Our 9 Months

A few women will experience what is called an ‘implantation bleed’. This is where a light bleed occurs as the growing baby burrows into the lining of their mother’s uterus (usually about 12 days after the egg has been fertilised, or ‘conceived’). An implantation bleed will typically occur just before (or around the time) the next period would have been due. However, it is usually not as heavy, or as long as a normal period. Caregivers will usually try and find out if a woman’s last ‘period’ WAS normal, to avoid calculating the baby’s due date from an implantation bleed, which would miscalculate the baby’s actual due date at about 3 to 4 weeks later.

Occasionally, a woman will continue to have a small, red or pinkish vaginal loss for a day or so around the time that their period would have been due (for example at around 4, 8, 12 and 16 weeks of the pregnancy). This is more common during early pregnancy, but can persist into later pregnancy as well.

Some women will experience bright spotting (fresh bleeding), or brown spotting (bleeding that happened a day or so ago), at some stage during their pregnancy. This may appear as a heavy bleed (like a period), a ‘light period’, or as something that she notices when wiping herself after going to the toilet. About 50% of women who experience bleeding during the first 12 weeks of their pregnancy will continue to experience a normal pregnancy. However, up to 50% of women will experience a miscarriage at some point after the bleeding starts. Early pregnancy bleeding is usually investigated by an ultrasound.

NOTE: Any bleeding during pregnancy should be communicated to your caregiver.

Other causes of bleeding are discussed in depth in bleeding during early, middle pregnancy.

Breast and nipple changes. When girls reach puberty, their breasts develop and enlarge under the influence of the hormone oestrogen. When a woman becomes pregnant, her breasts start to undergo further changes from about 4 to 6 weeks after her last normal period (or about 2 to 4 weeks after conception). This is due to the milk ducts growing and maturing, in preparation for breastfeeding, as well as an increased blood supply, making the veins in the breasts become more noticeable. Some women experience breast changes as a ‘pre-menstrual’ sign, and therefore may sense changes even before their period is due.

The breasts will often feel tender, swollen and/or much ‘fuller’. Some women also experience tingling sensations. By about 12 weeks of the pregnancy, the skin of the nipple and areola may start to darken or ‘pigment’. Skin colour changes are very individual to each woman. However, women with darker hair and darker complexions tend to notice more colour change than fairer skinned, blonde or redheaded women. The nipples may become more prominent and feel quite sensitive (or even sore). You may wish to start wearing a good fitting bra (such as a sports bra without under wires) to support your changing breasts.

Passing urine more frequently. Many women will complain of needing to pass more urine during early pregnancy. This is mainly because the blood flow to the woman’s kidneys increases by up to 35 to 60%. The extra blood flow makes her kidneys produce up to 25% more urine soon after conception. This increased urine production peaks by about 9 to 16 weeks of the pregnancy, then settles.

Passing urine frequently can also be influenced (to a lesser degree) by pressure on the woman’s bladder from her growing uterus. Pressure on the bladder is the main reason why women pass urine frequently in the last 3 months of pregnancy, as the baby grows heavier, and moves further down into the woman’s pelvis in the weeks just before the birth. You can read more on this in passing urine frequently during late pregnancy.

Bloating, cramps and backache. Many women experience bloating, mild cramping and slight backache as pre-menstrual physical signs or symptoms. As the uterus grows, these sensations may also be associated with early pregnancy. Many women worry when they feel mild cramping, tugging and pulling in the early weeks. Some women find tissue salts such as Mag Phos helps with cramping. If there is no bleeding associated with it, then it is probably normal.

NOTE: If you have strong or severe cramping or pain, you should contact your local doctor (or pregnancy caregiver) for guidance and advice.

You may wish to read more about aches and pains during early/middle pregnancy here.

Morning sickness. Morning sickness or ‘all day and all night sickness’, can involve feeling nauseated, and/or vomiting. It is one of the most common physical complaints of early pregnancy and is due to your body’s reaction to the high levels of pregnancy hormones in the body. Many women find that certain smells (or even pushing the toothbrush too far down the back of your throat) can cause them to be overwhelmed with nausea (or vomit). You can read more in morning sickness.

Increased saliva. Many women notice they produce more saliva. The medical term for this is ‘ptyalism’ (pronounced ‘tie-al-ism’). Ptyalism can happen on its own but it is usually associated with nausea and vomiting (morning sickness) during early pregnancy. Some remedies for morning sickness may help with the ‘drooling’, like eating dry, plain cracker biscuits and having small regular meals. Ptyalism will usually subside when the nausea improves (usually by 12 to 14 weeks of the pregnancy). A homoeopath may prescribe ‘mercurius solubilis’ or ‘veratrum album’ to help with it. Check with your practitioner.

In some cases, the tiredness may be due to (or made worse by) lifestyle factors. For example, if this is not your first pregnancy, you may feel continually exhausted because you are looking after another child(ren). It is important to rest whenever possible and listen to your body when you feel you need to slow down. If possible, take a rest and lie down for a while before dinner and/or have early nights. On weekends have a sleep, or put your feet up during the day. If you can, ask family or friends to take your child/ren for a couple of hours (or perhaps overnight occasionally) so you can rest and ’sleep in’ the next morning. You may wish to read stress and relaxation.

Headaches. Some women experience headaches during the first 12 weeks of their pregnancy. Frequent headaches may be caused by hormonal changes, but they may also be due to the normal increase in blood volume circulating in the woman’s system during pregnancy. Adjusting to a new pregnancy can also be a stressful time for many women. Therefore, headaches caused by tension may also be experienced. Occasionally, a woman who is prone to headaches or migraines can find she does not experience them as often during pregnancy. However, others may find they are worse. You can read more on this in headaches during pregnancy.

Constipation and wind! Constipation (or having difficulty in opening the bowels or ‘passing motions’), is a common complaint, usually happening during the first (and/or last) 3 months of the pregnancy. Constipation is thought to happen because the hormone progesterone slows the movement (or ‘motility’) of the gut. The longer food stays in the intestines, the more water is reabsorbed from the bowel motions back into the body, making them harder to pass. As a first line of action, the best way to deal with constipation is to adjust your diet by increasing the fibre in your foods (whole grains) and water intake and to include fresh fruit and vegetables (and often dried fruits and fruit juices). However, some women feel they need additional remedies to deal with it. You can read more in constipation during pregnancy.

Also, the bowel can also be affected by making you produce more gas and wind during pregnancy. This can make some women feel mild to strong wind pains occasionally. Peppermint tea or peppermint water can help with this.