
Friday, August 09, 2024

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Before my pregnancy, there wasn’t anything I could have done to imagine how uncomfortable pregnancy is. In fact, it just never occurred to me. of course I had heard that, you know, labor was uncomfortable and healing from birth would be it’s own trimester. But discomfort while pregnant? Now that was something new entirely.
The thing is, I don’t just mean physical discomfort. There is also mental, emotional, and social discomfort that comes with being in this vulnerable state. I recently asked my social community of have-been pregnant mamas what they wish they had done differently (or will do differently next time) and here are some of their answers.
Also read: Mental Health During Pregnancy
I am not a doctor and this is not medical advice. Discuss any health-related concerns with your OB-GYN as soon as you have them. This is not legal advice. This article is anecdotal, general advice and suggestion only.
In the first trimester, when you’re more tired than ever, the thought of exercising might seem wildly unachievable. But as you graduate to the second tri and your energy starts to return, physical movement, pelvic floor training (Kegels), prenatal yoga, Pilates, or even just going for daily walks outside are a great way to combat pregnancy discomfort.
There is a slue of benefits to prenatal exercise. Some of the obvious ones are:
But a few lesser known benefits are:
Think of all exercise during pregnancy as training for the marathon that will be your baby’s Birth Day! Labor can be a long, intensive, exhausting experience. Exercising regularly as your belly grows and your due date approaches will help you gradually strengthen your cardiovascular fitness (how well your heart and lungs supply oxygen to your body while exercising at medium to high intensity). And the more cardiovascular endurance you have, the longer you’ll be able to sustain laboring before it makes you bone-tired. Which is a state you will most likely reach regardless.
The short answer is: if you have a normal, healthy, low-risk pregnancy then yes. Physical activity has not been shown to increase your risk of miscarriage, low birth weight, or early delivery.
Now, it is still important to discuss exercise with your doctor during your early prenatal visits. If your ob-gyn gives you the green light to exercise, you can discuss what activities you can do safely.
Going beyond regular pregnancy discomfort and fatigue, these are some conditions when your doctor might deem exercising unsafe:
If you’re new to exercising, starting with any kind of light, physical movement is helpful. Aim for something as simple as 5-15 minutes of stretching, walking, bike riding. Gradually increase this to about 30 minutes as your conditioning and stamina improves. The goal is about 150 minutes of moderate-intensity physical activity per week. This breaks down to about 30 minutes a day for five days per week. Moderate intensity is defined with an elevated heartrate and some sweating. You should be able to talk but not sing. If you can no longer talk during an exercise, it is time to take a break.
Make sure you:
It’s really easy to fall into trying to maintain your pre-pregnancy level of well, life, when you’re pregnant. Especially at work. And I feel like especially the first pregnancy.
However, bosses (both male and female) irritatingly tend to have more concern for the business than they do their employees. On a level I understand. There is a job to do, expectations to be met, and bigger bosses to please. But I will die on the hill that if we took better care of our employees, and treated them like capable adults who can make decisions that would suit themselves and the company, they would take care of their jobs and responsibilities.
America is not made for working mothers/parents. Even with my own previous experience of trying to “do both and have it all”, my ex-employer worked with me as little as legally possible when it came to understanding and scheduling. But that’s a rant for another time.
That leads me to this:
According to The Mayo Clinic, pregnancy discomfort from everyday activities like sitting or standing for long periods may increase. Moving around can help ease muscle tension and prevent fluid build-up in the legs and feet.
The mama quoted for this section is professionally a nurse. Health care workers frequently have longer shifts than standard 8-hour days and are on their feet for most of that time.
Sitting for long periods will also cause pregnancy discomfort as the belly starts to make itself known. The best case scenario is that you have access to a good chair that provides good, adjustable back support. But for chairs that aren’t adjustable or don’t have back support, you can create some with a pillow or a cushion set behind you at your lumbar. Make sure you find a way to elevate your feet to maintain good circulation.
Easier said than done, it’s important to do what you can to minimize stress from work.
Thankfully, there are some protections offered under various legislation for pregnant employees
*Important note: This covers individuals who work in a company of 15 or more employees*
Pregnancy is not classified specifically as a disability. However, if a pregnant employee experiences complications or health issues related to the pregnancy that meet the ADA’s definition of a disability, they may be entitled to reasonable accommodations.
These could include adjustments to work duties, flexible scheduling, or modified workplace conditions.
It might help to convince your boss that you need accommodations if you get a doctor’s note stating just that.
*Important note: You have to have worked at your job for 12 months and you need to be one of at lease 50 employees in order to qualify*
The FMLA provides about 12 weeks of unpaid leave after the birth or adoption of a child, but you can also take leave under the FMLA prior to giving birth.
This is job-protected leave. If you get assigned to bed rest before birth or at some point in your pregnancy, you can take this leave and your position at work is legally protected. And it’s not a one-and-done. If you only use, say 3 weeks of FMLA, then you have 9 more weeks in the “bank”. If your employer does not offer any type of maternity leave, you can take FMLA (unpaid) to stay home and start recovering from birth and bonding with your baby.
The Pregnancy Discrimination Act was passed in 1978 as an amendment to Title VII of the Civil Rights Act of 1964.
Here are a few protections it offers to pregnant employees:
Setting boundaries is hard. Setting boundaries at work is even harder. But this is also a great place to practice trusting your maternal instincts and listening to your body.
Hindsight is 20/20 and looking back, I tried way too hard to accommodate a job that wasn’t trying to accommodate me. Those are small potatoes compared to the mama from the beginning of this section. She confided that she had a really difficult and traumatizing birth. Looking back, she wonders if she had listened to her body rather than her bosses if the birth of her baby would have been better. We agreed that whenever/if-ever we venture into second-time motherhood, we would be better about trusting what we need.
Our shared advice: do that from the start. Trust yourself from the start. Everything is new and there’s a lot to learn and figure out. But come back to “Is this in the best interest of my baby?” and “Is this in the best interest of me as the home of my developing baby?”
I can divulge that this mama is me. With everything else that you need to buy in preparation for the new arrival, one thing that I thought I could pass on was the big, takes-up-the-whole-bed maternity pillow.
Because of my choices, I haven’t slept through the night since about June of 2022.
After you hit the 16-week mark of your pregnancy, it’s generally recommended that you no longer sleep on your back. This is because as your uterus grows, it can put pressure on large blood vessels that supply blood to the uterus. This can also cause some swelling in your feet and ankles, adding to more of the pregnancy discomfort you’re already feeling.
Initially, it was most recommended to sleep on your left side specifically. But now based on some research, experts are saying either side, right or left, is okay.
I thought it would be enough to “make do” with the pillows that I have in the bedroom and around the house to prop myself up as the baby belly grew. And it did, I suppose, for the most part, serve its purpose. And by purpose, I mean that now I was uncomfortable and fighting to keep 8 pillows precariously stacked on the bed.
So my recommendation? Just buy “the thing”. The thing that you’ve heard about, that other people swear by and some say isn’t necessary.
If you really don’t think you need it, add that money you would have spent to the baby clothes category of your budget.
But if the product recommended is supposed to ease some discomfort, I mean honestly the worst that could happen is that it doesn’t work. And then you can just return it. So you didn’t spend any money anyway. Girl math.
This is personally the pillow I have my eye on for next time. If you have a different one you loved, let me know in the comments!
Did you know that as long as the temperature is right, you can still take baths while pregnant?
Espom salt soaks and their benefits are nearly all anecdotal but some people swear that doing a salt soak helps to mitigate various sources of pregnancy discomfort.
I personally never gave this a try for my pregnancy discomfort because I was afraid of the bath being too hot. I did take one lukewarm bath and it was not at all what I was looking for in terms of pampering and self-care. But! I think this will be something I try next time now that I know the water can be a little warmer. Aim for a temperature close to your internal body temp. About 98-100°F.
The holy grail of indulgence, self-care, and me-time. Massages should be required by the third trimester with a written doctor’s note.
A prenatal massage was something I always meant to get to during my pregnancy and just never found the time for. But reports from other women who did get them done say that it made them feel brand new.
Research has shown that regular prenatal massages (not to be confused with perineal) have been shown to help with hormone regulation (reducing cortisol and increasing dopamine and serotonin), reducing swelling, reducing nerve pain (like sciatic), and improving sleep.
Prenatal massages have also been associated with reducing back pain, joint pain, and edema.
Now before you book your prenatal appointment, there is some research that needs to be done. Make sure your massage therapist is licensed for prenatal massage specifically. They are trained for working with pregnant bodies and know how to avoid unnecessary strain on your ligaments. They are able to watch for symptoms of blood clots and varicose veins.
The best recommended position is side-lying. There are some massage tables that offer a cut out hole for the belly but these aren’t necessarily encouraged. Do a call consult with your massage therapist to ask questions such as how they position their clients for the massage.
And as always, play it safe and consult with your OB-GYN before hand. They will let you know for certain if it is safe for you. Most healthy, low-risk pregnancies get the green light. But if you have had pre-term contractions, preeclampsia, bleeding, or any other concerning health issues they may advise against it.
It is a lot of work to grow an entirely new human being. Your body is literally creating a new body from scratch and that will take its toll.
Taking care of yourself, your growing baby, and easing any pregnancy discomfort should be fairly high on the list. I would say top but some of you might be moms a few times over and that gets more difficult with each subsequent baby on the ground.
Try to do something every day that helps to make your pregnancy journey a little more comfortable. Set the boundary even if it’s scary, take that bath for some quiet stress relief, get outside for a walk. You’ll be very busy in a few weeks, make sure to take care of yourself now.
With love,
Dakota

and welcome to The Mindful Parent. Our goal is to help parents and caregivers grow both skills and confidence in raising healthy, resilient children. Using gentle parenting and authoritative models, we can show up as the parents we want to be, one day at a time.

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