor­mones of preg­nancy re­lieve their acne and leave them with that beau­ti­ful skin of preg­nancy, many women find that their skin has be­come oily, mak­ing them prone to pimples. All that you can do at this stage is to drink plenty of wa­ter, wash your face, and avoid things that lead to erup­tion of pimples.

IAM SIX MONTHS PREG­NANT AND THE SKIN ON MY CHEEKS AND

the bridge of my nose has dark­ened. Pease tell me what is this due to. What­ever hap­pened to the glow­ing skin of preg­nancy I had much so heard about?

The black dis­coloura­tion of the fa­cial skin is called the mask of preg­nancy or chloasma. It oc­curs due to the in­crease in se­cre­tion of melan­otropin dur­ing preg­nancy, which leads to pig­men­ta­tion over the nose, cheeks and fore­head of the ex­pect­ing woman. It is ag­gra­vated by sun­light. So ei­ther avoid go­ing out in the sun or use an um­brella or a hat wile do­ing so. It oc­curs in about 50 per cent of preg­nant women around the fourth or fifth month of preg­nancy and fades away af­ter de­liv­ery.

IMARRIED LATE AND DUR­ING THE COURSE OF PREG­NANCY, in­ves­ti­ga­tions re­vealed that I have di­a­betes. What are the com­pli­ca­tions of di­a­betes in preg­nancy? Di­a­betes in preg­nancy can lead to var­i­ous com­pli­ca­tions like an over­weight baby, dif­fi­cult de­liv­ery due to the in­creased size of the baby, in­creased rate of caesarean sec­tion, mal­formed ba­bies and some­times even in­trauter­ine death of the baby. I AM TWO MONTHS PREG­NANT AND HAVE DE­VEL­OPED SLIGHT vagi­nal bleed­ing. Is this nor­mal? Should I visit a doc­tor?

Al­though vagi­nal bleed­ing is not un­com­mon early in preg­nancy, par­tic­u­larly around the time of your pe­riod, it is not ‘ nor­mal’. It may be in­nocu­ous ‘ im­plan­ta­tion bleed­ing’ or threat­ened abor­tion, when there is a ten­dency to abort, missed abor­tion when the heart of the foe­tus stops beat­ing, blighted ovum when the baby is not formed and a va­ri­ety of other rea­sons. You must visit your doc­tor.

ISLIPPED AND FELL IN THE BATH­ROOM A FEW DAYS AGO. I AM feel­ing fit de­spite the fall but please tell me if I should visit my doc­tor. If you have had a fall, no mat­ter how small, it is im­por­tant to get your­self checked- up by a doc­tor es­pe­cially if there is pain or bleed­ing or you can­not feel the baby’s move­ments. A phys­i­cal ex­am­i­na­tion and an ul­tra­sound can ressure you and the doc­tor that all is fine.

– Dr Am­rinder Kaur Ba­jaj, MD.

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