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" No symptom is too inconsequential to mention. Getting reassurance that something is normal can alleviate many pregnancy-related fears, and there may be easy treatments we can recommend to make women feel more comfortable. " —THOMAS PAONE, M.D. of the amniotic sac membranes. In other words, it may cause the woman's water to break." Women should plan to visit their dentist for a cleaning at least once during pregnancy, and to brush and floss daily. "Some women don't realize they should see a dentist during pregnancy," Goldman says. "But women who have periodontal disease or cavities can feel safe getting recommended x-rays, taking antibiotics and undergoing dental work." 6. Snoring and shortness of breath— As many as 30 percent of pregnant women snore at night, and by the third trimester, most women also feel like they are unable to take a full breath. One of the best ways to prevent both problems is to minimize weight gain. Women who have a normal body mass index before pregnancy should gain no more than 25 to 35 pounds. Moms-to-be who are overweight at the start of their pregnancies should aim for a 15- to 25-pound gain, while underweight women may need to gain up to 40 pounds. Packing on excess weight increases the likelihood of snoring and shortness of breath that may occur during routine daily activities and at night while lying down, and even sleep apnea, according to Dr. Paone. 7. Sweating—Night sweats and increased sweating during the day can occur frequently during pregnancy. Staying hyd rated a nd d ressing in lig ht, cotton layers can help preg nant women stay cool. 8. Vaginal discharge—Many women notice an increase in vaginal discharge during pregnancy. As long as there is no odor or itching, the discharge is probably normal, according to Dr. Paone. It's also common for women to experience light bleeding or spotting for one or two days after sex. That can be scary for moms-to-be and their partners, but it usually is not a cause for concern. What can indicate complications is heavy bleeding with or without cramping or a large gush of clear fluid. Both of these symptoms warrant an emergency room visit. Throughout pregnancy, women should talk with their doctor or seek care if they feel apprehensive or are unsure about a symptom's severity. "No symptom is too inconsequential to mention," Dr. Paone says. "Getting reassurance that something is normal can alleviate many pregnancy- related fears, and there may be easy treatments we can recommend to make women feel more comfortable." thrive P H Y S I C I A N RE F E R R A L / / 718 . 49 9. C A RE 11