Health experts say women like Januka should take a break. In extreme cases, hard work in late pregnancy can cause the uterus to slide out of its normal position, a condition known as uterine prolapse, which can leave the mother infertile. Long hours of strenuous manual labour can reduce sustenance to the baby, resulting in low birth weight and impaired foetal development, especially if the mother's diet is poor. Extreme exertion can also deprive the uterus of blood and trigger premature birth.

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