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Sleep matters at the best of times, but when you’re growing new life, getting a good night’s rest is incredibly important. But, pregnancy and sleep do not often go hand in hand. “Many people experience changes in their sleep patterns and quality during pregnancy,” says Dr Chun Tang, medical director and GP at Pall Mall Medical in Manchester. “Hormonal fluctuations, physical discomfort, frequent urination and anxiety can contribute to sleep disturbances. Some people may find it more challenging to fall asleep or stay asleep throughout the night, leading to altered sleep-wake cycles and a disrupted circadian rhythm.” Your circadian rhythm will change “During pregnancy, the circadian rhythm, which is the internal biological clock that regulates various physiological processes, undergoes certain changes,” says Tang. “Things like hormonal changes, sleep disruptions, changes in activity and energy levels and increased sensitivity to light, can affect your circadian rhythm.” Warmer body temperature “During pregnancy, basal body temperature (the body’s resting temperature) tends to be slightly elevated, due to hormonal changes, particularly increased levels of progesterone,” he explains. “This can result in a feeling of warmth or increased body heat. Higher basal body temperature can make it uncomfortable to sleep, especially in combination with external factors, like warm weather or a warm sleeping environment.” Some people may also experience night sweats, particularly during the later stages of pregnancy, Tang notes. “Night sweats are episodes of excessive sweating during sleep, which can lead to discomfort, disrupted sleep, and difficulty falling back asleep. Hormonal fluctuations and increased blood flow during pregnancy can contribute to these. “Hormonal changes during pregnancy can also trigger hot flushes, sudden feelings of intense heat and sweating that typically affect the face, neck, and chest. Hot flushes can occur during the day or at night, affecting sleep. But if you have a persistent fever or feel unwell, you should consult your GP,” he says. Vivid dreams “There have been numerous reports of people having more vivid dreams during pregnancy. Hormones, increased emotional sensitivity, and changes in sleep patterns can contribute to the intensity and frequency of dreams,” says Tang. “Pregnancy often brings about a range of emotional and psychological changes. Heightened emotions, anxiety, excitement, and anticipation can influence the content and intensity of dreams. Dreams may reflect the concerns, hopes, and fears associated with pregnancy and impending motherhood. “If vivid dreams are causing distress or affecting sleep quality, practising good sleep hygiene and relaxation techniques before bed may help promote better sleep. Maintaining a comfortable sleep environment, establishing a regular sleep routine, managing stress levels, and seeking support from healthcare providers can also be beneficial,” he adds. Physical discomfort Getting bigger may not be comfortable, particularly in the later months. As the pregnancy progresses, physical discomfort and increased fatigue may affect activity levels. Some people may experience increased daytime sleepiness, while others may find it harder to engage in physical activities, due to the changes associated with pregnancy. “The third trimester can present more pronounced sleep challenges, due to the changes and preparation for labour. Some common sleep difficulties during this trimester include discomfort and difficulty finding a comfortable position, frequent urination, heartburn or reflux, and restless leg syndrome,” Tang says. What can help? Yoga can be beneficial, suggests Tang: “Prenatal yoga is specifically designed to support the physical and emotional wellbeing of expectant mothers throughout their pregnancy. It involves gentle stretching, deep breathing exercises, mindfulness practices and relaxation techniques tailored to the needs and safety considerations of pregnancy. “These practices can be valuable for managing anxiety, promoting better sleep, and fostering a sense of calm and balance during pregnancy.”

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Myleene Klass has said that if the government does not implement changes to the way woman are treated following miscarriages then it no longer “deserves power”. The former Hear’Say singer met with the Minister for Women’s Health, Maria Caulfield, on Monday (10 July) at the Tommy’s National Centre for Miscarriage Research in Birmingham. Klass, who had previously been outspoken about her four miscarriages, organised the visit at the pregnancy charity’s centre – located in Birmingham Women’s Hospital which also contains an early pregnancy unit – alongside Labour MP Olivia Blake. The 45-year-old presenter urged the government to make sure women receive medical intervention after every miscarriage, not just three, 24 hours specialist care and support for pregnancy and for data to be collected to understand the scale of the issue. According to the NHS website, if a woman has had three or more miscarriages in a row then further tests will be given to understand the cause. Klass told the PA news agency that a soon to be published pregnancy loss review, which looks at improving NHS gynaecology and maternity care, could provide a “massive” change if implemented. She said: “If the policy (does) include these changes, the face of women’s health care is going to change unrecognizably and it will be a wonderful time for our children and our children’s children to know that we made a movement happen that actually protected women’s health.” When asked how she would feel if there are no changes, Klass said: “A health secretary and a health department and a government that doesn’t look after the people, that is in a position and empowered to do so, doesn’t deserve to hold (onto) that power.” The mother to daughters Ava and Hero and son Apollo said she has been “very frustrated” after a “real David and Goliath” battle with the government. She said: “I do find that women’s health is so far down on the agenda and it’s so misogynistic as to why it really is, from the tablets we are given to take, all the way through to the treatment that we receive, or rather the lack of treatment that we receive. “I think it’s pretty evident that we were told to just put up and shut up and that is not the world that we live in anymore.” Klass added that care for women going through miscarriages is not addressed as it is “taboo” and “makes people uncomfortable”. She said: “It’s so cruel when you have experienced the process of it, I’ve never done so much paperwork. “A little baby that never existed and yet the paperwork is excessive and you’re asking a woman to sign away… what do they refer to it as? The products of pregnancy, even our paperwork is incorrect.” Klass also said that the difference between women receiving care in an early pregnancy unit are a “lottery” as in certain parts of the country the centres can be closed during certain hours and at the weekend. She added: “So this is something that is actually costing the economy more, because people are being sent to the wrong places and really desperately suffering with their PTSD.” Klass said that one treatment, a steroid hormone called progesterone, should be administered to more women at risk and GPs should receive more training about the drug. Klass said: “If there is still a heartbeat and you’re bleeding (and) you are given progesterone, you’ve got a chance, I know this better than anybody because that’s how I had my son. “Can you imagine if you do suffer a miscarriage you sometimes or very often have to wait for your GP to then sign you off to get the secondary scan? That means… you have to wait to have your baby removed.” Klass said she hopes things have “shifted” after Caulfield’s visit. In a statement, the minister said the work done by Tommy’s is “so important” as pregnancy loss can be “hugely devastating and traumatic” and thanked those at the centre for sharing their stories. Caulfield said: “I’ll keep working to ensure women and their families can access the best possible care following complications in pregnancy. “The independent review into pregnancy loss – the findings of which will be published shortly – will consider how we can improve care so women and families receive the support they need.” Read More It took until my thirties to realise I might not be white Woman exits plane after tirade about passenger who is ‘not real’: ‘I’m not about to be Final Destination-ed’ ‘We call them Picky Bits’: Nigella Lawson responds to viral ‘Girl Dinner’ trend Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

Florida governor Ron DeSantis came to his wife’s defence on Monday, claiming that those mocking her as “America’s Karen” were actually threatened by her. Mr DeSantis’s pushback came as MSNBC analyst and former Republican congressman from Florida, David Jolly, called his wife Casey DeSantis “America’s Karen”, a pejorative term typically used for a middle-class white woman who exhibits entitled, demanding, and often confrontational behaviour. The comments were made on MSNBC’s Saturday Show with Jonathan Capehart last week during a discussion on Ms DeSantis’s campaign on behalf of her husband. Appearing on Fox News on Monday, Mr DeSantis said he and his wife will wear the tag as a “badge of honour”. “My wife is an incredibly strong first lady of Florida, a fantastic mother and a great wife, and that threatens the Left,” he said. "So she and I kind of shrug it off because we know it just shows they view her as a threat, because the message that she was bringing in Iowa about the rights of parents and how we are not going to take this anymore with the Left trying to indoctrinate our kids, they understand that that resonates not just with Republican parents, with independent parents and, yes, with Democrat parents," he added. Mr Jolly, who represented Florida’s 13th Congressional District from 2014 to 2017, said the presidential hopeful’s wife was a “fairly compelling political figure in Florida and now nationally”. “For many, she’s the brighter side to Florida’s angry governor. For others, she’s become America’s Karen," he said. "Look, she’s a more effective messenger than Ron DeSantis, but if all she’s doing is amplifying the wrong message, she’s actually clarifying Ron DeSantis’s weaknesses," he added. “It doesn’t matter if it’s presented in heels or boots, the DeSantis doctrine’s a losing one,” he said. “We’re gonna learn that the more Casey DeSantis gets out there.” The panellists on the show, including The Lincoln Project member Tara Setmayer, cracked up at the mention of the words “America’s Karen” and joined Mr Jolly in mocking her. “Well, I called her, I called her this, you know, Serena Waterford wannabe needs to cut it out. We see you. So… there’s all kinds of names for her,” Ms Setmayer said. Waterford is a reference to the antagonist in Margaret Atwood’s dystopian novel The Handmaid’s Tale. “She needs to stop trying to measure the drapes in the White House and think that she’s some kind of Jackie O reincarnate. I mean, Casey DeSantis, keep an eye on her, though. She’s a wily figure." Mr DeSantis said those who are criticising her are probably feeling challenged. "She’s a great advocate for families, a great advocate for children. And I’m thankful that she’s my wife," Mr DeSantis said. "And I’m really honoured that she’s willing to go out there and press the case. And so we wear criticism from MSNBC as a badge of honour." The comments came even as Donald Trump was found to be leading Mr DeSantis in polls of Florida Republicans. A survey of likely Republican primary voters in the Sunshine State by Florida Atlantic University showed him firmly trailing Mr Trump, with the pair’s other rivals for the GOP nomination far out in the wilderness. Mr Trump leads Mr DeSantis 50-30 in the survey. Read More MSNBC panelist calling Casey DeSantis ‘America’s Karen’ sparks war of words with Fox News Trump news – live: Trump spreads White House cocaine conspiracy as DeSantis pledges interviews on policy Palace insists King Charles didn’t mind when President Biden ‘broke protocol’ and patted him on back Cameron bows out of Kentucky political event hosted by possible Rep. Massie challenger Trump leads DeSantis by 20 points in poll of Florida Republicans MSNBC panelist calling Casey DeSantis ‘America’s Karen’ sparks war of words with Fox

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