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Early pregnancy concerns

The first few weeks of pregnancy are some of the most exciting as you get used to the new life inside you. However, with your new shape come concerns. We asked mums in the babyworld antenatal club what their most common early pregnancy worries were and midwife and acupuncturist, Zita West, answers them here.

What pains should I be worried about in early pregnancy? How do I tell they're just 'growing pains' and nothing more serious?

Most women do worry about every pain in early pregnancy. However it's very common to have the odd twinge or niggle so don't worry too much! However you need to be concerned if the pain doesn't go away, or if it is sharp and accompanied by spotting as this may be a sign of an ectopic pregnancy. A constant pain like a period pain may possibly be a sign of early miscarriage so you should see seek medical advice if this happens. Usually however a pain will go away if you rest so try to relax and not worry.

How much weight, realistically, should I expect to put on?

Usually it is 2kg for the first 20 weeks , 9 kg for the second 20 weeks. I find some women put weight on at different rates - some at the beginning of the pregnancy and others towards the end. I am not concerned by reasonable weight gain, as long as it not affecting your or your baby's health - if weight is an issue for you it's probably best to seek the advice of your hospital nutritionist.

Is it safe to carry on exercising? If so, at what intensity and at what stage of pregnancy should I stop (I used to kickbox but haven't done it since I found out I was pregnant but I'm missing it like crazy).

I don't really like exercising in early pregnancy as I think in early pregnancy the body needs to get used to being pregnant. Many women feel very tired, nauseated and so if you go to the gym but don't feel like it you may end up working against your natural resources. Excess exercise in pregnancy may also divert the blood away to other centres of the body and not away from the developing baby. However gentle exercise such as walking, swimming pregnancy yoga etc are fine.

Does anything really work for stretch marks?

No I'm afraid not. You are pre-disposed to stretch marks but you can help to keep your skin nourished with safe natural oils and creams designed for use during pregnancy.

Are there any natural ways to get rid of pregnancy headaches.

Very commonly I find that pregnancy headaches can be caused by too much citrus fruit - grapefruit oranges etc - although at the moment there is no evidence to support this I find this to be the cause time and time again with my clients.

Is there an alternative therapy that can help morning sickness?

Ginger has been shown to be effective but there has been a lot of research done to show that that pressure on Acupuncture point - pericardium 6, helps with nausea. This point is found in the wrist so ask a qualified therapist to show you how to locate it yourself. Try using an oil burner to burn lemon and lime aromatherapy oils in your room to help give relief from the nausea. Rest is also very important - morning sickness and fatigue seem to be linked.

I would like to know about reflexology - I've heard that you shouldn't have reflexology in the beginning of pregnancy - though I'm not sure if this is true. But also if you can't have that should you avoid foot massages?

There is no reason to avoid foot massages providing pressure points are not used. However according to the guidelines supplied by ITEC the regulating body for Reflexologists, Reflexology should not be used during the first trimester of pregnancy.

When should I stop taking folic acid - a friend told me to stop at 12 weeks?

No, you must continue to take Folic Acid right the way through your pregnancy - it is important for the health of your developing baby.

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