Second trimester worries

Common worries in the second trimester of pregnancy

I'm four months pregnant and struggling with stress at work. What can I do?

Talk to your line manager about this. Be realistic about what your priorities are and learn to say no at work if you're being asked to do too much. Make sure you take regular breaks and cut down on household chores when you're at home.

Take time out from your anxieties to relax by practising deep breathing exercises, stretching or yoga. Reading a book, having a nap or going for a walk will all help to lower your stress levels. Also, stick to a healthy diet and try to avoid comfort eating.

Your partner may also be feeling anxious and worried about becoming a parent, so try talking together calmly about the issues you have. You can also see your doctor to discuss whether treatment would help.

Find out more about your mental wellbeing in pregnancy.

Is my bump big enough?

During the third trimester your bump will begin to appear. For a while it will look like you have just put on weight, but in the late second trimester it will become rounder and strangers will begin to be able to tell that you are pregnant.

Your bump is measured by your midwife at appointments from 25 weeks (if it’s your first baby) to tell if your baby is growing at a normal rate. They measure from your pelvic bone to the top of your bump. The top of your womb is called the fundus and this measurement is called the fundal height. The measurement should be around the same as the number of weeks pregnant you are (give or take 2cm). So if you are 25 weeks, the measurement should be 23-27cm. it also depends on what is normal for you though. The overall pattern is more important than the isolated measurements and you may be given a personalised growth chart. 

If your bump is measuring bigger or smaller than expected your midwife will refer you for a scan and review at the maternity unit.

Read more about measuring the growth of your baby during pregnancy

All the things that made me feel pregnant have stopped and it's making me anxious

In the second trimester many of your pregnancy symptoms will often disappear or reduce. Your breasts may not feel so tender, nausea or sickness will often stop and the deep tiredness of the first trimester usually goes away, leaving you with more energy than you had before. For some people however, the symptoms of pregnancy, even if they are unpleasant are a reassuring reminder that you are pregnant, and the loss of physical pregnancy feelings brings some worries.

Try instead to enjoy this time, you are not too far away from the third trimester when you will get slower and your bump grows to a size that makes sleeping uncomfortable. Continue being active and eating well, spend time with loved ones, and above all, enjoy your sleep, as it will soon be in short supply

My pelvis has started hurting

Pelvic pain in pregnancy could be a sign of Symphysis Pubis Dysfunction (SPD/PGP), which often starts in the middle of pregnancy. It can cause pain or discomfort that can range from manageable to serious. It is thought to be caused by the hormone relaxin, which loosens the joints in pregnancy to allow your womb to stretch for your growing baby. When you have SPD your joints loosen too much and your pelvis goes out of line.

Read more about pelvic pain and how to manage it here.

I don't smoke but my partner does. Should I tell him not to smoke in the house?

Other people’s smoke is a health hazard for you and your baby, before and after the birth. Because of this, it’s important to be very firm about insisting that your partner doesn’t smoke in the house or anywhere around you.

Explain that women who breathe in secondhand smoke are at risk of having a low birth-weight baby. Secondhand smoke also puts your baby at greater risk of birth defects and stillbirth.

Keeping your home free from smoke is important after the birth, to protect your baby from chest infections, cot death, glue ear and asthma. Do everything you can to make sure your new baby is not exposed to smoke. If your partner is finding it hard to quit, suggest they use nicotine gum or patches instead when they’re at home.

Find out more about the risks of smoking in pregnancy.

Is it safe to use complementary remedies during pregnancy?

Not all alternative or complementary remedies are safe for you to take now you’re pregnant. There is less information about these types of treatment than there is about conventional medicine in terms of how safe they are and how they work in pregnancy.

If you do decide to go ahead, always go to a qualified practitioner who is registered with their relevant organisation, as they will be trained to advise you on what's best to use during your pregnancy. You can find a qualified practitioner in your area through the Institute for Complementary and Natural Medicine (ICNM).

Sources

Newham JJ, Wittkowski A, Hurley J, Aplin JD, Westwood M (2014) ‘Effects of antenatal yoga on maternal anxiety and depression: a randomized controlled trial’, Depression and Anxiety, 31 (8): 638

Rubin DH, Leventhal JM, Krasilnikoff PA, Weile B, Berget A (1986) ‘Effect of passive smoking on birth weight’, Lancet 328(8504): 415–7

 Kharrazi M, DeLorenze GN, Kaufman FL, Eskenazi B, Bernert JT Jr, Graham S, Pearl M, Pirkle J (2004) ‘Environmental tobacco smoke and pregnancy outcome’, Epidemiology 15 (6): 660–70

Cook DG, Strachan DP (1997) ‘Health effects of passive smoking. 3. Parental smoking and prevalence of respiratory symptoms and asthma in school age children’, Thorax 52(12): 1081–94

Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, Beck S (2009) ‘Women’s use of complementary and alternative medicine during pregnancy: a critical review of literature’, Birth 36(3): 237–45

National Institute for Health and Care Excellence, Antenatal care: routine care for the healthy pregnant woman, clinical guideline 62, London NICE, 2008

Gardosi J, Francis A, Controlled trial of fundal height measurement plotted on customised antenatal growth charts. BJOG: An International Journal of Obstetrics & Gynaecology 1999; 106(4) (1 April 1999): 309–17

NHS Choices Pelvic pain in pregnancy http://www.nhs.uk/conditions/pregnancy-and-baby/pages/pelvic-pain-pregnant-spd.aspx (Page last reviewed: 28/07/2016  Next review due: 28/07/2019)

Pelvic Obstetric and Gynaecological Physioytherapy (2011) Guidance for health professionals. Pregnancy-related pelvic girdle pain, formerly known as Symphysis Pubis Dysfunction (SPD) POGP

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Last reviewed on June 28th, 2018. Next review date June 28th, 2018.

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Comments

  • By Charlotte (not verified) on 22 Apr 2018 - 13:04

    Hi, I'm suffering with cramping pain and when it comes I can't stand up properly and then I have to rush to the toilet, it's happend twice now but I do suffer with IBS. thanks.

  • By Midwife @Tommys on 23 Apr 2018 - 15:24

    Hi Charlotte, This is certainly a symptom of IBS but if you are concerned that it may be linked to your pregnancy please talk to your doctor for reassurance.

  • By Atlanta (not verified) on 3 Apr 2018 - 12:47

    Hi I'm 26 weeks pregnant and my urine is bright orange

  • By Midwife @Tommys on 5 Apr 2018 - 16:40

    Hi Atlanta
    Thank you for your comment. There could be several explanations as to why your urine is bright orange-have you changed your diet recently or started any new medication as both of these may affect the colour of your urine.
    Another cause may be dehydration -urine may appear orange in colour if its is more concentrated because you are not drinking enough.
    I would advised that you discuss this with your midwife or GP-they will want to dip stick the urine and possibly send the specimen for further tests if there is a possibility of infection or other concerns such as too much protein in the urine.
    You should contact your midwife or maternity unit urgently if you think there may be bleeding or other serious symptoms such as the waters breaking, labour pain, abdominal pain or any other concerns.
    Please do not hesitate to contact Tommy's PregnancyLine on
    0800 0147 800 if you want to speak to our midwives. Alternatively you can email us on [email protected]
    Take care
    Tommy's Midwife

  • By Midwife @Tommys on 3 Jan 2018 - 12:44

    Hi Annie
    Any abdominal pain, at any gestation of pregnancy should be reviewed by a midwife and obstetric doctor at your local hospital. If you haven't already done so, please do take yourself in to be reviewed to put your mind at ease.
    Please take good care of yourself- Sophie, Tommy's Midwife

  • By Annie smith (not verified) on 27 Dec 2017 - 04:24

    Hi I’m 14 weeks and when I sit down part of my belly hard but when I sand up it hard there no blood or anything I just need to make sure it ok

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