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Symptoms to Report

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Elaine Zwelling
By Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Most of the physical symptoms women experience during pregnancy are normal, even if they're not exactly comfortable. They are simply the result of being pregnant. Still, it's easy to worry and wonder whether everything is OK, and how you'd know if it were not. 

Although true complications are rare, it's always good to know what to look for. Here are some signs that could indicate a problem:

 

    • vaginal bleeding or spotting
 
    • premature rupture of membranes (also know as your "water breaking"); this can show up as a trickle of fluid, a steady leaking, or a gush. A rupture is considered premature anytime before 37 weeks.
 
    • persistent abdominal pain or preterm uterine contractions (for more information on recognizing preterm labor, see Preterm Labor Alert);
 
    • change in or absence of fetal movement (the baby's kicking or turning) for more than 24 hours after the 20th week
 
    • a severe headache that continues for more than two or three hours
 
    • visual disturbances, such as blurring or double vision
 
    • fainting or dizziness (feeling lightheaded can also be a normal symptom of early pregnancy)
 
    • weight gain of more than two pounds a week (not related to overeating!)
 
    • severe pain above the stomach, under the rib cage

       

 
    • swelling or puffiness (edema) in your face, eyes, or hands. Swelling in the feet or hands is normal during pregnancybut should be monitored. 

       

 
    • vomiting that continues over several days and occurs more than two or three times a day, particularly after your first trimester, by which time any "morning sickness" should have subsided
 
    • signs of infection (fever, chills, burning sensation while urinating, or diarrhea)

 

If you experience any of these symptoms, call your health care provider right away. This way, you won't worry, and if a problem does exist, it can be taken care of immediately.

 

 

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4 weeks pregnant
Question. I'm 4weeks pregnant and my breast is not tender only my nipples. Is it normal for that to ..

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