What are the early symptoms of pregnancy?

गर्भवती भएको कसरी थाहा पाउँने र त्यसका लक्षणहरु

पहिलो पटक गर्भवती भएको लक्षणहरु थाहा नपाउँने धेरै महिला हुन्छन् । त्यसमा पनि किशोरीहरु गर्भवती भए भने त झन धेरैले थाहा नपाइरहेका हुन्छन् । गाउँमा त गर्भवती सम्बन्धी जाँच गर्न पाइन्छ भन्नेसम्म धेरैलाई थाहा नभएको अवस्था छ । दर्गम गाउँमा त त्यस्तो सुविधा पाउँन धेरै मुस्किल छ । कुनै कारणले दुई महिनासम्म पनि महिनावारी नभएको अनुभव गरेका किशोरीहरुले त पेट बढेको देखेर मात्र आफु गर्भवती भएको थाहा पाउँदछन । गर्भधारण भएको छ भने निम्न किसिमका लक्षणहरु हुन्छन्ः

  • महिनावारी रोकिएको हुन्छ,
  • बिहान बिहान वाकवाकी लाग्ने तथा बान्ता पनि हुने (मर्निङ सिक) हुन थाल्दछ,
  • स्तनको आकार बढ्दै जान थाल्दछ, अलिअलि साह्रो पनि भएको अनुभव हुन्छ,
  • समाउँदा वा छुँदा पनि स्तन र स्तनको मुण्टो दुखेको महसुस हुन्छ,
  • पिसाव छिटोछिटो लाग्न थाल्दछ ।

यी लक्षणहरु तथा चिह्न देखिएमा आवश्यकताअनुसार गर्भवती महिलाले गर्भलाई निरन्तरता दिने भएमा सोही अनुसार बिचार गर्ने र तयारी गर्ने । यदि त्यो निरन्तरता दिनु नमिल्ने वा असमर्थ रहेको अबस्थामा आवश्यक सरसल्लाह लिन सुरक्षित गर्भपतन सेवा दिने स्वास्थ्यकर्मी भएको स्वास्थ्य संस्थामा नै सम्पर्क राख्नुपर्दछ । किनकि जहाँपायो त्याहिँ गराउँदा ज्यान जान पनि सक्छ वा फेरि कहिल्यै पनि बच्चा नहुने स्थिति पनि हुन सक्दछ । गर्भ रहेको शंका लागेमा ४८ घण्टा भित्र स्वास्थ्यकर्मीको सल्लाह अनुसार आकस्मिक गर्भनिरोधको साधनको प्रयोग वा औषधि खान पनि सकिन्छ ।

शहर बजारमा त गर्भ परिक्षण गर्ने गर्भ भए नभएकोे थाहा पाउन टेस्ट किट भन्ने एक किसिमको सामाग्रीको प्रयोग गरेर निश्चित गर्न सकिन्छ ।

What are the early symptoms of pregnancy?

Many women cannot determine their pregnancy and majority of adolescents do not have enough information to detect it. In rural areas, many people even do not know about the availability of facilities that provide services related to family planning. In remotest parts of the Nepal, such facilities do not even exist. Many adolescents, who have had sexual intercourse, cannot even suspect for pregnancy even if their menstrual cycle is delayed. They start to suspect over their pregnancy if they begin to notice a bulge in their stomachs. The bulge in the stomach starts throughout the first trimester and fist few weeks of the second trimester. There are some symptoms that can help you to suspect pregnancy.

  • Menstrual cycle stops for upcoming 9 months and will be resumed after giving birth to a child (most probably after 3 to 4 months)
  • Due to the hormonal changes in the body, she finds herself craving for food items including pickles
  • She experiences a tenderness and soreness in her breast. The areola (area around the nipples) begins to darken. These changes indicate that she is now preparing herself for breast feeding.
  • She experiences morning sickness and nausea and feels like vomiting, especially during the first trimester.
  • Throughout the first 12 weeks of pregnancy, she starts to feel that she is fatigued.
  • She now needs to urinate more than normal

However, she can detect her pregnancy by using a pregnancy test kit that is easily found in the market. The pregnancy test kit helps in detecting the presence of human chorionic gonadotropin, a type of hormone present in woman’s urine is she is pregnant.

If pregnancy is suspected or detected and is unwilling to continue it then she disrupts or delay the fertilization by taking emergency contraceptive pills that are easily available in the market. These emergency contraceptive pills are effective if taken shortly after having unprotected sex i.e. within 72 hours or 105 hours (depending upon the brand of the pill).

A woman should decide whether or not to continue with her pregnancy as soon as she experiences such symptoms. If she is unwilling to do that then visiting a doctor at a nationally recognized safe abortion facility is advisable. If one wishes to abort a child and takes services at an unrecognized facility then the lives of both mother and child can be in danger.

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