Training of Roma Health Mediators in Reproductive Health

‣ If the feet are swollen when you wake up in the morning, if the swelling is severe or
if it comes on suddenly, it may be a risk sign. Go to the doctor as soon as possible.
Backache
Practice daily exercise, such as walking, swimming and exercises in water, or gymnastics
(single or special group classes for pregnant women).
Maintain good posture.
Massage your lower back (ask family members to massage your back)
Avoid lifting heavy loads if possible. Ask family members to assist you with heavy work.
Leg cramps
Leg cramps are common, especially at night.
Flex the foot upward to stop the pain. You may gently stroke your leg to help it relax.
To prevent cramps, 1) do not point your toes when stretching, and 2) eat more foods that
contain calcium (milk, curd, cottage cheese).
Headaches
Headaches are common and usually harmless in pregnancy.
‣ In the case of migraine headaches (strong headaches, often on one side of the head),
or headaches with swelling or dizziness, go to the doctor immediately! It may be a
sign of pre-eclampsia.
Feeling hot and sweaty
Very common and harmless if there are no other signs of risk.
Sudden pain in the side of the lower abdomen
A sudden movement may cause a sharp pain in the tissues/ligaments holding the uterus in
place. It is not dangerous and will stop in a few minutes.
Cramps in early pregnancy
It is normal to have mild cramps (like those of menstruation) from time to time during the
first 3 months of pregnancy. These cramps happen because the uterus is growing.
‣ If the cramps are regular or constant, are very strong or painful, or if you also have
spotting or bleeding, it may be a sign of miscarriage/spontaneous abortion. You need
medical help immediately!
Aches and pains of the joints
The joints, especially hips, may get loose and uncomfortable. This is not dangerous and
will get better after the birth.
‣ Seek medical advice if any of the following occur: red, swollen joints; severe pain; or
weakness.
Items marked with red bullets need special attention: pregnant women should go to the
doctor without delay!
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 6: Pregnancy