Pregnancy Week 10 - Will I Ever Stop Feeling Sick?

Dear Baby,

You now measure about 3.5 cm and weigh about nine grams. You have eyes as well as eyelids, but at the moment they are fused together. You will not be able to open your eyes until much later.

This was another week of puking and feeling like hell. I wake up every morning thinking the morning sickness might have gone away. A few minutes pass and then I realise that it’s still there. Frankly, I’m fed up of being sick and can’t wait to feel normal again.

I am taking supplements of calcium, iron and folic acid regularly, as advised by my doctor. Although I’m not anaemic, I’m on the border, so the doctor’s decided to give me iron supplements, just to be on the safe side.

I spoke to Jaya this morning. She told me that she is relieved that she is now in the second trimester. She had a miscarriage once before and was a little apprehensive that she might lose this one as well. I reassured her that there was every reason to hope that both she and her baby would be fine.

I have to go now little one, but I’ll write again next week, I promise.

Your loving mumma.

BABY NOTES

Do I need to take supplements during pregnancy?

Your doctor may recommend supplements such as calcium and iron during pregnancy, depending on your individual needs. If you have been advised to take supplements, remember to take them regularly and as directed.

Why is calcium important during pregnancy?

Calcium is essential for developing your baby’s teeth and bones and for protecting your own bones and teeth as well. Adequate calcium during pregnancy may also help reduce the risk of pre-eclampsia, particularly if your dietary calcium intake is low.

Good sources of calcium include milk and milk products such as yoghurt and paneer, as well as ragi, beans and other pulses, some green vegetables and calcium-fortified foods. Vitamin D helps in the absorption of calcium. Your body makes vitamin D when your skin is exposed to sunlight, and dietary sources include oily fish, egg yolks and fortified foods.

In India, calcium supplements are routinely recommended during pregnancy, usually from after the 12th week and continuing through pregnancy and breastfeeding.

Why is iron important during pregnancy?

Iron is vital for producing haemoglobin and supporting the increased blood supply needed by you and your baby during pregnancy. Foods that contain iron include red meat, fish, eggs, soy products, beans, pulses, spinach, nuts and almonds, dark green leafy vegetables, dried apricots, dates and other dried fruit.

Have a vitamin C-rich food or drink, such as an orange or orange juice, with your meals, as vitamin C helps in the absorption of iron. Avoid tea or coffee with your meals, as they can reduce the absorption of iron.

If you have been advised to take both iron and calcium supplements, take them at different times of the day, as calcium can interfere with the absorption of iron.

What should I do if I have bleeding or spotting during pregnancy?

Bleeding during the first trimester, especially if there are clots and severe period-like pain, could mean a miscarriage. However, light bleeding or spotting can occur during pregnancy for several reasons and does not necessarily mean that you are having a miscarriage. Any bleeding during pregnancy should be discussed with your doctor.

If bleeding is accompanied by abdominal or pelvic pain, particularly pain on one side, you should seek medical advice promptly as it could mean an ectopic pregnancy. This means the pregnancy is growing outside the womb, most commonly in a fallopian tube. Heavy bleeding, severe abdominal pain, shoulder-tip pain, dizziness or fainting need urgent medical attention.

If you are Rhesus-negative, tell the healthcare professional assessing your bleeding, as you may need an anti-D injection depending on how far along you are and the circumstances of the bleeding. (See Rh incompatibility, Week 13).

What happens if I have a miscarriage?

A miscarriage may start with bleeding and can be accompanied by cramps and pains, although some miscarriages have no obvious symptoms and are discovered during an ultrasound scan. Bleeding or pain in early pregnancy does not always mean that you are having a miscarriage, but you should seek medical advice.

About twenty percent of pregnancies end in miscarriage, most of which take place during the first trimester. Often no definite cause is found, but many early miscarriages happen because of a chromosomal problem that occurs by chance as the pregnancy develops.

Losing a baby can be painful. Do not blame yourself, and talk to someone about it rather than bottling up your feelings. There might have been something wrong with the baby, and it is very unlikely that anything you did caused the miscarriage. Nor does it mean that you cannot conceive again or that you will have another miscarriage, unless your doctor has identified a particular reason for concern. Most women go on to have a healthy pregnancy after a miscarriage.

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