Intrahepatic cholestasis of pregnancy (obstetric cholestasis)

Intrahepatic cholestasis of pregnancy (obstetric cholestasis)

Close up of woman's hand scratching her bare foot This is a liver disorder that can develop in pregnancy, usually after 30 weeks gestation, but which sometimes develop as early as 8 weeks, affecting up to one in every 140 pregnant women. Symptoms can include:
  • itching, usually on the hands and feet but which can be anywhere on the body
  • dark urine, pale stools
  • yellowing of the skin and whites of the eyes.

Pre-eclampsia (PET) during pregnancy

Pre-eclampsia (PET) during pregnancy

Close up of pregnant woman having her blood pressure taken by a healthcare professional This is a rare but serious condition of pregnancy, usually occurring after 20 weeks. It is defined by the combination of raised blood pressure and protein in the urine. Often there are no symptoms and pre-eclampsia is usually detected through regular antenatal checks, and can sometimes develop quickly. Symptoms include:
  • severe headaches
  • sudden increase in swelling – particularly in the face, hands, feet or ankles
  • problems with your vision such as blurring or bright spots before your eyes
  • severe pain just below your ribs
  • feeling very unwell.
These symptoms are serious and may develop suddenly so you should seek help immediately. Pre-eclampsia can affect a number of body organs like liver, kidney and as severity increases, create problems with blood clotting and therefore the maternity team will monitor your health closely. Pre-eclampsia can also affect the baby’s growth and ultrasounds will be undertaken to monitor growth and the fluid around the baby.

Gestational diabetes

Gestational diabetes

Close up of pregnant woman holding a blood sugar monitor Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after the birth. It occurs when the body cannot produce enough insulin (a hormone responsible for controlling blood sugar levels) to meet the increased demands of pregnancy. Symptoms aren’t common, but many women are screened for this condition during pregnancy, particularly if they have certain risk factors. Ask your midwife if you are at risk of developing gestational diabetes and if you need to be tested.
Gestational Diabetes Part 1
Gestational Diabetes Part 2
Gestational Diabetes Part 3
Portal: Gestational diabetes (Related link)

Less common pregnancy complications

Less common pregnancy complications

Heavily pregnant lady in hospital gown supports her bump with her hands If you have any symptoms of gestational diabetes, pre-eclampsia or intrahepatic cholestasis of pregnancy call your maternity triage/assessment unit straight away.

Increased vaginal discharge

Increased vaginal discharge

Close up of woman's open palm with a pant liner lying across it Normal vaginal discharge is thin, clear or milky white and mild smelling. As your pregnancy progresses, this discharge usually becomes more noticeable, and is heaviest at the end of your pregnancy. You may want to wear an unscented panty liner. If however, the discharge becomes very smelly or the colour turns green, then you should consult your GP, as this could be a sign of a vaginal infection. Thrush (candida albicans) is common in pregnancy. Symptoms of thrush include; vaginal discharge that is thick, white (or tinged with pink) and can be very itchy. Consult your GP or midwife as thrush is easy to treat with a vaginal pessary and cream.

Pelvic girdle pain

Pelvic girdle pain

Graphic of pelvic girdle bones with the lower front area coloured red to show one of the areas where pain can occur Pelvic girdle pain can affect one in five women during pregnancy. Pain can be in the front, back or side of the pelvis and is normally worse when you are active. It can cause mild discomfort for some, and be very debilitating for others. Try to keep your knees together when turning in bed, getting up from your bed and getting out of the car. Avoid putting excess strain on one side of the body during daily activities, if these activities cause pain. For example:
  • get dressed whilst sitting down
  • take stairs one step at a time
  • use a backpack instead of a handbag.
Ask your midwife about seeing a specialist women’s health physiotherapist if you’re experiencing problems with pelvic pain.

Constipation

Constipation

Graphic of woman sitting on a toilet with her feet placed on a low stool Constipation can occur from quite early on in pregnancy. Drink plenty of water, you will need between 1.5 to 2 litres of fluid per day. Ensure you’re getting lots of fruit, vegetables and fibre in your diet. When sitting on the toilet to empty your bowels, it is helpful to have your feet on a stool so your knees are higher than you hips and to lean forwards. This often makes emptying your bowels easier. Consult your pharmacist for advice if the problem persists.

Indigestion/heartburn

Indigestion/heartburn

Woman looking uncomfortable with her hand placed on her upper chest area Indigestion/heartburn is caused by hormonal changes, and the womb pressing on your stomach as your baby grows. There are plenty of home remedies you can try. Milk and/or antacids can help ease symptoms. If indigestion remedies don’t work and/or you have other symptoms, read the Heart health in pregnancy section and talk to your midwife or GP.

Headaches

Headaches

Woman in bed holding her forehead Headaches may increase due to hormonal changes. Drink plenty of water, rest and take paracetamol (1g) if required. Contact your midwife/doctor if you experience severe headaches (with/without problems with vision) that do not resolve with hydration, rest and paracetamol.