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Problems<br />

VAGINAL DISCHARGE<br />

Almost all women have more vaginal<br />

discharge in pregnancy. It should be<br />

clear and white and it should not<br />

smell unpleasant. If the discharge is<br />

coloured or smells strange, or if you<br />

feel itchy or sore, you may have a<br />

vaginal infection. Tell your doctor or<br />

midwife. The most common<br />

infection is thrush, which your<br />

doctor can treat easily. You can help<br />

prevent thrush by wearing loose<br />

cotton underwear.<br />

If vaginal discharge, of any colour,<br />

increases a lot in later pregnancy,<br />

tell your doctor or midwife.<br />

VARICOSE VEINS<br />

Varicose veins are veins which have<br />

become swollen. The veins in the<br />

legs are most commonly affected.<br />

You can also get varicose veins in<br />

the vulva (vaginal opening).<br />

They usually get better after delivery.<br />

You should:<br />

• try to avoid standing for long<br />

periods of time;<br />

• try not to sit with your legs<br />

crossed;<br />

•<br />

try not to put on too much<br />

weight as this increases the<br />

pressure;<br />

• sit with your legs up as often as<br />

you can to ease the discomfort;<br />

•<br />

try support tights, which may<br />

also help support the muscles of<br />

your legs – you can buy them at<br />

most pharmacists;<br />

• try sleeping with your legs higher<br />

than the rest of your body – use<br />

pillows under your ankles or put<br />

bricks or books under the foot of<br />

your bed;<br />

•<br />

do foot exercises (see page 17)<br />

and other antenatal exercises,<br />

such as walking, cycling and<br />

swimming, which will all help<br />

your circulation.<br />

TIREDNESS<br />

In the early months of<br />

pregnancy you may feel tired<br />

or even desperately<br />

exhausted. The only answer<br />

is to try to rest as much as<br />

possible. Make time to sit<br />

with your feet up during the<br />

day and accept any offers of<br />

help from colleagues and<br />

family. Towards the end of<br />

pregnancy, you may feel<br />

tired because of the extra<br />

weight you are carrying.<br />

Make sure you get plenty<br />

of rest.<br />

M ORE SERIOUS PROBLEMS<br />

SLOW-GROWING BABIES<br />

Many of the tests in pregnancy check<br />

the growth of your baby. If you have<br />

previously had a very small baby, or if<br />

you smoke heavily, the midwives and<br />

doctors will already be monitoring<br />

your pregnancy closely. Blood<br />

pressure checks may also pick up<br />

signs of trouble. If t<strong>here</strong> is concern<br />

about your baby’s health, further tests<br />

may be carried out and more<br />

frequent monitoring of your baby<br />

may be recommended.<br />

In the last weeks of pregnancy you<br />

may also be asked to keep track of<br />

your baby’s movements. If you<br />

notice your baby’s movements<br />

becoming less frequent or slowing<br />

down, or if they stop, contact your<br />

midwife or doctor immediately.<br />

If tests show that your baby is not<br />

growing well in the womb, early<br />

delivery by induction of labour or<br />

Caesarean section (see pages 101–2)<br />

may be recommended.<br />

83

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