Pregnancy info is everywhere. At your first prenatal visit, your doctor will likely give you armfuls of
pamphlets that cover every test and trimester.
Despite all this information, here are 10 common surprises that pregnancy can bring.
1. The Nesting Instinct
Many pregnant women feel the nesting instinct, a powerful urge to prepare their
home for the baby by cleaning and decorating.
As your due date draws closer, you may find yourself cleaning cupboards or washing
walls — things you never would have imagined doing in your ninth month of pregnancy!
This desire to prepare your home can be useful — you'll have fewer to-do items after
the birth. But be careful not to overdo it.
2. Problems With Concentration
In the first trimester,
tiredness and morning sickness can make many women feel worn out and mentally fuzzy.
But even well-rested pregnant women may have trouble concentrating and periods of
Thinking about the baby plays a role, as do hormonal changes. Everything — including
work, bills, and doctor appointments — may seem less important than the baby and the
coming birth. Making lists can help you remember dates and appointments.
3. Mood Swings
Premenstrual syndrome and pregnancy are alike in many ways. Your breasts swell
and become tender, your hormones go up and down, and you may feel moody. If you have
PMS, you're likely to have more severe mood swings during pregnancy. They can make
you go from being happy one minute to feeling like crying the next.
Mood swings are very common during pregnancy. They tend to happen more in the first
trimester and toward the end of the third trimester.
Many pregnant women have depression
during pregnancy. If you have symptoms such as sleep problems, changes in eating habits,
and mood swings for longer than 2 weeks, talk to your health care provider.
4. Bra Size
An increase in breast size is one of the first signs of pregnancy. Breast growth
in the first trimester is due to higher levels of the hormones
. That growth in the first trimester might not be the end, either — your
breasts can continue to grow throughout your pregnancy!
Your bra size also can be affected by your ribcage. When you're pregnant, your
lung capacity increases so you can take in extra oxygen, which may lead to a bigger
chest size. You may need to replace your bras several times during your pregnancy.
5. Skin Changes
Do your friends say you have that pregnancy glow? It's one of many effects that
can come from hormonal changes and your skin stretching.
Pregnant women have increased blood volume to provide extra blood flow to the uterus
and other organs, especially the kidneys. The greater volume brings more blood
to the vessels and increases oil gland secretion.
Some women develop brownish or yellowish patches called chloasma, or the "mask
of pregnancy," on their faces. And some will notice a dark line on the midline
of the lower abdomen, known as the linea nigra (or linea negra). They can also have
hyperpigmentation (darkening of the skin) of the nipples, external genitalia, and
anal region. That's because pregnancy hormones cause the body to make more pigment.
This increased pigment might not be even, so the darkened skin may appear as splotches
of color. Chloasma can't be prevented, but wearing sunscreen and avoiding UV light
can minimize its effects.
Acne is common during pregnancy because the skin's sebaceous glands make
more oil. And moles or freckles that you had before pregnancy may get bigger and darker.
Most of these skin changes should go away after you give birth.
Many pregnant women also get heat rash, caused by dampness and sweating. In general,
pregnancy can be an itchy time for a woman. Skin stretching over the abdomen may cause
itchiness and flaking. Your doctor can recommend creams to soothe dry or itchy skin.
6. Hair and Nails
Many women have changes in hair texture and growth during pregnancy. Hormones can
make your hair grow faster and fall out less. But these hair changes usually aren't
permanent. Many women lose some hair in the postpartum period or after they stop breastfeeding.
Some women find that they grow hair in unwanted places, such as on the face or
belly or around the nipples. Changes in hair texture can make hair drier or oilier.
Some women even find their hair changing color.
Nails, like hair, can change during pregnancy. Extra hormones can make them grow
faster and become stronger. Some women, though, find that their nails split and break
more easily during pregnancy. Like the changes in hair, nail changes aren't permanent.
If your nails split and tear more easily when you're pregnant, keep them trimmed and
avoid the chemicals in nail polish and nail polish remover.
7. Shoe Size
Even though you can't fit into any of your pre-pregnancy clothes, you still have
your shoes, right? Maybe — but maybe not. Extra fluid in their pregnant bodies mean
that many women have swollen feet and need to wear a larger shoe size. Wearing slip-on
shoes in a larger size can be more comfortable, especially in the summer months.
8. Joint Mobility
During pregnancy, your body makes the hormone relaxin, which is believed to help
prepare the pubic area and the cervix for the birth. Relaxin loosens the ligaments
in your body, making you less stable and more at risk for injury. It's easy to overstretch
or strain yourself, especially the joints in your pelvis, lower back, and knees. When
or lifting objects, go slowly and avoid sudden, jerking movements.
9. Varicose Veins, Hemorrhoids, and Constipation
Varicose veins, usually found in the legs and genital area, happen when blood pools
in veins enlarged by pregnancy hormones. Varicose veins often go away after pregnancy.
To help prevent them:
avoid standing or sitting for long periods
wear loose-fitting clothing
wear support hose
raise your feet when you sit
Hemorrhoids — varicose veins in the rectum — are common during pregnancy as
well. Your blood volume has increased and your uterus puts pressure on your pelvis.
So the veins in your rectum may enlarge into grape-like clusters. Hemorrhoids can
be very painful, and can bleed, itch, or sting, especially during or after a bowel
Constipation is another common pregnancy woe. It happens because pregnancy hormones
slow the passing of food through the gastrointestinal tract. During the later stages
of pregnancy, your uterus may push against your large intestine, making it hard for
you to have a BM. And constipation can contribute to hemorrhoids because straining
to go may enlarge the veins of the rectum.
The best way to deal with constipation and hemorrhoids is to prevent them. Eating
a fiber-rich diet, drinking plenty of liquids daily, and exercising regularly can
help keep BMs regular. Stool softeners (not laxatives) may also help. If you do have
hemorrhoids, talk to your health care provider about a cream or ointment that can
10. Things That Come Out of Your Body During Labor
So you've survived the mood swings and the hemorrhoids, and you think your surprises
are over. But the day you give birth will probably hold the biggest surprises of all.
During pregnancy, fluid surrounds your baby in the amniotic sac. This sac breaks
(or "ruptures") at the start of or during labor — a moment usually referred
to as your water breaking. For most women in labor, contractions start before their
water breaks. Sometimes the doctor has to rupture the amniotic sac (if the cervix
is already dilated).
How much water can you expect? For a full-term baby, there are about 2 to 3 cups
of amniotic fluid. Some women may feel an intense urge to pee that leads to a gush
of fluid when their water breaks. Others may only feel a trickling down their leg
because the baby's head acts like a stopper to prevent most of the fluid from leaking
Amniotic fluid is generally sweet-smelling and pale or colorless. It's replaced
by your body every 3 hours, so don't be surprised if you continue to leak fluid, about
a cup an hour, until delivery.
Other, unexpected things may come out of your body during labor. Some women have
nausea and vomiting. Others have diarrhea before or during labor, and passing gas
is also common. During the pushing phase of labor, you may lose control of your bladder
A birth plan can
help communicate your wishes to your health care providers about how to handle these
and other aspects of labor and delivery.
Lots of surprises are in store for you when you're pregnant — but none sweeter
than the way you'll feel once your newborn is in your arms!