Common Concerns During Labor: Expert Answers for Expecting Mothers

Issues that may arise during labor?

Hello Dr.
Zhou,
My due date is August 25, and I would like to ask the following questions:
1.
Recently, I have been feeling rhythmic movements in my lower abdomen (as indicated by the ultrasound, the baby's head is in that position).
Is the baby kicking?
2.
Last night (July 15), I noticed that my urine had a slight red tint when I went to the bathroom, and it is still the same this morning.
Is there a problem?
3.
When I squeeze my nipples, I have noticed some milk secretion.
Sometimes my nipples hurt; how can I alleviate this?
4.
My legs are itching for no apparent reason.
I read online that this could be "pruritic urticarial papules and plaques of pregnancy." I have scratched them to the point that they look like red bean ice, and applying cream makes them itch more.
What should I do?
Thank you!

Ms. Zhang, 20~29 year old female. Ask Date: 2006/07/16

Dr. Zhou Dali reply Obstetrics and Gynecology

1.
The physician who is conducting your prenatal check-ups is the most knowledgeable, so it's best to ask him or her directly.

2.
If you are unsure whether the issue is related to the birth canal or the urethra, it is advisable to seek medical attention immediately for an examination.

3.
As you are approaching your due date, this is a natural phenomenon; it is recommended that you take care of nipple care and hygiene.

4.
It is advisable to consult a dermatologist.

Reply Date: 2006/07/16

More Info

Dear Expecting Mother,
Congratulations on your pregnancy! It’s completely normal to have concerns as you approach your due date. Let’s address your questions one by one.

1. Regular Fetal Movements: The sensation you’re feeling in your lower abdomen, described as rhythmic movements, is likely your baby moving. As you near your due date, you may notice more pronounced movements, especially if the baby is in a head-down position. These movements can sometimes feel like kicks or punches, and they are a good sign that your baby is active and healthy. However, if you notice a significant decrease in movement or any unusual patterns, it’s essential to contact your healthcare provider for further evaluation.

2. Red Urine: Seeing red in your urine can be concerning. It could be due to several reasons, including dehydration, a urinary tract infection (UTI), or even blood in the urine. Given that you are pregnant, it’s crucial to discuss this symptom with your healthcare provider as soon as possible. They may want to perform a urinalysis to determine the cause and ensure both you and your baby are healthy.

3. Nipple Discharge and Pain: It’s common for pregnant women to experience nipple discharge as the body prepares for breastfeeding. However, if you are experiencing pain, it could be due to several factors, including sensitivity from hormonal changes or improper bra fit. To alleviate discomfort, ensure you are wearing a well-fitted, supportive bra. You can also try gentle massage and warm compresses to soothe the area. If the pain persists or worsens, consult your healthcare provider for further advice.

4. Itchy Legs: Itching during pregnancy can be caused by various factors, including hormonal changes, skin stretching, or conditions like pruritic urticarial papules and plaques of pregnancy (PUPPP), which is often referred to as "pregnancy rash." If you’ve been scratching to the point of irritation, it’s essential to stop to prevent further skin damage. Over-the-counter antihistamines may help relieve itching, but you should consult your healthcare provider before taking any medication. They may also recommend topical treatments or other remedies to soothe your skin.

In summary, while many of the symptoms you’re experiencing can be common during pregnancy, it’s always best to err on the side of caution and consult with your healthcare provider. They can provide personalized advice and ensure that both you and your baby remain healthy throughout your pregnancy. Remember, it’s important to listen to your body and seek help whenever you feel uncertain or uncomfortable.

Wishing you a smooth and healthy remainder of your pregnancy!
Best regards,
Doctor Q&A Teams

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