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Pregnancy complications

  • Pregnancy complications may need special medical care.
  • Common complications include diabetes and anemia.
  • Go to all your prenatal care checkups, even if you feel fine.
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Chlamydia

Chlamydia is a sexually transmitted disease (also called STD). An STD is a disease you can get from having sex with someone who has the disease. You can get an STD from vaginal, anal or oral sex.

About 2.8 million people get this STD each year in the United States. It’s most common in people younger than 25.

Can chlamydia cause problems during pregnancy?

Yes. If you get it before or during pregnancy, chlamydia can cause pelvic inflammatory disease (also called PID). PID is an infection of the uterus, fallopian tubes and other reproductive organs. It can cause stomach pain and fever. PID can damage your fallopian tubes, lead to an ectopic pregnancy and cause fertility problems (problems getting pregnant).

If you’re pregnant and your chlamydia is not treated, you can pass it to your baby during labor and birth. It can cause eye infections and pneumonia in your baby.

How do you know if you have chlamydia?

Most women who have chlamydia have no signs or symptoms. Some have vaginal discharge and burning when they urinate. If you think you may have chlamydia, tell your health care provider.

Chlamydia often happens together with another STD called gonorrhea. If you have one of these infections, be sure you’re tested for the other.

If you’re pregnant, your health care provider checks you for chlamydia at an early prenatal checkup. Your provider uses a urine sample or vaginal fluid taken with a swab to test for chlamydia. The sample or swab is sent to a lab for testing.

Chlamydia is treated with antibiotics. Antibiotics are medicines that kill infections caused by bacteria. This treatment can prevent problems for you and your baby.

How can you protect yourself from chlamydia?

Here’s how to protect yourself from chlamydia:

  • Get tested and treated. If you find out you have chlamydia, get treatment right away. If you or your partner has untreated chlamydia, you can pass it back and forth to each other during sex. You and your partner also need testing for gonorrhea. Gonorrhea often happens together with chlamydia.
  • Don’t have sex. This is the best way to prevent yourself from getting an STD, including gonorrhea.
  • If you have sex, have sex with only one person who doesn’t have other sex partners. Use a condom if you’re not sure if your partner has an STD. Ask your partner to get tested and treated for STDs.

Last reviewed May 2013


When to call your provider

  • If you have heavy bleeding or bleeding for more than 24 hours
  • If you have fever, chills or severe headaches
  • If you have vision problems, like blurriness
  • If you have quick weight gain or your legs and face swell

Most common questions

What is mononucleosis?

Mononucleosis (also called mono) is an infection usually caused by the Epstein-Barr virus (EBV). It’s sometimes caused by another virus called cytomegalovirus (CMV). EBV and CMV are part of the herpes virus family. Mono is most common in teenagers and young adults, but anyone can get it. Mono is called the “kissing disease” because it’s usually passed from one person to another through saliva. In addition to kissing, it can also be passed through sneezing, coughing or sharing pillows, drinks, straws, and toothbrushes.

You can have mono without having any symptoms. But even if you don’t get sick, you can still pass it to others. Symptoms can include:

  • Achy muscles
  • Belly pain
  • Fatigue (feeling tired all the time)
  • Fever
  • Sore throat
  • Swollen glands in your neck

If your symptoms don’t go away or get worse, tell your health care provider. He’ll most likely do a physical exam and test your blood to find out for sure if you have mono.

There’s no vaccine to prevent mono. There’s also no specific treatment. The best care is to take it easy and get as much rest as you can. It may take a few weeks before you fully recover.

Can Rh factor affect my baby?

The Rh factor may be a problem if mom is Rh-negative but dad is Rh-positive. If dad is Rh-negative, there is no risk.

If your baby gets her Rh-positive factor from dad, your body may believe that your baby's red blood cells are foreign elements attacking you. Your body may make antibodies to fight them. This is called sensitization.

If you're Rh-negative, you can get shots of Rh immune globulin (RhIg) to stop your body from attacking your baby. It's best to get these shots at 28 weeks of pregnancy and again within 72 hours of giving birth if a blood test shows that your baby is Rh-positive. You won't need anymore shots after giving birth if your baby is Rh-negative. You should also get a shot after certain pregnancy exams like an amniocentesis, a chorionic villus sampling or an external cephalic version (when your provider tries to turn a breech-position baby head down before labor). You'll also want to get the shot if you have a miscarriage, an ectopic pregnancy or suffer abdominal trauma.

I had a miscarriage. How long should I wait to try again?

Before getting pregnant again, it's important that you are ready both physically and emotionally. If you don't need tests or treatments to discover the cause of the miscarriage, it's usually OK for you to become pregnant after one normal menstrual cycle. However, it may take longer for you to feel emotionally ready to be pregnant again. Everyone responds differently to a miscarriage. Only you will know when you are ready to try to get pregnant again.

Are gallstones common during pregnancy?

Not common, but they do happen. Elevated hormones during pregnancy can cause the gallbladder to function more slowly, less efficiently. The gallbladder stores and releases bile, a substance produced in the liver. Bile helps digest fat. When bile sits in the gallbladder for too long, hard, solid nuggets called gallstones can form. The stones can block the flow of bile, causing indigestion and sometimes serious pain. Staying at a healthy weight during pregnancy can help lower your risk of gallstones. Exercise and eating foods that are low in fat and high in fiber, like veggies, fruits and whole grains, can help, too. Symptoms of gallstones include nausea, vomiting and intense, continuous abdominal pain. Treatment during pregnancy may include surgery to remove the gallbladder. Gallstones in the third trimester can be managed with a strict meal plan and pain medication, followed by surgery several weeks after delivery.

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