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Monday, July 10, 2006

Second trimester of pregnancy

• Tingling. Many woman experience tingling and numbness in the fingers during
pregnancy. This is due to swelling of tissues in the narrow passages in the wrists. These sensations often disappear after delivery.

• Leg and foot cramps. It is common for pregnant women to experience leg cramps during the second and third trimesters. Frequently occurring at night, these cramps may result from the pressure the uterus applies to the veins which return blood from the legs. Changes in circulation and stress on the leg muscles due to carrying additional weight may also be to blame. In addition, cramps may also be due to changes in the way the body metabolizes (processes) calcium. Women may benefit from stretching the affected muscle or walking, and consuming an adequate amount of calcium.

• Braxton Hicks contractions. During the second trimester, the uterus may begin flexing to build up strength. As a result, a woman may feel contractions in her lower abdomen and groin. These contractions, known as Braxton Hicks contractions, are usually painless and unpredictable. Women should immediately contact their ObGyn when contractions become painful or regular. This may be a sign of premature labor.

• Itchiness. Many women experience itchiness as their pregnancies progress. This is due to hormones and stretching skin in areas such as the abdomen. Some women also develop itchiness and redness on their palms and the soles of their feet. These symptoms usually vanish after delivery. Women may benefit from moisturizing and using soaps for sensitive skin. In addition, women should avoid taking hot showers or baths, which can cause dryness. Since heat rash can worsen itching, women should also avoid becoming overheated. Women experiencing itching in combination with nausea, vomiting, loss of appetite, jaundice (yellowing of the skin and eyes) or fatigue should contact their obstetrician-gynecologist (ObGyn) immediately. This may be a sign of cholestasis, a condition that indicates a serious liver disorder.

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