Training of Roma Health Mediators in Reproductive Health

o Frequent urination. The need to urinate often is normal, especially in the first
and last months of pregnancy (because the growing uterus presses on the
bladder and leaves less room for it to hold urine).
• Digestive system
o Nausea (“morning sickness”) is often one of the first sign of pregnancy and is
present especially during the 2 nd -3 rd months of pregnancy.
The doctor may recommend some interventions for reducing symptoms.
o Constipation is caused by the uterus pushing on the rectum and lower part of
large intestine.
o Hemorrhoids (a type of swollen veins around the anus) may burn, hurt or itch;
and may bleed when the woman defecates, especially if she is constipated.
Sitting in a cool bath, and avoiding constipation by diet modification, can both
help.
o Heartburn is a common symptom, especially in the last months of pregnancy.
The woman should be informed on lifestyle and diet modification. (See
document Needs of Pregnant Women)
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 6: Pregnancy