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Home / PREGNANT  / Answered : 8 Pregnancy Questions You’re Uncomfortable Asking Your OB-GYN
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Answered : 8 Pregnancy Questions You’re Uncomfortable Asking Your OB-GYN

ob gyn

 

 Will I have a bowel movement during my delivery?

Having bowel movement during delivery is quite common and acceptable. It should not inhibit you from pushing when the time comes.

 

Will I get stretched out “down there?”

Let’s first define “down there”. There are two components to this dynamics

The Vagina or birth canal – The muscles of the birth canal are folded in like the folds of the saree. They open out to fit the baby and go back to the folded state later. The design of the birth canal muscles to unfold is to accommodate the passage of the baby.

The Perineum – The perineum stretches under the weight of the baby and since all tissue has elastic properties, it will go back to its previous size.

 

 Have I gained too much weight?

“Too much weight” is a difficult term to define. While there are many resources that show ideal numbers, we should look at weight gain in a ‘whole person’ perspective. This includes what the weight of the woman was before she got pregnant. A woman who was underweight to begin with may need good and extra nutrition for a good outcome, but a similar weight gain may not be beneficial to another woman who was overweight to begin with. It is also important to deconstruct the ‘weight gain’;  how this weight is distributed in a pregnancy. There’s the Breast tissue, Placenta, Amniotic Fluid, Increased size of uterus, the Baby, Increased blood supply, Stored fat for breastfeeding and more.

More importantly, look at the nutritional value of the food, calorie needs of the body and baby, and your own health needs and create your own value of healthy weight gain.

 

 I’ve heard I won’t be able to control my bladder after pregnancy. Is this true?

The ability to control the bladder is a function of the pelvic floor muscles. In a pregnancy, the body gets more pliable and softer to accommodate the growing baby and to allow for birth. This means an overall softening of muscle tone. That could be a contributing factor to feeling a loss of control over the bladder. This reverses in the post-partum period, and with some help from you, can be fully regained. Furthermore, with age and lack of exercise, all muscles lose tone, and pelvic floor exercise or Kegels help with keeping this muscle healthy.

 

My husband is afraid to have intercourse while I’m pregnant because he might hurt the baby. What should I tell him?

The baby is well protected by the muscular wall of the uterus and the amniotic sac and amniotic fluid. More over the baby is placed high up and cannot be reached easily. The mouth of the uterus is closed and keeps the baby in and safe as well. So biology says that the baby cannot be reached or hurt. With the growing size of the belly in pregnancy, you may need to be creative about positions though, since direct pressure to the abdomen is not good.

 

 Why is intercourse more painful after giving birth?

With changing hormones, there may not be enough lubrication in the birth canal and that could be a reason for pain. An episiotomy or a tear with stitches could also be the cause.

 

 Is it normal to have so much discharge during pregnancy?

Increased vaginal discharge is normal in a pregnancy.

 

What if I sleep through labour?

Wouldn’t that be nice, to be able to rest through labour? It is doubtful! It would be the kind of sleep where you will not be aware of the baby coming. Sometimes it may seem that you are in a trance, unaware of everything around you, but will be totally tuned into your body and birth. On a lighter note, since nature is in charge of labour, you could sleep through it; be rest assured that nature will lead the birth.

 

 

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DR URVASHI SEHGAL
GYNAECOLOGIST & OBSTETRICIAN
PHOENIX HOSPITAL

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