Common Concerns During Pregnancy

Many changes are happening to your body very rapidly. Often these changes can create concerns for you. Pregnancy is a wonderful and anxious time, so enjoy the experience and try not to worry about all these natural changes. If this list does not alleviate your concerns, you are always welcome to call during office hours and we will be happy to answer your questions.


Vaginal spotting is very common in pregnancy. This is generally not an indicator that you are miscarrying. There is more blood flow to the cervix and this makes the cervix more prone to bleeding. Common activities such as sex, exercise, strenuous activity, and bowel movements can irritate the cervix and cause spotting. These things are not dangerous to your pregnancy, so you may continue these activities. Just don't panic. Notify us if bleeding persists or notify me at your next visit if bleeding stops. If your bleeding is heavy (soaking a full heavy pad every hour), you should contact the office or the on call physician immediately or seek care in the emergency room.


Cramping or low pelvic pain in pregnancy is result of your rapidly growing uterus pulling, tugging, and pushing on your pelvic structures. The most common place to feel pain or discomfort is in the low abdomen just above your pubic bone on the right side, left side or both sides. This is called round ligament pain and occurs in your groin area. It is caused by the pulling of the growing uterus on the ligaments that attach to the abdominal wall. Tylenol can help with this pain, as well as rest. Cramping can also be caused by constipation or diarrhea. If you are constipated, I recommend taking FiberChoice chewable tablets daily. If you have diarrhea, you may take over the counter Lomotil to help with this.


This usually only lasts until about 12 or 13 weeks. Small meals throughout the day can help. If you need prescription medications, please call and we will be happy to prescribe something for you. Don't worry if you lose weight during the first part of your pregnancy. I promise you that you will catch up later on - probably more than you will want to.


This is one of the most difficult aspects of pregnancy to deal with. You feel like you could sleep all day long. I routinely check thyroid function at the beginning of pregnancy to rule this out as a source. Outside of thyroid problems, this is normal. There is no "cure." Try to rest as much as you can and hang in there.


Dizziness is quite common in pregnancy. Your body has extra fluid requirements during pregnancy. If you get dehydrated, it is difficult for your body to get fluids to all the parts it needs. When your heart has to work harder to get blood to your brain, like when you go from a sitting to a standing position, many women may experience sweating and the feeling like they are going to pass out. Drinking plenty of water and going slowly from a lying to a standing to a sitting position can help. Also, many women experience allergies during pregnancy that can cause fluid in the middle ear. This is also where the balance gland is located and can cause dizziness. Over the counter medications, such as Claritin, can help.


Many women experience this sensation during pregnancy. Because of the extra fluid in the blood stream during pregnancy, the heart is working harder. From time to time, you may feel flutters. If the flutters become constant, we certainly can consider treatment.

Dr. Cindy Basinski