Hello, doctor. My name is Kayra, not even 18 years old. Currently pregnant with my first child, more than 6 months old, walking 7 months. There are several things I want to ask, .1. My body weight is around 39-41, always changing but just within that scope. How much weight gain should I achieve until I am 9 months pregnant? 2. I often felt weak, could not stand for long. I take Blood Pill (Sangobion) is that okay? Or are there harmful effects on my pregnancy? 3. Entering the 7th month of pregnancy, I often feel back pain. Is that normal? What is the solution to get rid of lumbago? Because it is quite disturbing of my activities, so I can’t sit long. To my knowledge, stretch marks usually appear on the abdomen, but I experience them on my left and right thighs. The color is red or purple, is this natural? 5. I want to give birth with a normal process, what should I prepare so that the delivery process will go smoothly? Please answer ,. Thank you in advance 😇.
Thank you for the question.
Answering your question, we submit a few points below:
First, a normal increase in body weight in pregnant women can differ, not only depending on the mother's weight, but also her height. Ideally, to determine this, you need to first calculate your BMI (body mass index), i.e. by dividing your weight (in kg) by the square of your height (in m). If your BMI is ideal (ranging from 18.5 to 22.9), then the recommended weight gain during pregnancy is around 8 to 15 kg. However, this recommendation can be different if your BMI is not ideal.
Second, weakness in pregnant women can naturally occur due to hormonal influences. But it could also, this weakness indicates a disease, for example anemia, hypotension, hypoglycemia, dyspepsia, infections, heart problems, metabolic disorders, psychological disorders, and so on. If it is not recommended directly by the doctor, you should not just take supplements carelessly, including blood supplement supplements as you mentioned, especially for the long term. Because, the needs of supplements for each pregnant woman can be different, depending on age, body posture, history of previous pregnancy, activities undertaken, as well as current health conditions in general. Better, overcome your weakness first with plenty of rest, sleep more regularly, eat healthy foods regularly, drink more, and don't stress too.
Third, back pain during pregnancy can be reasonable because of muscle cramps due to support the growing burden of pregnancy. However, this back pain may also indicate you have nerve pain, lordosis, kyphosis, scoliosis, kidney disorders, endometriosis, inflammation of the intestine, peritonitis, spondylosis, rheumatoid arthritis, fibromyalgia, infections, psychological disorders, and other diseases. In order to improve, you need to warm your waist first, coupled with rest, do not like to hold back urination, multiply relaxation, not excessive lifting heavy loads, wear comfortable clothing and footwear, and do not massage carelessly painful waist.
Fourth, stretch marks in pregnant women can arise due to very rapid weight gain, and fail to be balanced with the production of collagen, elastin, and other constituents of skin and muscle. Stretch marks can be marked with reddish, brownish or purplish spots that can not only appear on the stomach, but can also be found on the thigh as you experience them. As long as these stretch marks do not cause annoying complaints, these conditions are often not dangerous, and can improve on their own after giving birth, provided you exercise regularly, maintain an ideal body weight, and keep your skin clean properly.
Fifth, the delivery process can be done normally or cesarean depending on many factors. Not only the wishes of the mother, the choice of delivery method should also be determined by considering the condition of the fetus (eg fetal size, fetal distress, musculoskeletal defects), maternal conditions (eg hypertension or uncontrolled diabetes, heart problems, pelvic size), as well as other factors (such as placental position, previous labor history, excessive fear). There are no special steps that can be done so that you can give birth normally. However, discipline to live a healthy lifestyle, regularly control pregnancy to the doctor, and do pregnancy exercises according to gestational age can help launch your childbirth later.
That's all our explanation. For more details, please consult directly with your obstetrician.
I hope this helps.