Birthright Counseling, St. Louis is a non-profit agency providing free and confidential professional counseling as well as practical assistance to mothers facing an untimely pregnancy , allowing them to deliver and care for their babies.

Northcoast Pregnancy Help Centers 800-395-4357 www.yellowbook.com

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Everyone is familiar with the nausea and other conditions that sometimes accompany pregnancy. How common are they, and is there anything an expectant mom can do to relieve them?

Early pregnancy nausea and vomiting occurs in about half of pregnant women, beginning about two weeks after the first missed period. This lasts usually no longer than the first trimester, but that can feel like a very long time under these circumstances.

Mild nausea is common, but any extreme condition may be a sign of hyperemesis gravidarum. That can lead to dehydration and electrolyte imbalance. Discuss the possibility with your physician so you can be tested, if needed. Late pregnancy nausea can occur as well, from twisted or obstructed bowels.

Eating small, frequent meals is preferable to larger ones three times per day. Certain fruits can help, such as berries, peaches and cantaloupe. Taking needed liquids between, rather than with, meals is helpful. That will produce less stomach expansion. Avoid carbonated drinks.

Heartburn is another common condition. As a result of hormonal and other changes, the odds of experiencing it are higher during pregnancy. Increased levels of progesterone are thought to be a prime culprit, since it causes loosening of the sphincter, driving acid up into the esophagus. It also slows the emptying of stomach contents, which can be a contributing factor.

Changes in nutrition can help alleviate the problem. Avoid high fat foods, chocolate (yes, that’s a tough one to give up) and fried foods. Foods high in raffinose, such as cabbage, broccoli and lettuce should be reduced as they tend to produce gas. Cutting down on caffeine and alcohol and quiting smoking are essential lifestyle changes, at least for the duration.

Common antacids, such as TUMS (also a good source of calcium) are a good idea. Not only is the material helpful, but sucking on them contracts the esophagus, which helps reduce the problem.

Constipation is a common problem, both during and immediately after pregnancy. Medically, constipation is defined as an inability to move the bowels more than three times per week. But most women will regard themselves as constipated if they can’t eliminate at least once per day.

The condition can occur from many causes, including psychological ones. If rectal tearing occurred during delivery as a result of straining, the rectum takes a while to heal. Women, many unconsciously, try to hold stool to avoid the pain of defecation. After a C-section the bowel can be temporarily paralyzed, a condition called an ‘ileus’.

Walking can help relieve symptoms, since it often eases tension and loosens the bowels. Drinking the right kinds and amounts of fluid will also help. Some vitamin and mineral supplements can be beneficial, such as extra, easily digested calcium. Commercial laxatives should be avoided, but there are special types that physicians sometimes prescribe, such as Docusate.

Eat right, engage in a regular, appropriate exercise program and your difficulties can be minimized.

This is part three of three video’s for women with pregnancy problems

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Once the first stage of labor is passed, the placental sac has broken, the cervix has dilated and contractions are regular and frequent, the second stage of labor – actual delivery – begins. Of course, there’s no bright line dividing the first from the second. Where one leaves off and the other begins will vary from woman to woman and birth to birth.

There’s a wide variation among women in many aspects of the process. The length of time is different for everyone and from child to child. The amount of pain differs. And the post-birth consequences will vary for each individual person and baby. In 75% of women who carry to term, delivery is within 12 hours. Only 2% will be in labor for more than 24 hours.

During the active delivery phase contractions are frequent, though there are breaks in between. Here that training you spent so many hours to practice kicks in. Proper breathing technique differs between the resting phase and the contraction and pushing phase. Use both.

Drugs are an option but both mothers and physicians try to keep them to a minimum. Anything the mother receives still makes its way into the child. Pain medication crosses the placenta and can slow the baby’s heart rate and make breathing sluggish.

Analgesics are enough for most women, but they can produce side effects such as rapid heartbeat or nausea. A regional block may be appropriate for some women. This can offer pain relief without interfering with the ability to push, but it’s not for everyone. Hot pads, ice packs and a hand to hold can often substitute for the time needed to get through the toughest phases.

Develop a plan with your physician well in advance to cover all the possibilities.

Transition is the interval during which the cervix dilates the final two centimeters (about an inch). It produces the most intense and frequent contractions, but may last only a few minutes. Rarely is it longer than an hour. Here again, breathing techniques and a good partner are great aids to staying focused and minimizing pain.

Deep breaths are best for those resting periods, short and sharp ones for the period of active pushing. Shallow chest breathing is best for the most intense contractions. This helps keep the blood well oxygenated and the mother focused as well as possible on something other than the pain.

When the widest part of the baby’s head has moved into the birth canal, the second stage has begun in earnest. Contractions slow to four or five minutes apart. When the head is even with the lower pelvic bones, it’s said to be at ‘0′ station. It will progress through 1, 2, 3, and so on, measured by the baby’s exit.

The excitement rises as the baby becomes clearly visible. Tiring by this time is normal, but adrenaline helps keep most mothers at it during this final stage. Then, success!

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