Common Concerns in Late Pregnancy: Discomfort, Contractions, and Infections - Obstetrics and Gynecology

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Questions about late pregnancy?


Doctor: I have a few questions to ask you.
I am currently about 35 weeks pregnant, and I have been feeling very uncomfortable for the past two to three days.
Not only has the frequency of uterine contractions increased, but I also feel nauseous at times, and occasionally I experience some dizziness, which is quite distressing.
I am unsure why this is happening.
Additionally, I have been experiencing itching around the vaginal and labial areas recently, and I wonder if it could be a yeast infection.
If it is an infection, do I need to have an internal examination? Thank you.

Mingzhu, 20~29 year old female. Ask Date: 2004/10/16

Dr. Shi Chengyang reply Obstetrics and Gynecology


Please visit our outpatient clinic for treatment.

Reply Date: 2004/10/16

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your pregnancy at 35 weeks. It’s completely understandable to have questions and worries during this stage, especially when experiencing discomfort and potential signs of infection. Let’s address your concerns one by one.

Firstly, the increase in uterine contractions you’re experiencing could be a normal part of late pregnancy. As you approach your due date, it’s common for women to experience Braxton Hicks contractions, which are often referred to as "practice contractions." These contractions can occur more frequently and may cause discomfort, nausea, or even dizziness. However, if these contractions become regular, painful, or are accompanied by other symptoms such as bleeding or fluid leakage, it’s crucial to seek medical attention immediately, as they could indicate preterm labor.

Regarding your feelings of nausea and dizziness, these can also be attributed to various factors during late pregnancy. As your body adjusts to the growing fetus, hormonal changes, increased blood volume, and physical pressure from the uterus can lead to these sensations. It’s essential to stay hydrated and maintain a balanced diet. If these symptoms persist or worsen, please consult your healthcare provider.

Now, concerning the itching around your vaginal and labial areas, this could indeed be a sign of a yeast infection, which is relatively common during pregnancy due to hormonal changes that can alter the vaginal environment. Other symptoms of a yeast infection may include a thick, white discharge and irritation. It’s advisable to have an internal examination if you suspect an infection, as your healthcare provider can confirm the diagnosis and recommend appropriate treatment. Over-the-counter antifungal treatments may not always be safe during pregnancy, so it’s best to consult your doctor before using any medication.

In addition to yeast infections, other types of infections, such as bacterial vaginosis or sexually transmitted infections, can also cause similar symptoms. Therefore, a thorough examination is essential to rule out any serious conditions and to ensure both your health and the health of your baby.

As you are in the late stages of pregnancy, it’s also important to monitor any changes in your body closely. If you notice any unusual symptoms such as increased vaginal discharge, a change in color or odor of the discharge, or any signs of labor, do not hesitate to contact your healthcare provider.

In summary, while some discomfort and changes are normal in late pregnancy, it’s crucial to remain vigilant about your symptoms. Regular prenatal check-ups are vital, and any significant changes should be discussed with your healthcare provider. They can provide you with the best advice tailored to your specific situation and ensure that both you and your baby remain healthy.

Please take care of yourself, stay hydrated, and don’t hesitate to reach out to your healthcare provider with any further questions or concerns. Your well-being is paramount, and it’s essential to address any discomfort or symptoms you may be experiencing.

Best wishes for a healthy remainder of your pregnancy!
Sincerely,
Doctor Q&A Teams

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