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Pregnancy: The First Trimester

It is a time of unusual and unaccustomed symptoms to emerge. But do not be afraid. Make a list of questions and troubles you would like to discuss with your gynecologist. And right now, we will try to answer some of your questions.


You may have one or several of the following phenomena. Some may last until the late pregnancy months, and the others may be quite new to you.



  • tiredness and drowsiness
  • frequent urination
  • sickness (with or without) vomiting, excessive salivation
  • constipation
  • heartburn, diarrhea, abdominal swelling
  • lack of appetite or caprices characteristic of pregnant women
  • changes in breasts: they may grow, become heavier, strained; the nipples may become darker; the sebaceous gland may become more noticeable
  • periodic headaches, syncope and giddiness
  • tight conformity of underwear around the waist and breasts; the belly can become larger, which is caused rather by pelvis bones stretching than by uterus growth.



  • mood instability like premenstrual manifestations: irritability, mood changes, irrationality, and the desire to cry
  • anxiety, fear, joy, – one or all of these things.




Veins. If blue, hypodermic lines appear on your breasts and belly, do not be afraid, it is absolutely normal. It is the venous network helping the blood transportation during pregnancy. It is more noticeable if a woman is rather slim.


Women having a predisposition may face this problem in the first trimester. Venous phenomena are easily identified, but they are rather painful for the majority of women. Pain may be severe, with a burning sensation and the feeling of heaviness.


Contours of blue veins running from the knees to the hips or vulva can emerge. In some cases, the skin is crossed with veins and becomes dry and sensitive.


Fortunately, it is possible to predict the veins’ manifestation in the course of pregnancy and to lessen these manifestations by eliminating unnecessary pressure in higher or lower limbs’ veins. The following is recommended:


  • avoid gaining too much weight
  • try not to stand or sit in one position for too long; Sit with your legs at thigh level and lay with a small pillow under your feet
  • do not lift weight
  • try to avoid strain while defecating
  • do not wear clothes that limit your movements: belts around your hips, stockings, socks with elastic top, garters, and tight footwear
  • try to spend more time outdoors
  • take vitamin C – it promotes good health and elastic veins


Surgical removal of veins during pregnancy is not recommended; it is better to perform it a few month after childbirth. The problem will usually disappear after childbirth, when the weight becomes as it was before pregnancy.


Skin. Pregnancy aura, when women’s happiness blossoms, is caused not only by joy connected with maternity, but also the increase of endogenous substances due to hormone changes. There are exceptions however; many women have skin changes similar to right before their period. They are hard to get rid of, but may be minimized:


  • a healthy diet is the best chance for your skin and for your baby’s health
  • spend more time outdoors
  • drink enough liquid – water is the most effective clearing substance
  • wash your face 2-3 times a day and avoid thick creams and makeup
  • if recommended by a doctor, take vitamin B6 (not more than 25-50 mg a day) – it is used to cure hormonally induced skin illnesses.


Figure. The increase of weight during pregnancy has two goals: to feed the developing embryo and make a reserve for the lactation period. If only enough weight is gained just for these reasons, then her figure will return to the parameters it had before pregnancy, and it will happen a few months after childbirth, especially if she uses her adipose tissue during lactation. However, the diet should be monitored and special physical exercises for pregnant women should be done.


Indigestion. Though it is usually caused by bad nutrition, there are other factors that make pregnancy digestion awful. In the beginning of pregnancy, the body produces a great amount of progesterone and estrogen, which helps gullet muscles to relax. As a result, food goes slower, remains in the gullet, and causes indigestion. While not convenient for you, it is useful for the baby because it helps to absorb the nutritious substances better and deliver them to the baby.

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