A A
SHARE
    DOWNLOAD

    Published on 14 December 2023

    How can expectant mothers ensure that their babies are carried to term in a healthy manner? NUH Gynaecologist Dr Pradip Dashraath shares his advice.  

    While becoming a parent is an exciting journey, it can also be overwhelming. A pregnant woman may experience a spectrum of physical and emotional changes as her body grows rapidly over a full-term pregnancy of three trimesters, with each lasting approximately three months. 

    “Much of what a woman experiences is due to the changes that happen during pregnancy, including hormones, and the physical effects of the enlarging uterus,” explained  Dr Pradip Dashraath, Associate Consultant with the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology at  National University Hospital (NUH)

    While some pregnancy signs may be uncomfortable, there’s no need to be alarmed. Dr Pradip shared that some women may experience more extreme symptoms. “Fortunately, most of these are not harmful, but they can be distressing to the mother,” he said. There are, however, some red flags to watch for. For example, any pregnancy manifestation that prevents the mother from performing her daily activities, or which appears to be worsening, must be brought to the obstetrician’s attention. 

    Other concerning signs to consult your doctor about:
    • Leaking amniotic fluid (the slightly yellowish-to-clear fluid that surrounds a developing foetus within the amniotic sac during pregnancy) 
    • Vaginal bleeding
    • Decrease in foetal movement (usually felt after 20 weeks)
    • Pain or discomfort accompanied by cloudy, foul-smelling urine that contains blood (suggesting a urinary tract infection)
    You may experience• Nausea and vomiting• Fatigue• Food cravings and aversions Trimester 1 You may experience• Reduced morning sickness• Noticeable foetal movements• Increased heartburn Trimester 2 You may experience• Braxton-Hicks contractions (“false labour” pains)• Backaches• Frequent trips to the bathroom• Swollen ankles and feet• Stretch marks • Constipation and haemorrhoids Trimester 3
    Tips for a healthy pregnancy

    Do:

    • Take frequent and smaller meals
    • Pregnancy-friendly exercises (with your doctor’s approval)
    • Work out your pelvic muscles in preparation for labour and birth
    • Get a glucose screening
    • Keep track of foetal movements
    • Stay active with physical activities such as walking and swimming

    Don’t: 

    • Consume too much caffeine, which is believed to constrict blood vessels in the uterus and placenta, reducing blood supply to the foetus 
    • Consume more than two cans of oily fish (i.e. salmon, mackerel) – they can contain pollutants such as dioxins and polychlorinated biphenyls
    • Go to the sauna or do hot yoga
    • Lie on your back for prolonged periods – it increases the risk of blood clots
    • Ignore swelling, high blood pressure, and other signs of preeclampsia

    Apart from knowing what pregnancy signs to anticipate, you’ll also want to take measures to nurture the health of you and your baby, who will undergo critical growth and developments. These cover everything from getting a balanced, nutritious diet to observing safety precautions which are specific to each pregnancy trimester. 

    Dr Dashraath also advised mothers-to-be not to skip their prenatal check-ups. These can help to identify concerns about the pregnancy early and seek treatment to prevent them from worsening.

    Breaking of water bag Regular uterine contractions Pelvic pressure Backache A small discharge of bloody mucus

    Remember, every pregnancy is unique. If there are any unusual signs or concerns at any stage, consult your doctor immediately.

    In consultation with Dr Pradip Dashraath, Associate Consultant with the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology at National University Hospital

    Related Articles