NAVIGATING THE NINE MONTHS
Pregnancy is a miraculous journey, but for many expectant mothers, it is also accompanied by a range of common, though often uncomfortable, symptoms.
W
hile every pregnancy is unique, pharmacists are ideally placed to offer guidance on managing these minor
discomforts using safe and effective over-the- counter (OTC) solutions. It is crucial, however, to always advise patients to consult their GP or midwife if symptoms are severe, persistent or cause significant concern.
One of the most frequent complaints is morning sickness, which, despite its name, can strike at any time of day. For mild nausea, simple dietary adjustments like eating small, frequent meals, avoiding fatty or spicy foods and consuming dry, bland snacks (such as crackers) can be effective.
OTC options include ginger-based products (ginger biscuits, ginger tea, or supplements), which many find soothing. For more persistent nausea, pyridoxine (Vitamin B6) supplements are often recommended and can be safely taken under guidance.
Heartburn and indigestion are also common, particularly in later pregnancy as the growing uterus puts pressure on the stomach. Dietary
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changes, such as avoiding trigger foods (spicy, fatty, acidic), eating smaller meals and not lying down immediately after eating, are first steps.
For relief, antacids containing calcium carbonate or magnesium hydroxide are generally considered safe and effective. Alginate-based products, which form a protective raft on top of stomach contents, can also provide relief.
Constipation is another prevalent issue, often exacerbated by hormonal changes and iron supplements. Increasing dietary fibre through fruits, vegetables and whole grains, along with adequate fluid intake, is key.
If diet isn't enough, bulk-forming laxatives (e.g., Fybogel) are usually the first-line OTC choice, as they work by increasing stool bulk. Stool softeners like docusate sodium are also an option. Stimulant laxatives should generally be avoided unless specifically advised by a healthcare professional.
Haemorrhoids can develop or worsen due to increased pressure and constipation. Maintaining
regular bowel movements through dietary fibre and fluids is preventative. For symptomatic relief, topical creams or ointments containing local anaesthetics (e.g., Anusol) or mild astringents can help reduce pain and itching.
Finally, aches and pains, particularly in the back and pelvis, are common as the body adapts. Simple measures like rest, gentle exercise (such as swimming or walking) and heat packs can provide relief.
For pain relief, paracetamol is generally considered the safest analgesic throughout pregnancy when used at the recommended dose and duration. NSAIDs (e.g., ibuprofen) are typically avoided.
As pharmacists, providing clear, concise and evidence-based advice on these common discomforts empowers expectant mothers to manage their symptoms safely, promoting a more comfortable and positive pregnancy journey. Always reinforce the message: when in doubt, speak to a healthcare professional.
PROVIDING CLEAR, CONCISE AND EVIDENCE- BASED ADVICE ON COMMON DISCOMFORTS EMPOWERS EXPECTANT MOTHERS
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