Minor conditions of pregnancy

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Minor conditions of pregnancy

  1. 1. Minor Symptoms of Pregnancy Asheber Gaym M.D. January 2009
  2. 2. Outline • Define the minor complaints of pregnancy • Discuss the reasons for the occurrence of the minor complaints of pregnancy • Outline the minor complaints of pregnancy • Discuss the management of the minor complaints of pregnancy 2Asheber Gaym, 2009
  3. 3. Definition of minor complaints of pregnancy • The minor complaints of pregnancy refer to common complaints of pregnant women that occur due to the physiological alterations of pregnancy and do not signify significant pathology as their basis • Most of these symptoms signify significant disease states when they occur in a non-pregnant woman • As long as further history, physical exam and diagnostic work up do not indicate the presence of serious illness, the minor complaints of pregnancy can be managed symptomatically • The minor symptoms subside following delivery 3Asheber Gaym, 2009
  4. 4. Etiology of the minor complaints of pregnancy • The minor complaints of pregnancy occur due to the hormonal, anatomical, physiological and biochemical alterations of pregnancy • Their severity and occurrence differs from mother to mother and on other factors including maternal age and parity • As they are caused by the changes of pregnancy they subside after delivery and the end of the puerperium 4Asheber Gaym, 2009
  5. 5. Outline of the minor complaints of pregnancy Organ system Minor complaint of pregnancy Cardiovascular system Palpitation; headache; sweating; feeling of heat; fainting episodes; fatigue; varicosities Respiratory system Dyspnoea; air hunger Gastrointestinal tract Nausea; vomiting; heartburn; constipation; bloating Urinary system Frequency; leg edema (80%); generalized edema(30%) Musculoskeletal system Back pain; leg pain; pelvic pain; abdominal discomfort and occasional pain Integumentary system Chloasma Glandular system Breast tenderness; feeling of fullness 5Asheber Gaym, 2009
  6. 6. Approach to the minor complaints of pregnancy • Most minor complaints are symptoms and signs of significant disease in the non-pregnant state • They can be very distressful for the mother and be causes of concern • A disease state should be ruled out by a careful history and detailed examination and diagnostic work up if necessary • Once significant pathology is ruled out, mother can be reassured and symptomatic management provided 6Asheber Gaym, 2009

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