Symptoms Seem to Be Off and On?

QUESTION

Dear Midwife,
I am 8 weeks and 2 days pregnant and I haven't had any nausea (thank goodness). But I have had bad constipation, extremely sore breasts (I am a double dd and getting bigger!),and urinating every 20 minutes it seems.

My question is: Ever since about 7 weeks my symptoms seem to come and go, I noticed that the constipation is letting up and my breasts are sore but have good days and bad. I am mainly worried that since the constipation is letting up that maybe I am doomed for a miscarriage and the baby isn't their anymore.

I have miscarried 5 times before and this last one I made it 5 weeks and when they did the ultra sound their was a sac but no baby. SO is this normal? The coming and going of symptoms...should I be concerned?

ANSWER

If you have had five miscarriages, I am hoping that you have had all the blood work to check for issues that can be solved with medication, and they are telling you that there are none at all.

Assuming that you are healthy, every day that you stay pregnant is good news. By seven weeks, an ultrasound should show the baby's heart beat.

Given your history, I'm surprised that they have not offered you one, but I'd request one so that you can stop worrying. Congratulations!

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.