Navigating the Third Trimester: Tips for Managing Common Discomforts
Dr Uma Mishra
Senior Consultant, Obstetrics & Gynaecology- Gynecologist in Noida #GynecologistInNoida #DrUmaMishra
Navigating the Third Trimester: Tips for Managing Common Discomforts
Congratulations! You’ve made it past the early pregnancy hurdles like morning sickness and fatigue. Now, you’re in the home stretch—the third trimester—and just weeks away from meeting your baby. But as exciting as this time is, it often comes with some uncomfortable symptoms that can make the last few months feel particularly challenging.
From swollen ankles to back pain and frequent trips to the bathroom, these discomforts are very common during the final stages of pregnancy. My own sister, Dr. Toral Patel, a neurosurgeon at UT Southwestern Medical Center, is going through her third trimester, and like many expectant mothers, she’s dealing with these issues head-on. This got me thinking about the many questions I get from patients on how to ease some of these discomforts.
Let’s dive into eight common third-trimester symptoms, explore what causes them, and look at practical ways to manage them, all while following the latest ACOG (American College of Obstetricians and Gynecologists) and WHO (World Health Organization) guidelines to ensure your health and well-being.
1. Swelling (Edema)
Why it happens: By the time you reach 30 weeks, you may notice swelling in your lower extremities. This happens because your body increases its blood volume by about 50-60% during pregnancy. Your expanding uterus also puts pressure on your veins, making it harder for blood to flow back to your heart, causing fluid to pool in your feet and ankles.
ACOG Guidelines: According to ACOG, mild swelling in pregnancy is normal. However, sudden or severe swelling could be a sign of preeclampsia, a potentially serious condition.
What you can do: Rest with your feet elevated, avoid standing for long periods, and wear compression stockings to help blood circulate better. If you experience sudden or asymmetric swelling, consult your doctor immediately.
2. Insomnia
Why it happens: Insomnia is common in the third trimester due to hormonal changes and the physical discomfort of a growing belly. According to the WHO, quality sleep during pregnancy is vital for both mother and baby’s health.
What you can do: Try using a body pillow, like the C-shaped “Snoogle,” to support your growing body. Establish a calming bedtime routine, avoid screen time before bed, and try warm milk or tea to help you relax.
3. Reflux and Feeling Full Faster
Why it happens: As your uterus expands, it pushes up against your stomach, leaving less room for food and causing acid reflux.
What you can do: Eat smaller, more frequent meals throughout the day. Avoid spicy and acidic foods, and don’t eat right before bedtime to reduce reflux. ACOG recommends antacids as a safe over-the-counter option, but always consult your doctor.
4. Back and Hip Pain
Why it happens: Your center of gravity shifts, and the pregnancy hormone relaxin loosens ligaments, which can lead to back and hip pain.
What you can do: Wearing a support belt can relieve some pressure on your back and hips. Using a yoga ball instead of a regular chair may also help. Gentle stretching and prenatal yoga, recommended by WHO, can ease tension and improve flexibility.
5. Frequent Urination
Why it happens: As your baby grows, it presses on your bladder, leading to frequent bathroom trips. While this can be inconvenient, it’s important to stay hydrated.
What you can do: Plan ahead—whether at work or social events, try to sit near a bathroom. Also, avoid diuretics like caffeine. Sudden changes in urination could be a sign of a urinary tract infection or preeclampsia, so let your doctor know if something feels off.
6. Restless Leg Syndrome
Why it happens: Many pregnant women experience restless leg syndrome (RLS) in the third trimester. Though the exact cause isn’t known, ACOG suggests it could be linked to iron deficiency.
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What you can do: Keep hydrated and make sure you’re getting enough calcium and iron in your diet. Light exercise, like a 20-minute walk, can also help. If RLS persists, talk to your doctor about safe treatment options.
7. Lightheadedness and Dizziness
Why it happens: Blood pooling in the legs due to increased fluid volume can cause dizziness, especially if you’ve been standing for long periods.
What you can do: Wear compression stockings and rise slowly from sitting or lying positions. According to ACOG, staying hydrated and moving regularly can improve circulation and reduce dizziness.
8. Breast Pain
Why it happens: Your body is preparing for breastfeeding, which can cause your breasts to grow and feel tender.
What you can do: Invest in supportive bras that adapt to your changing body. According to WHO, proper breast support is essential to avoid long-term discomfort. Tight bras, however, can restrict milk flow, so avoid wearing anything too constrictive if you plan to breastfeed.
When to Call Your Doctor
It’s important to remember that while many of these symptoms are normal, some could be warning signs of more serious conditions like preeclampsia or gestational diabetes. Follow ACOG guidelines and consult your doctor if you notice sudden or severe changes in swelling, urination, or dizziness, or if you have persistent pain that doesn’t go away with rest.
Dr Uma Mishra
MD, Obstetrics & Gynecology
Leading Gynecologist in Noida, High Risk Pregnancy Care Expert, Normal Baby Delivery
Call clinic to Book Physical or online Consultation: 8130550269
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Director - Digital Health Operations at iCliniq - The Virtual Hospital
1moMake sure to take breaks! Try not to stand or sit for too long to help cut down on swelling, back pain, and dizziness. A little gentle movement, like walking or doing some prenatal yoga, can really help ease those annoying symptoms by getting your blood flowing and relieving some tension.
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1moManaging risks in the third trimester is key. Knowledge and support make a big difference. Got any concerns?