INTEGUMENTARY and MUSCULOSKELETAL SYSTEM(Changes during 2nd trimester of pregnancy)

1. INTEGUMENTARY andINTEGUMENTARY and
MUSCULOSKELETALMUSCULOSKELETAL
SYSTEMSYSTEM
(Changes during 2(Changes during 2ndnd
trimester of pregnancy)trimester of pregnancy)
PREPARED BY:PREPARED BY:
Maria Elisa B. BelarsoMaria Elisa B. Belarso
BSN2-CBSN2-C

2. PHYSIOLOGIC CHANGES OFPHYSIOLOGIC CHANGES OF
PREGNANCYPREGNANCY
 INTEGUMENTARY SYSTEMINTEGUMENTARY SYSTEM
SkinSkin
 circulation & metabolismcirculation & metabolism
-“hot” perspiration-“hot” perspiration
-Acne-Acne
- HyperpigmentationHyperpigmentation
 91% of women91% of women
 Estrogen, progesterone, &Estrogen, progesterone, &
melanocyte-stimulating hormonemelanocyte-stimulating hormone
 Dark complexion > light complexionDark complexion > light complexion
 ““mask of pregnancy” chloasmamask of pregnancy” chloasma
 Linea nigraLinea nigra

3. Chloasma(mask ofChloasma(mask of
pregnancy)pregnancy)

4. Physiologic Changes ofPhysiologic Changes of
PregnancyPregnancy
 Integumentary SystemIntegumentary System
Connective TissueConnective Tissue
 ““Stretch marks”Stretch marks”
 Striae gravidarumStriae gravidarum
 Linear tears in connective tissueLinear tears in connective tissue
 Abdomen, breasts, & buttocksAbdomen, breasts, & buttocks
 Slightly depressed, purple – pinkSlightly depressed, purple – pink
streaksstreaks
 Permanent but change to silveryPermanent but change to silvery
white colorwhite color
Hair & NailsHair & Nails
 Grows more rapidlyGrows more rapidly
 After delivery: rapid hair loss resolves byAfter delivery: rapid hair loss resolves by
6-12 months post partum6-12 months post partum

5. Physiologic Changes ofPhysiologic Changes of
PregnancyPregnancy
 Musculoskeletal SystemMusculoskeletal System
 Relaxin & progesteroneRelaxin & progesterone
-Gradual softening of pelvic-Gradual softening of pelvic
cartilage & connective tissuecartilage & connective tissue
-Relaxed sacroiliac joints &-Relaxed sacroiliac joints &
symphysis pubissymphysis pubis
-“waddling” gait of pregnancy-“waddling” gait of pregnancy
 Lordosis of spineLordosis of spine
 Separation of rectus abdominisSeparation of rectus abdominis
musclesmuscles
-Diastasis recti-Diastasis recti
(also known as abdominal separation)(also known as abdominal separation)