how to sleep during pregnancy

Getting the right amount of sleep or finding a way to fall to sleep can be a real struggle for any person, let alone if you’re an expecting mother. Methods that you have used to help you get a better quality of sleep in the past may no longer work now that you’re pregnant, so what are you to do now? Read on for our best tips for sleeping during pregnancy!

When you fall pregnant, your body will begin to change in a number of ways that can affect your quality of sleep. You may start to experience:

  • Shortness of breath
  • Back pain
  • Heartburn

The good news about sleeping while pregnant is that you shouldn't have to adjust the way you sleep until you reach your second trimester. So, with these things in mind, let's take a look at some of the most common soon-to-be-mum approved sleeping positions!

Can I Sleep On My Back?

If you usually sleep on your back, you should be alright to continue for your first trimester, however, between 15 and 20 weeks gestation, the uterus grows big enough to start interfering with the flow of blood when sleeping on your back. At this stage, the uterus can begin to compress the inferior vena cava (IVC), as well as tightening the aorta, which blocks the main blood supply to your body and placenta. Therefore, sleeping on your back during this stage of your pregnancy can decrease the amount of blood returned to the heart, resulting in shortness of breath or an increased heart rate when waking up.

It is recommended that you limit how long you lay on your back after around 19 weeks to avoid a restriction in blood flow or oxygen to your baby.

Can I Sleep On My Front?

During the early stages of pregnancy, sleeping on your stomach is fine, but there will come a time where you will have to turn over, usually at around 16/18 weeks when your bump begins to show. Once your bump starts to show, sleeping on your stomach can become uncomfortable and also have safety implications, similar to sleeping flat on your back. Sleeping on your stomach can cause your bump to move inside the stomach and again press against the IVC and aorta, causing shortness of breath and a rapid heart beat as mentioned above. 

Can I Sleep On My Side?

The best and most commonly used sleeping position among pregnant women is referred to as ‘SOS’, which stands for sleep on side. More specifically sleeping on your left side, as this will help increase the number of nutrients and blood that reach both the placenta and baby.

Sleeping on your right side can also compress the IVC, however, using pillows to prop up the uterus to prevent it sliding to the right can be helpful. It is not uncommon to fall asleep on your left side and wake up in a completely different position, on your back for example. If this does happen, there’s no need to worry as you probably weren’t in that position for very long. If you lay on your back during your third trimester, your blood flow will become compressed which will cause you to feel uncomfortable quite quickly, making you wake up. If you continue to wake up in a position other than your left side, ask your partner to check on you and move you back to your left side.

Other Pregnancy Sleeping Tips 

  • Sleep on your side with bent knees to relieve back pain and pressure on your uterus.

  • Try placing a pillow between your legs to ease back pain.

  • Try raising your upper body with pillows to help reduce heartburn.

  • If you're suffering from swelling and leg pain, elevate your legs with pillows.

  • Use a pillow under your side to raise your chest if you have shortness of breath. 

For further information on how to sleep when pregnant, or if you are experiencing troubles sleeping, get in touch with a doctor as soon as possible. If you require a baby scan during any point of your pregnancy, be sure to browse from our range below!

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Pregnancy Symptoms

If you've recently become pregnant, you're probably wondering what's in store for you over the next 9 months!

To make sure you have all the details you'll need throughout your pregnancy, we've made a week-by-week list of all the most common pregnancy symptoms. Please note that every pregnancy is different, and some people may experience certain symptoms earlier or later than others (if at all), so please don't worry if your own pregnancy doesn't perfectly match the list below.

 

5 Weeks Pregnant

This is a very common time for women to find out that they are pregnant. This is a very early stage, so don't be surprised if you aren't experiencing any pregnancy symptoms just yet.

However, you may experience:

  • Fatigue - Your body is embarking on a journey that requires a lot of energy, so even at 5 weeks, you may develop a sudden fondness for naps.

  • Frequent Urination - At 5 weeks, your kidneys are beginning to expand, so you might find yourself making more trips to the loo than usual!

 

7 Weeks Pregnant

You're almost two months in, and it's probably starting to feel a little more real. That being said, it's not unusual to have few (if any) symptoms at 7 weeks - remember, it's still relatively early in your pregnancy.

Some people experience the following symptoms around the 7-week mark:

  • Acne - Your hormones are all over the place right now, so breakouts are completely normal. Just make sure you check with your doctor before using any skin treatments to combat your spots.

  • Cravings - Are you craving foods that you wouldn't normally eat? Or perhaps an old favourite seems strangely unappealing all of a sudden? This is a normal pregnancy symptom, which usually comes paired with morning sickness. Speaking of which...

  • Nausea - The dreaded morning sickness! In spite of its common name, the feeling of nausea can sadly strike at any time of day. You may experience just a touch of nausea, or you may actually vomit - in either case, this is a common side effect of pregnancy at around 7 weeks and probably isn't anything to worry about.

 

9 Weeks Pregnant

After nine or ten weeks, you'll probably have experienced most of the pregnancy symptoms that tend to strike during the first trimester. In addition to the symptoms listed above, you may now notice:

  • Headaches - Your hormones are still surging, and this can lead to headaches (which can also be brought on by hunger, dehydration and exhaustion - so make sure you're getting plenty of food, water and rest).

  • Nasal Congestion - This is perhaps one of pregnancy's lesser-known side effects. By this stage, you may well notice an increase in your body's mucus production.

  • Breast Tenderness - Your body is prepping for breast feeding and blood flow to this area is increasing, often leading to breast tenderness.

 

12 Weeks Pregnant

Week twelve is the final week of your first trimester. Your baby has now grown from a tiny cluster of cells into a foetus, and your uterus will be starting to expand beyond your pelvic bones. In addition to all of the symptoms we've already discussed, you may now be experiencing:

  • Dizzy Spells - Those pesky hormones - particularly when coupled with changes in blood pressure - may cause you to feel dizzy. Make sure you sit down or rest during dizzy spells, and always eat/drink regularly to keep your energy up!

  • Pelvic Pain - As your uterus expands, you may experience some aches and pains. It is best to avoid any heavy exercise and be thoughtful about how you position yourself - you don't want to put any unnecessary stress on sensitive regions.

 

From Here on Out...

As you head into your second trimester, your pregnancy symptoms should become less erratic. Now you can look forward to your bump getting bigger and the baby starting to kick. You will probably continue to experience some aches and pains, and you should continue to go for regular check-ups to make sure that you and your baby-to-be are both healthy.

Here are a few milestone moments to look out for later in your pregnancy journey:

  • 13-15 Weeks Pregnant: This is generally the point at which you'll need to purchase maternity clothes. Of course, you may want to buy it earlier just for the comfort it provides!

  • 20-25 Weeks Pregnant: It's around this time that you'll start to feel your baby kicking. Again, every pregnancy is different, so don't worry too much if you have to wait a bit longer.

  • Approaching Due Date: Few women actually give birth on their exact due date. Nonetheless, it's an important date, and its passing signifies that your new baby will be with you very soon!

 

If you're 7-14 weeks pregnant, why not book an EarlyReassure™ scan with First Encounters? We also offer a 4DGrowth&Wellbeing™ scan for when you're a little further along and you're ready to see what your little one looks like!

Image from pixabay.com

Heartburn During Pregnancy

 

Why Have I Got Heartburn During Pregnancy?

 

As your baby develops you may find that it is more than just your desire to meet them that’s burning. Heartburn during pregnancy is a frequent occurrence and can be recognised by a burning sensation that resides all the way from your breastbone to your lower throat. Many mothers experience heartburn for the first time during pregnancy and although it is quite uncomfortable, it is usually harmless. The reason heartburn occurs so frequently during pregnancy is due to the placenta producing the hormone progesterone. 

 
Progesterone is usually your friend throughout pregnancy, helping to prevent miscarriages through thickening the uterine lining, and promoting your natural health by reminding you to provide nutrients for your baby. However, this does not mean that progesterone won’t cause you pain from time to time. 
 
As it relaxes the muscles of the uterus and the valve that separates the oesophagus from the stomach, it also allows gastric acids to flow back up to the oesophagus, causing the nasty burning sensation. Your wiggling baby also contributes to your heartburn by placing pressure on the stomach and increasing the chance of acids being pushed into the oesophagus.

What Can I Do to Stop My Heartburn? 

 

1. Find out what triggers it

 
The first thing you can do is make a note each time you have heartburn of what you’ve previously had to eat or drink. Certain foods tend to directly impact heartburn during pregnancy, such as acidic foods, greasy foods, spicy foods, caffeine, fizzy drinks and chocolate. If you can figure out what is causing your heartburn, you can try to eliminate it from your diet and relieve the pain. 
 

2. Try to avoid big meals

 
Big meals increase the chance of heartburn, as food does not digest as well or move as quickly during pregnancy. It is better to eat several small meals throughout the day, taking your time to eat and chewing thoroughly. 
 

3. Take care when you sleep

 
Keeping your upper body elevated while you sleep can help stop your stomach acids from reaching the oesophagus. Try to also avoid eating anything 3 hours before bedtime, as this decreases the chance of the stomach acids reaching you even further. 
 

4. Try chewing gum

 
After eating, chewing gum helps eliminate heartburn during pregnancy. This is due to the chewing motion producing saliva which can help neutralise the acid. 
 

5. Over-the-counter help

 
If all else fails, any over-the-counter antacid which contains magnesium or calcium may help relieve you of the pain. However, you should first check with your prenatal nurse before taking anything to ensure that it is safe for you during pregnancy. 
 

 
If your heartburn during pregnancy continues to persist after these methods, be sure to contact your health care provider to see if there are any prescription medicines you can take to help you. Be sure to contact them immediately if you spit up blood or have dark-coloured bowel movements as this is a sign of blood in your digestive tract. We hope these tips help you relieve some of the pain and enjoy every moment of your pregnancy!
 
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Food is always a big concern when you're pregnant for the first time. We've already discussed what you shouldn't eat, so now here's some simple and easy-to-follow advice on what you should eat during your pregnancy, trimester by trimester:

During the First Trimester

What to eat:
  • Starchy foods such as bread, porridge, plain biscuits,oatcakes, pasta, rice and potatoes
  • Ginger (this will help to curb nausea)
  • Foods high in folic acid, such as green, leafy vegetables (kale, broccoli, spinach), pulses (chickpeas, beans, lentils) and fruits (citrus fruits, raspberries, strawberries). 
Other advice:
  • Eat small meals often.
  • Minimise your consumptions of fatty, hard-to-digest foods.
  • If you're experiencing morning sickness, keep a plain biscuit on your bedside table as a snack for when you wake up.
  • Don't overeat - you won't need to increase your food consumption ('eating for two') until later in your pregnancy, and even then, you will only have to increase your consumption by a few hundred calories.

During the Second Trimester 

What to eat:
  • Oily fish (such as salmon, mackerel, trout and sardines) twice a week
  • Wholemeal bread, cereals, and pasta
  • Oats, barley and pulses
  • Nuts and seeds
  • Lean meats such as chicken
Other advice:
  • Eat a variety of wholegrain foods, and up your consumption of water to avoid constipation.
  • Keep your iron levels at a healthy level by consuming lean meats, and plant-based sources such as dried apricots, spinach and lentils.
  • Include sources of vitamin C to aid your body's absorption of iron from plant sources.

During the Third Trimester 

What to eat:
  • Healthy fats from natural sources (found in foods such as nuts, seeds, avocados, eggs, and salmon)
  • A good variety of fruits and vegetables
  • Calcium-rich foods such as plain yoghurt, canned fish and tofu

Other advice:
  • Avoid bending or lying down after eating to help prevent heartburn and indigestion.
  • Increase your food intake by 150-200 calories a day.
  • Try to optimise your vitamin D levels, with foods such as eggs and fortified breakfast cereals.
  • Avoid spicy and fatty foods, to avoid the risk of further aggravating symptoms of indigestion.
Click here for a list of foods to avoid during pregnancy, or return to the First Encounters homepage to find out about the 3D/4D scan packages we offer for expectant parents and their families!

While we're sure you're already aware of how unpredictable and ever-changing each individual pregnancy can be, it always comes as a great help to prepare for the birth as much as possible. By creating a birth plan with your midwife or chosen health professional, you will be able to map out the details of your birth experience as you would like it to develop, while also preparing for any eventualities beyond your control. 

If you're unsure about what to include in your birth plan, or wondering how you can put these instructions in place, simply follow the advice outlined below:

What is a Birth Plan?

Although a birth plan is not an essential requirement for expectant mothers, it certainly acts as a useful reference for the midwives and doctors who will be looking after you, while also providing a great way to prepare for your labour in advance of your due date. 

While certain aspects will be affected by factors such as previous pregnancies and other medical history, the main aim of the birth plan is to give you as much control over the details of your labour as possible. From where you would like to give birth to your choice of pain relief, your plan should contain all of your preferences for the birth of your child, based on your own inclinations combined with the advice of your midwife. While it is vitally important that the plan should reflect your individual wishes, you should also remember the importance of flexibility, as you may need to adjust your plan to deal with unexpected circumstances once you have gone into labour. Your midwife will, of course, strive to follow the original plan as much as possible, but it is important to realize that not all your preferences will be achievable if circumstances change.

Where To Start

Before setting out a birth plan, you should seek out advice from medical professionals and other mothers in order to get a better idea of the pattern you would like your birth to follow. This will go hand-in-hand with your hospital appointments throughout your pregnancy, as well as your participation in local antenatal classes, which should give you countless opportunities to seek advice and assess your options. As you gather your information, you can note it down for reference when you come to setting out your finalised plans.

Once you have gathered sufficient information regarding the services available to you (along with identifying any possible constraints), you should then discuss these with your chosen birth partner. This will give them a chance to add any of their own suggestions, while also allowing them to gain a better understanding of how they can support your throughout the birth.

Things to Consider

When the time comes to put pen to paper and make your birth plan, here are the key things you should include in your specifications:
  • Identifying Your Birth Partner  - Name your partner and explain their level of involvement in your birth, making a note of any procedures you do not want them to be present for.

  • Pain Relief - Specify the type(s) of pain relief you would like to receive in order of preference, drawing attention to any you would like to avoid if possible. This should include medical treatments as well as natural forms of pain relief.

  • Position - Explain your preferred position for delivery, while also noting how flexible you would like to be in terms of your mobility during labour.

  • Location - This will include the geographical location you have selected for your birth, as well as your preferred delivery room style. This could, for example, include a request for a home birth.

  • Interventions - Include details of any interventions you would be happy to accept if the situation calls for them. This includes details such as speeding up your labour or assisted birth.

  • Heart Rate Monitoring - Provide details of how you would like your baby's heartbeat to be monitored during labour.

  • Third Stage Planning - This includes details for the delivery of the placenta and the cutting of the umbilical chord.

  • Post-Birth Details - Specify whether you would like your baby to be handed to you straight away or after cleaning, and explain your plans for feeding.

  • Emergency Care - As well as planning for any unexpected changes to the birth itself, you can also note your wishes in the event that your baby has to receive any additional care.

What if I'm Having a Caesarean?

If you've been advised to book a planned caesarean due to a medical condition or previous pregnancy, you will still be able to have a degree of control over your birth. You will still be able to choose the type of pain relief you would like to receive, although this will relate to the choice of anaesthetic and how it is administered. You will also be able to include your birthing partner in your plans, although they will have to follow the guidelines set out by the hospital. 

As well as selecting the medical details for your caesarian, you will also be able to decide on the ambience of the room, along with how much of the birth you would like to witness. This could include the amount of sound in the room, as well as your choice of if and when you would like the screen to be lowered during the birth. 

When putting your birth plan together, ensure that the opinion of your trusted medical professional is valued above all else. For assistance in creating your plan, ask your doctor or midwife for help, and use the information you have gathered during the course of your pregnancy. 

Here at First Encounters, we offer a complimentary pregnancy report with all of our scans, which can provide you with essential details about the health and position of your baby, in order to help you plan more efficiently for the birth. If you would like an additional glimpse at your little one before the birth, or would like to gain more information to help you plan for their arrival, take a look at our range of scan packages here.