Congratulations you're having a baby, such a magical time in a woman’s life and equally exciting for your partner who will share the highs and lows along side you. Women experience many different symptoms during pregnancy and no two pregnancies are the same. Some women may experience swollen, bleeding gums during pregnancy.Bleeding gums are caused by a build up of plaque on the teeth. However hormonal changes can make your gums more vulnerable to plaque, which can lead to bleeding and inflammation, most referred to as gum disease or pregnancy gingivitis. Inflammation of the gums can occur at anytime during pregnancy but more noted around the 15th week of pregnancy which increases the chance of bleeding gums. What causes bleeding gums during pregnancy? When you go to visit the dentist or hygienist a diagnosis of pregnancies gingivitis may be given on the basis of your compliant of bleeding gums and clinical findings. Gingivitis is inflammation of the gums caused by plaque build-up. It is a reversible condition but requires you to maintain a good oral hygiene routine at home, combined with regular hygiene visits. Hormone changes account for swollen, bleeding gums and can increase the sensitivity of the gums. There is now increased progesterone and oestrogen pumping through your blood which increase the flow of blood to all the mucous membranes. As mentioned before you're likely to notice changes to your gums during the 2d trimester with sensitivity and bleeding peaking during the third trimester. If you are someone that has experienced gum disease prior to being pregnant, please be aware the change in your hormones will aggravate this. Along side bleeding gums, you may notice that your gums appear swollen, red and sore. Try not to worry as this is normal continue to maintain your oral hygiene routine as much as possible. Morning sickness. One of the most common symptoms during pregnancy. I hope this passes soon for you if you are experiencing this. If morning sickness is still something you are dealing with make sure you rinse your mouth with water after to wash away the acids from your stomach. If you want to brush your teeth wait for at least an hour, as the acid may have softened the enamel on your teeth. Avoiding brushing your teeth two times a day? If the mint flavour of the toothpaste adds to the feeling of sickness there are alternative toothpastes that can be considered that has no flavour but still provides the level of protection your teeth need daily. Pregnancy Is not easy so in the short term change your brand or look for a lighter tasting paste. Keeping teeth and gums healthy in pregnancy It's very important to keep your teeth and gums clean and healthy while you're pregnant The best way to prevent or deal with gum problems is to practise good oral hygiene. See your dental hygienist on a regular basis, they will go through the best ways to maintain your oral hygiene. Here's how you can look after your teeth and gums:  Clean your teeth carefully twice a day for 2 minutes with a fluoride toothpaste 1450ppm, – if you struggle with the correct method please speak to your dentist or hygienist who can help you. Spit not rinse to allow the fluoride to do its job. Floss or tepe interdental brushes, once a day to remove small bits of food from between your teeth, which will help to prevent the build-up of plaque. Brushing with a manual or electric toothbrush. I find you get a better clean with an oral b electric toothbrush. Avoid having sugary drinks (such as fizzy drinks or sweet tea) and sugary foods too often – try to keep them to mealtimes. Drink fizzy drinks and juices with a straw. If you're hungry between meals, snack on foods such as vegetables, fresh fruit or plain yoghurt, and avoid sugary or acidic foods. Avoid mouthwashes that contain alcohol. IF you use a mouthwash, make sure it is used separate from the time of brushing your teeth. Stop smoking, as it can make gum disease worse, and I am sure we do not want to harm the baby. Dental treatments to avoid in pregnancy When you attend dental hygiene or dentist appointments please make sure to inform your practitioner of your pregnancy. Discuss with your dentist whether any new or replacement fillings should be delayed until after your baby is born. The Department of Health and Social Care advises that amalgam fillings should not be removed during pregnancy. If you need a dental X-ray, your dentist will usually wait until you've had your baby, even though most dental X-rays do not affect the tummy (abdomen) or pelvic area. Bleeding gums admittedly are no fun and can add to your worry but try not to stress on it to much, its temporary and once you deliver your precious baby into the world these symptoms tend to clear up like most pregnancy symptoms. If you have any concerns make sure to speak with your dentist or your hygienist. Good luck mummy.

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