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Home > Help Desk > Health Concern > Section P > Pregnancy and Postpartum Support

Pregnancy and Postpartum Support

Pregnancy lasts an average of 40 weeks from the date of the last menstrual period to delivery. In the first trimester (13 weeks), many pregnant women experience nausea. Usually these women report that they feel best during the second trimester. During the third (final) trimester, the increasing size of the fetus begins to place mechanical strains on the expectant mother, often causing back pain, leg swelling, and other health problems.

How is it treated?
When nausea is severe enough to require medication, oral dimenhydrinate may be prescribed. With some health problems that develop during pregnancy (e.g., preeclampsia, eclampsia), bed rest, restriction of salt intake, and medication to lower blood pressure may be recommended. Women who are pregnant are advised to avoid caffeine, alcohol, nicotine, and other drugs (including over-the-counter medicines) that have not been prescribed by their doctor.

Dietary changes that may be helpful:
Nearly all pregnant women can benefit from good nutritional habits prior to and during pregnancy. The increased number of birth defects during times of famine attest to the adverse effects of poor nutrition during pregnancy.

Women who consume a standard Western diet (high in fat and sugar and low in complex carbohydrates) during pregnancy and breast-feeding may not be obtaining adequate amounts of essential vitamins and minerals; this can result in health problems for the newborn. Pregnant women should choose a well-balanced and varied diet that includes fresh fruits and vegetables, whole grains, legumes, and fish. Refined sugars, white flour, fried foods, processed foods, and chemical additives should be avoided.

Consumption of moderate to large amounts of caffeine while pregnant has been associated with an increased risk of miscarriage.

Lifestyle changes that may be helpful:
A woman can reduce her risk of complications during pregnancy and delivery by avoiding harmful substances, such as alcohol, caffeine, nicotine, recreational drugs, and some prescription or over-the-counter drugs.

Even minimal alcohol consumption during pregnancy can increase the risk of hyperactivity, short attention span, and emotional problems in the child. Pregnant women should, therefore, avoid alcohol completely.

Cigarette smoking during pregnancy causes lower birth weights and smaller-sized newborns. The rate of miscarriage in smokers is twice as high as that in nonsmokers, and babies born to mothers who smoke have more than twice the risk of dying from sudden infant death syndrome (SIDS).

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