Certainly, your drinking habits play a big role in how many times you pee in a day. However, pregnancy increases the amount of blood in your body, which gives your kidneys more fluid to filter and more waste to get rid of.

We all experience bloating or constipation from time to time, but both are quite common during pregnancy. Once again, those changing hormones are the culprit. They slow down digestion, which can cause a buildup of air in the gut and lead to constipation.


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Many women report that sensitivity to smell was one of their first signs of pregnancy. In fact, as many as two-thirds of women become more sensitive or reactive to the smells around them during pregnancy.

Headaches are a part of life. They come with colds and allergies. They come with stress or fatigue, or when you cut down on caffeine to help prepare your body for pregnancy. But they can also come with pregnancy.

As blood flow increases during pregnancy, blood pressure can also decrease and lead to dizzy spells. Usually, dizziness is more of a second trimester symptom, but some women may notice it very early on, too.

Many of these signs and symptoms aren't unique to pregnancy. Some can indicate that you're getting sick or that your period is about to start. Likewise, you can be pregnant without experiencing many of these symptoms.

Still, if you miss a period and notice some of the above signs or symptoms, take a home pregnancy test or see your health care provider. If your home pregnancy test is positive, make an appointment with your health care provider. The sooner your pregnancy is confirmed, the sooner you can begin prenatal care.

Symptoms of early pregnancy include missed periods, breast changes, tiredness, frequent urination, and nausea and vomiting (morning sickness). However, these symptoms may be caused by other factors and do not necessarily mean that you are pregnant, so if you suspect you are pregnant take a home pregnancy test and see your GP.

A wide range of changes can occur in your body in the later stages of pregnancy, including backache, headache, leg cramps or varicose veins, itch or tingling, constipation, haemorrhoids or indigestion, vaginitis or vaginal discharge, or mood changes or depression.

Many of the signs of pregnancy, such as a missed period (amenorrhoea), nausea (morning sickness) or tiredness can also be caused by stress or illness, so if you think you are pregnant take a home pregnancy test (urine test) or see your GP, who will administer a urine test, blood test or ultrasound scan.

During pregnancy, the breasts become fuller, swollen and tender. These changes are similar to those you may have noticed in the few days before your period. During pregnancy, the skin around the nipple becomes darker and the veins in the breast become more obvious.

Overwhelming tiredness is common in early pregnancy. This is most likely caused by the massive increase in the sex hormone progesterone. Progesterone is needed to maintain the pregnancy and help the baby to grow, but it also slows your metabolism.

Tiredness during pregnancy can also be caused by anaemia, which is most commonly caused by iron deficiency. Eating iron-rich foods is important in the prevention of iron deficiency anaemia during pregnancy. Medical treatment of anaemia in pregnancy usually involves taking iron tablets. Sometimes an iron infusion (iron medicine given by a drip) is needed. This needs a hospital admission but only takes a few hours. Some iron infusions can be given by your GP.

Cravings for certain foods are very common in pregnancy, especially for foods that provide energy and calcium, such as milk and other dairy products. You may also notice a sudden distaste for foods you previously liked.

You can help reduce back pain during pregnancy by wearing flat heeled shoes, using chairs with good back support, avoiding lifting heavy objects, and doing gentle exercise. Exercising in water can reduce back pain in pregnancy, and physiotherapy and acupuncture may also help.

At the onset of pregnancy the hormone progesterone increases your lung capacity. This enables you to carry more oxygen to your baby and get rid of waste products such as the carbon dioxide that you both produce. At each breath you breathe more deeply and the amount of air you inhale (and exhale) increases significantly. This can make you feel short of breath.

Constipation refers to infrequent, hard bowel movements that are difficult to pass. Constipation is a common problem in pregnancy that may be caused by pregnancy hormones slowing your gastrointestinal movement, or by the pressure of your growing uterus on your rectum.

Don't take over-the-counter laxatives without first consulting your midwife or GP. If changes to your diet and lifestyle don't make a difference then your GP or midwife can prescribe a laxative that is safe to use in pregnancy.

Indigestion is more common during pregnancy due to the pressure of the enlarging uterus on the organs of the abdomen and the action of the hormone progesterone that relaxes the muscle between the oesophagus and stomach.

An increase in vaginal discharge is a common change during pregnancy. If it is associated with itchiness, pain, a bad odour or pain on passing urine then it may be due to an infection. Seek treatment from your GP.

Vaginitis is inflammation of the vagina, and is a distressing complaint for many women. It is more frequent during pregnancy. Some causes of vaginitis include vaginal thrush, bacterial vaginosis, trichomoniasis and chlamydia. See your GP for diagnosis and treatment

Varicose veins of the legs are very common in pregnancy due to a combination of factors, including increased volume of circulating blood during pregnancy, and pressure of the pregnant uterus on the larger veins. This increased pressure on the veins can also result in swelling of the legs (oedema) that can cause pain, feelings of heaviness, cramps (especially at night) and other unusual sensations.

Conclusions: Pregnancy-related deaths occurred during pregnancy, around the time of delivery, and up to 1 year postpartum; leading causes varied by timing of death. Approximately three in five pregnancy-related deaths were preventable.

Implications for Public Health Practice: Strategies to address contributing factors to pregnancy-related deaths can be enacted at the community, health facility, patient, provider, and system levels.

Approximately 700 women die annually in the United States from pregnancy-related complications (1). Significant racial/ethnic disparities in pregnancy-related mortality exist; black women have a pregnancy-related mortality ratio approximately three times as high as that of white women (2,3). Better understanding is needed on the circumstances surrounding pregnancy-related deaths and strategies to prevent future deaths.

When combined, cardiovascular conditions were responsible for >33% of pregnancy-related deaths; these conditions include cardiomyopathy (10.8%), other cardiovascular conditions (15.1%), and cerebrovascular accidents (7.6%). Other leading causes of pregnancy-related death included other noncardiovascular medical conditions (14.3%), infection (12.5%), and obstetric hemorrhage (11.2%). The cause of death could not be determined for 6.7% of pregnancy-related deaths.

The leading causes of death also varied by time relative to the end of pregnancy. During pregnancy, other noncardiovascular and other cardiovascular conditions were the leading causes of death (Figure); on the day of delivery, hemorrhage and amniotic fluid embolism were the major causes of death. Hemorrhage, hypertensive disorders of pregnancy, and infection were leading causes of death during the first 6 days postpartum. From 6 weeks postpartum (43 days) through the end of the first year (365 days), cardiomyopathy was the leading cause of death.

MMRCs identified an average of three to four contributing factors and two to three prevention strategies per pregnancy-related death. Contributing factors were thematically coded as community factors (e.g., unstable housing and limited access to transportation); health facility factors (e.g., limited experience with obstetric emergencies and lack of appropriate personnel or services); patient factors (e.g., lack of knowledge of warning signs and nonadherence to medical regimens); provider factors (e.g., missed or delayed diagnosis and lack of continuity of care); and system-level factors (e.g., inadequate access to care and poor case coordination) (Table 3). MMRC-identified prevention strategies addressing community factors included expanding clinical office hours and the number of providers who accept Medicaid, prioritizing pregnant and postpartum women for temporary housing programs, and improving access to transportation. Actions addressing health facility factors included implementing obstetric emergency protocols and simulation training, providing telemedicine for facilities without on-site obstetric expertise, and implementing systems to foster communication among multiple providers. Although patient-level contributing factors were commonly identified, prevention strategies to mitigate these factors are often reliant upon providers and health systems. For example, prevention strategies to address patient-level factors included improving patient education materials and providing home health and patient support services. Provider-level prevention strategies included offering provider education to reduce missed or delayed diagnoses, implementing a maternal early warning system (7), and improving hand-off communication between obstetricians and other providers. MMRC-identified prevention strategies addressing system-level factors included developing policies to ensure that women deliver at a health facility with an appropriate level of maternal care and extending Medicaid coverage for pregnant women to include 1 year of postpartum care.

Pregnancy-related deaths occur during pregnancy, around the time of delivery, and within 1 year postpartum; leading causes of death vary by timing of death. Most pregnancy-related deaths can be prevented. Comprehensive review of pregnancy-related deaths can identify contributing factors and opportunities to implement strategies for preventing future deaths. 2351a5e196

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