While nausea is more than common in the first trimester of pregnancy, it tin also occur in the tertiary trimester. Nausea in late pregnancy, with or without vomiting, should be little cause for concern about of the time. Withal, if you have additional symptoms, you might have a more serious disorder which requires prompt attention, including immediate delivery.
What Causes Third Trimester Nausea?
There are eight main causes of third trimester nausea. Some of these are inconvenient and others are quite serious. Information technology tin range from a recurrence of morning sickness or the more common heartburn from a growing belly to disorders like appendicitis or preeclampsia. If you lot take upset stomach in the third trimester, make a list of your symptoms and compare them to the conditions described. If you lot find a potential match, follow the suggestions for next steps.
Related Articles
Pregnant Belly Art Gallery
half-dozen Secrets of Beautiful Meaning Women
Clomid Facts
1. Morning Sickness in the Third Trimester
If you are concerned almost morning sickness in the 3rd trimester, know that nausea in your 3rd trimester could be due to recurrence of continuation of morning sickness. Although it unremarkably disappears soon after the outset trimester, some women keep to have the symptoms through to the third trimester of pregnancy. Other women are free of morning time sickness during the second trimester only to accept it recur in the third.
According to a monograph review past the American College of Gastroenterology (page 21):
Decreased motility of the stomach and intestines contributes to nausea and other bowel symptoms in pregnancy. Bowel motility is even slower in the third trimester.
The further delay in elimination of your tummy contents in the concluding trimester tin bring dorsum the nausea of the first trimester or worsen your ongoing morn sickness.
Information technology is not certain if increased pressure of the big uterus on the stomach plays a role.
The high levels of hormones during pregnancy is thought to exist the cause of the slower gut motility in the tertiary trimester.
Managing Your Symptoms
Y'all tin can manage forenoon sickness-related nausea in the tertiary trimester with remedies suggested for first trimester symptoms. This includes the BRAT diet (bananas, rice, absurdity, and toast), dry crackers, ginger ale, and other treatments, such every bit acupressure wristbands.
When to Seek Assistance
If you you don't get relief of your nausea from the above remedies in two days, don't hesitate to talk to your OB provider about it. This is specially of import if:
Your nausea is severe or yous have airsickness
Unable to eat or drink adequately
Losing weight
Lightheadedness or dizziness from aridity
Decreased movement of your baby
You have other symptoms that suggest a different cause of your nausea, such as abdominal pain, headache, or decreased urine output
2. Heartburn and Indigestion
If you lot have heartburn, you can besides experience nauseated. Heartburn occurs in 30 to 70 percent of women in pregnancy and is about mutual in the third trimester, co-ordinate to Maternal, Fetal, and Neonatal Physiology: A Clinical Perspective (page 426).
The symptoms of heartburn include burning in the chest, nausea and indigestion - usually worse after eating. Symptoms are caused by reflux of nutrient or acidic fluid from your stomach to esophagus because of:
Relaxation of the muscle sphincter between the two organs
Pressure of the enlarged uterus on your stomach
Nausea and other symptoms might be more bothersome if you also have a hiatal hernia, which is more mutual in the third trimester and occurs in 15 to 20 per centum of pregnant women.
Managing Your Symptoms
Management of your symptoms includes making the post-obit changes:
Avert spicy foods.
Decrease your caffeine intake.
Don't swallow shut to bedtime.
Elevate the caput of your bed when lying.
When to Seek Help
If y'all don't go adequate relief of your symptoms from the to a higher place changes, consult your md or midwife. Y'all might demand other treatment with antacids or prescription medications, such as cimetidine, ranitidine, or omeprazole.
iii. Onset of Labor
Some women feel nausea, diarrhea, and other bowel symptoms near or at the onset of labor, according to Maternity Nursing Care (page 472). Other symptoms or signs volition help you effigy out if this is the likely crusade of your nausea, including:
Loss of your mucus plug
Breaking of your waters
Uterine contractions and backache
Pelvic pressure
If you remember you are in labor, contact your doc or midwife or go to your hospital. Go on in mind that if you accept steady belly pain that practise non experience similar contractions, at that place might be a dissimilar explanation for your nausea.
4. Appendicitis in Belatedly Pregnancy
Nausea and vomiting are common symptoms of appendicitis, which can occur throughout pregnancy, including during the tertiary trimester. Co-ordinate to a 2008 Global Library of Women's Medicine (GLOWN) review, "Gastrointestinal Complications in Pregnancy," appendicitis occurs in 1 in 1000 pregnancies.
In addition to nausea and airsickness, symptoms include:
Loss of appetite
Abdominal pain
Fever
In the third trimester, your abdominal pain and tenderness might be located in the right upper instead of your lower abdomen, making firm diagnosis difficult.
Management and Complications
Don't filibuster seeing your doctor if you have the in a higher place combination of symptoms. Prompt diagnosis and treatment of appendicitis is of import to reduce your chance of complications. Ultrasound is the diagnostic imaging study of selection.
The GLOWN review notes that removal of an infected appendix is the most mutual surgery washed in pregnancy for non-obstetrics reasons. A delay in diagnosis and rupture of the appendix earlier surgery increases the risk of maternal mortality from 5 percent to 20 percent. The fetal mortality rate increases from 4 percentage to at least 30 percent.
five. Preeclampsia of Pregnancy
The Mayo Clinic lists nausea or vomiting amongst the symptoms and signs of preeclampsia of pregnancy. Preeclampsia is a serious disorder that develops in some meaning women who have high blood pressure level. It usually begins afterward 20 weeks of pregnancy but is virtually common in the third trimester.
Further Symptoms
Early signs of preeclampsia include swelling in your extremities and protein in your urine. If y'all develop nausea or vomiting in the 3rd trimester and have any of the following additional symptoms, contact your doctor immediately:
Facial swelling, specially around your eyes (periorbital edema)
Abdominal pain, especially in the right side of your upper abdomen (correct upper quadrant)
Astringent headaches and sudden changes in your vision
Decreased urine output
These symptoms indicate worsening of the condition and an increased risk to you and your baby, including death.
Complications
Preeclampsia tin lead to full diddled eclampsia (seizures), increasing the run a risk of:
Liver and kidney failure
Blood clots and fluid in your lungs
Stroke and blackout
Severe preeclampsia/eclampsia tin can rapidly pb to expiry of yous and your babe. Prompt delivery is vital to subtract the adventure of these outcomes.
six. The HELLP Syndrome
Nausea, which can be accompanied by airsickness, occurs as a symptom in the HELLP syndrome (hemolysis, elevated 50iver enzymes, low platelet count), one of several liver disorders of the third trimester of pregnancy. These conditions of the liver can have severe agin effects on your baby and you.
According to the American Higher of Gastroenterology (ACG) monograph cited at the pinnacle of the article (folio 38), the HELLP syndrome occurs in about 0.1 percent of pregnancies just the incidence increases to 10 percent in significant women with preeclampsia.
Symptoms and Signs
In addition to nausea/vomiting, early on symptoms and signs of the HELLP syndrome can include:
Mid upper abdominal pain
Tenderness over your liver
High blood pressure level
If you have the HELLP syndrome, your blood tests will show prove of breakdown of red blood cells (hemolysis), loftier liver enzymes, and decreased platelet count.
Complications
Don't hesitate to go to the hospital if you have the higher up symptoms with your nausea. You and your baby are at risk for significant complications depending on the severity of your symptoms and lab results:
Yous are at risk for extreme loftier blood pressure and seizures (eclampsia), renal failure, and problem clotting your blood.
At that place is a small gamble for rupture of your liver with the chance the expiry of you and your baby.
Your baby is at risk for retarded growth, premature delivery, stillbirth, or death after delivery.
Management
The HELLP syndrome can worsen apace overnight, and then immediate delivery is essential as soon as the diagnosis is made. If your pregnancy is less than 34 weeks, your doctor might choose to give yous medicines for 2 days to mature your infant'due south lungs before delivery.
vii. Acute Fatty Liver of Pregnancy
Acute fatty liver of pregnancy (AFLP), caused by an accumulation of fat acids in the liver, occurs in less than i percent of pregnancy. Information technology occurs nigh frequently between 34 and 37 weeks of pregnancy co-ordinate to Sleisenger and Fordtran's Gastrointestinal and Liver Disease (page 634 to 636).
A genetic deficiency in an enzyme that breaks downwardly fatty acids in your liver and your baby'due south liver causes AFLP. The demands of the fetus in the third trimester can overwhelm this enzyme, leading to the increased fat acids in your liver.
Symptoms and Signs
Accumulation of fatty acids in your liver can cause:
Jaundice (yellowing of the eyes and peel) and other signs of liver failure
Complications
AFLP tin increase your liver enzymes and can cause irreversible liver harm with its complications and you might need a liver transplant. Y'all can also develop high blood pressure level, renal failure, and problems clotting your blood. The disorder can besides lead to death of your babe.
Management
Call your doctor or go the infirmary immediately if you lot have the above combination of symptoms. Prompt delivery is vital as soon equally the diagnosis is fabricated before your liver fails or your baby dies.
8. Intrahepatic Cholestasis of Pregnancy
Intrahepatic cholestasis of pregnancy (IHCP) is more mutual in the third trimester and occurs in less than of one percentage of pregnancies, according to the above referenced ACG monograph (page 36). With IHCP, bile acids accumulate and damage your liver.
Symptoms
IHCP causes the following symptoms:
Astringent peel itching (the hallmark of the disorder)
Nausea and vomiting
Abdominal pain and jaundice
Your liver enzyme, alkaline phosphatase, and your bile acids will be elevated on blood testing.
Complications
The disorder is rarely as harmful to you as AFLP, only the itching can be unbearable. You will get relief of your symptoms within a day or two of delivery. IHCP can exist more harmful to your infant than to you lot. Agin effects on your baby include an increased risk of preterm delivery, passage of meconium, and stillbirth.
Direction
Come across your doctor equally presently as possible if you have the above symptoms. Because of the risks, the recommendation is prompt commitment if y'all are at term, or, if y'all are less than 34 weeks and you and your baby are stable, fetal monitoring for 48 hours until the baby's lungs mature.
Overall Management Plan
Nausea in the third trimester can pb to poor intake of food and fluids. Some causes can severely affect the well-existence of you and your baby. The management plan depends of the severity of your nausea, boosted symptoms and the underlying cause.
The outset footstep is to appraise the health of yous and your baby.
Next footstep is to control the nausea and improve intake of fluids and nutrition as needed and as advisable to your diagnosis.
Further steps include diagnosing the cause of the nausea to guide additional handling options
Other direction might include surgery or plans for delivery.
Pay Attention to All Your Symptoms
Pay attention to the severity of your nausea and be aware of any other signs or symptoms that might indicate that yous have a significant problem. Considering some causes of nausea in the third trimester can put you lot and your infant at risk, don't hesitate to contact your doctor if you don't feel well.
0 Response to "Third Trimester What Is the Small Hard Bump I Feel Is It the Baby's Head"
Post a Comment