all the minor disorder which all occur during pregnancy period, that is covered in this slide. it is very informative topic for the all the postgraduate students. Postgraduate students specially in OBG speciality they can use these topic for the future classes
Puerperium is the period following childbirth during which the body tissues, specially the pelvic organs revert back approximately to the pre-pregnant state both anatomically and physiologically. puerperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks when the uterus becomes regressed almost to the non-pregnant size.
Puerperium is the period following childbirth during which the body tissues, specially the pelvic organs revert back approximately to the pre-pregnant state both anatomically and physiologically. puerperium begins as soon as the placenta is expelled and lasts for approximately 6 weeks when the uterus becomes regressed almost to the non-pregnant size.
The presentation contain:
Normal puerperium ; Physiology, Duration
Postnatal assessment and management
Promoting physical and emotional well-being
Lactation management
Immunization
Family dynamics after child-birth.
Family welfare services; methods, counseling
Follow-up
Records and reports
The presentation contain:
Normal puerperium ; Physiology, Duration
Postnatal assessment and management
Promoting physical and emotional well-being
Lactation management
Immunization
Family dynamics after child-birth.
Family welfare services; methods, counseling
Follow-up
Records and reports
nausea and vomiting in pregnancy is very common. it may be a manifestation of some medical - surgical - gynecological complications. hyperemesis gravidarum is a severe type of vomiting in pregnancy which has got deleterious effects on the health of the mother. it is a very important topic and it is also a topic in obstetrics. we should encourage and help young mothers to identify the symptoms. please read it and get knowledge about nausea and vomiting in pregnancy. stay tuned.
MINOR AILMENTS IN PREGNANCY. in obstetrics and gynacological nursingpptxDelphyVarghese
Minor ailments are generally defined as medical conditions that will resolve on their own and can be reasonably self-diagnosed and self-managed with over-the-counter medications. Examples of minor ailments include headache, back pain, insect bites, heartburn, nasal congestion, etc.
Hyperemesis Gravidarum - Disorder of PregnancyJaice Mary Joy
Hyperemesis gravidarum is characterized by severe nausea and intractable vomiting sufficient to interfere with maternal nutrition causing deleterious effect on her health. It has got deleterious effect on health of the patient and incapacitates her day-to-day activities. According to the national health portal 0.3%-3% pregnant women suffer from hyperemesis gravidarum – commonest indication for hospitalization in the first trimester of pregnancy.
This document covers following topics -
• Introduction
• Definition
• Prevalence
• Etiology
• Risk factors
• Theories behind hyperemesis gravidarum
• Symptoms:
• Signs
• Investigation
• Diagnosis
• Complications
• Prevention
• Management principles
• Nursing management
NURSING MANAGEMENT OF THE PREGNENT WOMEN, MINOR DISORDERS OF PREGNANCY AND MA...TanuShekhawat6
DEFINITION
During the course of pregnancy period many changes occur in a woman's body as a result of hormonal influences and adaptation to the gestational process. Thereby, they experience a variety of physiological and psychological symptoms such as nausea, vomiting, backache giddiness, heartburn and anxiety etc. These are termed as minor ailments or discomforts of pregnancy.
MINOR DISORDERS OF PREGNANCY ACCORDING TO SYSTEMS
DIGESTIVE SYSTEM
NAUSEA & VOMITING
It is a common disorder seen in about 50%women between 4th & 16th week of gestation.
Hormonal influences are thought to be the most likely cause. Human chorionic gonadotropin that is present in large amounts in the 1st trimester, estrogen & progesterone are all contribute to this.
The sickness is confined to “early morning” but can occur at any time in the day. The smell of certain cooking food will cause the symptom.
NURSING MEASURES
CONSTIPATION
Constipation is a quite common ailment during pregnancy. Atonicity of the gut due to the effect of progesterone, diminished physical activity and pressure of the gravid uterus on the pelvic colon are the possible explanations.
Whoa!
Increase the intake of water.
Add green leafy vegetables, fruits & bran cereals to her diet.
Take a glass of warm water in the morning before tea or breakfast which would activate the gut & help regular bowel movements.
Do exercise by regular walking.
HEART BURN (PYROSIS)
It occurs because the cardiac sphincter relaxes during pregnancy due to the effect of progesterone. The condition tends to worsen as pregnancy advances because the stomach is displaced upward by the enlarging uterus.
Heartburn is most troublesome at about 30th to 40th week of gestation because at this stage the stomach is under pressure from the growing uterus.
NURSING MEASURES
Avoiding aggravating factors, e.g. citrus juice, spicy & fried food.
Drink fluid before and after meals, Use Milk
Smaller meals more often.
Propped up position after meals.
Avoid lying flat.
Wear loose clothes
Antacids (Aluminum hydroxide, Magnesium hydroxide)
EXCESSIVE SALIVATION
This occurs from 8th week of gestation and it is thought that the hormones of pregnancy are the cause for it.
Hyperactivity of the parotid gland It may accompany heartburn.
Astringent mouth washes some time helpful.
Pica
This the term used when the mother craves certain foods or unnatural substances such as coal.
The cause is unknown but hormones & changes in metabolism are thought to contribute to this.
If the substances craved are harmful to the unborn baby, the mother must be helped to seek medical advice.
MUSCULO-SKELETAL SYSTEM
FATIGUE
The pregnant patient is more subjected to fatigue during the last trimester pregnancy because of altered posture & extra weight carried.
Management:
Frequent rest period should recommended.
Anemia & other systemic diseases should be ruled out.
Backache
MANAGEMENT:
Excessive weight gain should be avoided.
Rest with elevation of legs.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Model Attribute Check Company Auto PropertyCeline George
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Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
2. INTRODUCTION
• MANY WOMEN EXPERIENCE SOME MINOR DISORDER DURING PREGNANCY
• THESE DISORDER SHOULD BE TREATED ADEQUATELY AS THEY MAY
ESCALATE AND BECOME LIFE THREATENING.
• MINOR DISORDERS MAY OCCUR DUE TO HORMONAL
CHANGES,ACCOMODATION CHANGES, METABOLIC CHANGES AND POSTURAL
CHANGES.
• EVERY SYSTEM OF BODY MAY AFFECTED BY PREGNANCY
3. MINOR DISORDERSOF PREGNANCY
• DURING PREGNANCY ANATOMICAL, PHYSIOLOGICAL AND BIOCHEMICAL
ADAPTATIONS ARE PROFOUND
• THE FEMALE BODY UNDERGOES THESE CHANGES DURING ONSET OF
PREGNANCY AND CONTINUE THROUGH GESTATION.
• THESE CHANGES OCCUR DUE TO SOME PHYSIOLOGICAL STIMULI PROVIDED
BY THE FETUS AND PLACENTA.
• THESE CHANGES MAY BE UNPLEASANT AND AS WELLAS WORRYING.
4. • DURING THE COURSE OF PREGNANCY PERIOD MANY CHANGES OCCUR
IN A WOMAN’S BODY AS A RESULT OF HORMONAL INFLEUNCES AND
ADAPTATIONS TO THE GESTATIONAL PROCESS. THEREBY, THEY
EXPERIENCE A VARIETY OF PHYSIOLOGICALAND PSYCHOLOGICAL
SYMPTOMS SUCH AS NAUSEA, VOMITING, BACKACHE, GIDDINESS,
HEARTBURN, AND ANXIETY ETC. THESE ARE TERMED AS MINOR
DISORDERS OF PREGNANCY.
5. NAUSEAAND VOMITING:-
• ESPECIALLY IN THE MORNING.
• USUALLY COMMON IN PRIMIGRAVIDAE.
• MOST COMMONLY OCCURS DURING THE FIRST 10 WEEKS.
• RELATED TO HIGHER LEVELS OF HCG.
6. MANAGEMENT:-
• DIETARY CHANGES.
• HOSPITALIZATION MAY BE NECESSARY TO CORRECT FLUID AND
ELECTROLYTE IMBALANCE.
• AVOID: DISAGREEABLE ODORS AND RICH, SPICY, OR GREASY FOODS.
• DRINK WATER BETWEEN MEALS TO AVOID DEHYDRATION.
• MEDICATION: WELL –KNOWN OVER-THE- COUNTER DRUGS SHOULD
BE ADMINISTERED ONLY WHEN ABSOLUTELY INDICATED AND
PRESCRIBED.
7. CONSTIPATION:-
• QUITE COMMON DISORDERS
• ATONICITY OF THE GUT DUE TO THE EFFECT OF PROGESTERONE,
DIMINISHED PHYSICAL ACTIVITY AND PRESSURE OF THE GRAVID
UTERUS ON THE PELVIC COLON.
8. MANAGEMENT:-
• EMPHASIZE AMPLE FLUIDS AND LAXATIVE FOODS AND PRESCRIBE A
STOOL SOFTENER.
• PURGATIVES SHOULD BE AVOIDED BECAUSE OF THE POSSIBILITY OF
INDUCING LABOR.
• EXERCISE AND GOOD BOWEL HABITS ARE HELPFUL.
9. ACIDITY AND HEARTBURN:-
• DUE TO RELAXATION OF THE ESOPHAGEAL SPHINCTER .
• HEARTBURN RESULTS FROM GASTROESOPHAGEAL REFLUX DISEASE (
GERD)
• MOST LIKELY TO OCCUR WHEN THE PATIENT IS LYING DOWN OR
BENDING OVER.
10. MANAGEMENT:-
• TO AVOID OVER EATING AND NOT TO GO TO BED IMMEDIATELY AFTER
THE MEAL.
• LIQUID ANTACIDS MAY BE HELPFUL.
• SLEEPING IN SEMI- RECLINING POSITION WITH HIGH PILLOWS
• SYMPTOMATIC TREATMENT, NOT SURGERY, IS RECOMMENDED.
• HOT TEAAND CHANGE OF POSTURE ARE HELPFUL.
11. EXCESSIVE SALIVATION(PTYALISM)
• INCREASED SECRETION OF SALIVA IS OBSERVED DURING PREGNANCY. IT
MAY BE ASSOCIATED WITH INCREASED INTAKE OF STARCH, THOUGH
ACTUAL CAUSE IS NOT KNOWN.
•MANAGEMENT-
• THIS PROBLEM IS USUALLY SELF- LIMITING AND MAY BE OVERCOME BY
DECREASING INTAKE OF CARBOHYDRATES.
• IT IS NOT ASSOCIATED WITH ANY ADVERSE PREGNANCY OUTCOME.
12. ABDOMINAL DISCOMFORT:-
• DUE TO PELVIC HEAVINESS IS CAUSED BY THE WEIGHT OF THE UTERUS.
• FLATULENCE AND DISTENSION CAN BE DUE TO LARGE MEALS, GAS FORMING
FOODS, AND CHILLED BEVERAGES. THESE ARE POORLY TOLERATED BY PREGNANT
WOMEN.
13. MANAGEMENT:-
• REST FREQUENTLY.
• LOCAL HEAT AND CHANGE IN POSITION.
• DIETARY MODIFICATION
• REGULAR BOWEL FUNCTION SHOULD BE MAINTAINED, AND EXERCISE
IS BENEFICIAL.
• ACETAMINOPHEN 0.3-0.6, 2-3 TIMES DAILY.
14. PICA:-
• THIS IS THE TERM USED WHEN THE MOTHER CRAVES CERTAIN FOOD
OR UNNATURAL SUBSTANCES SUCH AS COAL.
• THE CAUSE IS UNKNOWN BUT HORMONES AND CHANGES IN
METABOLISM ARE THOUGHT TO CONTRIBUTE TO THIS.
• IF THE SUBSTANCE CRAVED ARE HARMFUL TO THE UNBORN BABY,
THE MOTHER MUST BE HELPED TO SEEK MEDICAL ADVICE.
15. FATIGUE-
• THE PREGNANT PATIENT IS MORE SUBJECT TO FATIGUE DURING THE LAST
TRIMESTER OF PREGNANCY BECAUSE OF ALTERED POSTURE AND EXTRA
WEIGHT CARRIED
•MANAGEMENT-
•ANEMIA AND OTHER SYSTEMIC DISEASES MUST BE RULED OUT.
•FREQUENT REST PERIODS ARE RECOMMENDED.
16. BACKACHE-
• COMMON PROBLEM (50%) IN PREGNANCY.
• PHYSIOLOGICAL CHANGES THAT CONTRIBUTE TO BACKACHE ARE: JOINT
LIGAMENT LAXITY WEIGHT GAIN, HYPERLORDOSIS AND ANTERIOR TILT OF THE
PELVIS.
• MAY BE DUE TO FAULTY POSTURE AND HIGH HEELS SHOES, URINARY INFECTION OR
CONSTIPATION.
17. MANAGEMENT-
• EXCESSIVE WEIGHT GAIN SHOULD BE AVOIDED.
• REST WITH ELEVATION OF THE LEGS TO FLEX THE HIPS MAY BE HELPFUL.
• IMPROVEMENT OF POSTURE, WELL-FITTED PELVIC BELT WHICH CORRECTS THE LUMBAR
LORDOSIS DURING WALKING AND IN HARD BED.
• IMPROVEMENT IN POSTURE IS OFTEN ACHIEVED BY THE WEARING OF LOW- HEELED SHOES.
• MASSAGING THE BACK MUSCLES, ANALGESICS AND REST.
• RECOMMEND SLEEP ON A FIRM MATTRESS.
• APPLY LOCAL HEAT AND LIGHT MASSAGE TO RELAX TENSE.
• GIVE ACETAMINOPHEN 0.3-0.6G ORALLY.
18. LEG CRAMPS-
QUITE COMMON.
•WORST AT NIGHT.
•THE CAUSE OF LEG CRAMPS IN PREGNANCY IS NOT KNOWN BUT IT
MAY BE DUE TO DEFICIENCY VITAMIN B1.
•IT MAY DUE CHANGES IN PH OR ELECTROLYTE STATUS.
19. MANAGEMENT-
• SUPPLEMENTARY CALCIUM THERAPY IN TABLETS OR SYRUP AFTER
THE PRINCIPAL MEALS MAY BE EFFECTIVE.
• MASSAGING THE LEG, APPLICATION OF LOCAL HEAT AND INTAKE OF
VITAMIN B1 (30MG) DAILY MAY BE EFFECTIVE.
• SLEEP WITH THE FOOT AND ELEVATION. ONCE THE CRAMPS IS OCCUR
GENTLE KNEADING IS EFFECTIVE.
20. ROUND LIGAMENT PAIN-
• STRETCHING OF THE ROUND LIGAMENTS DURING MOVEMENTS IN
PREGNANCY MAY CAUSE SHARP PAIN IN THE GROINS. THIS PAIN MAY
BE UNILATERAL OR BILATERAL.
• IT IS USUALLY FELT IN SECOND TRIMESTER ONWARDS.
• PAIN MAY BE AWAKENING AT NIGHT TIME BECAUSE OF SUDDEN ROLL
OVER MOVEMENTS DURING SLEEP.
21. MANAGEMENT-
• PAIN MAY BE REDUCED BY MAKING MOVEMENTS GRADUAL INSTEAD
OF SUDDEN.
• LOCAL HEAT APPLICATION IS HELPFUL.
• ANALGESICS ARE RARELY NEEDED.
22. VARICOSE VEIN-
• IN THE LEGS AND VULVA (VARICOSITIES) MAY APPEAR FOR THE FIRST
TIME OR AGGRAVATE DURING PREGNANCY
• USUALLY IN THE LATER MONTHS.
• DUE TO OBSTRUCTION IN THE VENOUS RETURN BY THE PREGNANT
UTERUS.
23. MANAGEMENT-
• FOR LEG VARICOSITIES, ELASTIC CREPE BANDAGE MOVEMENTS AND
ELEVATION OF THE LIMBS DURING REST CAN GIVES SYMPTOMATIC
RELIEF.
• ELEVATE LEGS ABOVE THE LEVEL OF HER BODY AND CONTROL
EXCESSIVE WEIGHT GAIN.
• AVOID FORCEFUL MASSAGE AND POINT-PRESSURE OVER THE LEGS.
• INJECTION OR SURGICAL CORRECTION OF VARICOSE VEINS USUALLY
IS NOT RECOMMENDED DURING PREGNANCY.
24. HEMORRHOIDS-
• IT MAY CAUSE ANNOYING COMPLICATIONS LIKE BLEEDING OR MAY
GET PROLAPSED.
• MAY CAUSE CONSIDERABLE DISCOMFORT.
• STRAINING AT STOOL OFTEN CAUSE HEMORRHOIDS.
25. MANAGEMENT-
• REGULAR USE OF LAXATIVE
• LOCALAPPLICATION OF HYDROCORTISONE OINTMENT.
• TREAT CONSTIPATION EARLY.
• DO NOT SUTURE. SITZ BATH, RECTAL OINTMENTS, SUPPOSITORIES,
AND MILD LAXATIVES ARE INDICATED POSTOPERATIVELY OR POST
DELIVERY.
• INJECTION TREATMENTS ARE CONTRAINDICATED.
26. SYNCOPE ( FAINTNESS)-
• THE WOMAN PRESENTS WITH DIZZINESS OR LIGHT HEADEDNESS ON
STANDING UPRIGHT ABRUBTLY OR FOLLOWING STANDING FOR A
PROLONGED PERIOD.
• COMPRESSION OF THE PELVIC VEINS BY GRAVID UTERUS.
• OTHER CAUSES MAY BE DEHYDRATION, HYPOGLYCEMIA
27. MANAGEMENT-
• SYNCOPE USUALLY RESOLVES RAPIDLY ON LYING IN LEFT LATERAL
POSITION.
• RECURRENT SYNCOPE NEEDS CARDIOLOGICAL EVALUATION.
• ENCOURAGE THE PATIENT TO EAT SIX SMALL MEALS A DAY RATHER
THAN THREE LARGE ONES.
• STIMULANTS (SPIRITS OF AMMONIA, COFFEE, TEA) ARE INDICATED
FOR ATTACKS DUE TO POSTURAL HYPOTENSION
28. ANKLE EDEMA-
• EVIDENCED BY MARKED GAIN IN WEIGHT OR EVIDENCES OF
PREECLAMPSIA.
• DEVELOPS IN AT LEAST TWO THIRDS OF WOMEN IN LATE PREGNANCY.
• DUE TO WATER RETENSION AND INCREASED VENOUS PRESSURE IN
THE LEGS.
• GENERALIZED OEDEMA, ALWAYS SERIOUS, MUST BE INVESTIGATED.
29.
30. MANAGEMENT-
• NO TREATMENT IS REQUIRED FOR PHYSIOLOGICAL OEDEMA OR
ORTHOSTATIC OEDEMA.
• OEDEMA SUBSIDES ON REST WITH SLIGHT ELEVATION OF LEGS.
• DIURETICS SHOULD NOT BE PRESCRIBED.
• TREATMENT IS LARGELY PREVENTIVE AND SYMPTOMATIC.
• RESTRICT EXCESSIVE SALT INTAKE.
• DIURETICS MAY REDUCE EDEMA TEMPORARILY BUT MAY BE
HARMFUL TO THE MOTHER OR FETUS
31. INSOMNIA-
• THIS IS RELATIVELY COMMON IN LATE PREGNANCY OWNING TO THE
DISCOMFORT CAUSED BY THE FETAL MOVEMENTS, FREQUENCY OF
MICTURATION, AND DIFFICULTY IN FINDING A COMFORTABLE
POSITION.
• IT MAY ALSO DUE TO SOME ANXIETY OR FEAR.
32. MANAGEMENT-
• TAKE REST IN THE AFTERNOON.
• DRINK A GLASS OF WARM MILK AT BED TIME.
• TALK ABOUT HER FEAR AND ANXIETY SO THAT SHE CAN HAVE A SENSE
OF NORMALITY AND LIGHTNESS
33. HEADACHE-
• HEADACHE IN PREGNANCY IS COMMON AND USUALLY DUE TO
TENSION.
• REFRACTIVE ERRORS AND OCULAR IMBALANCE ARE NOT CAUSED BY
NORMAL PREGNANCY.
34. CARPAL TUNNEL SYNDROME-
• PAIN AND NUMBNESS IN THE THUMB, INDEX AND THE MIDDLE FINGER.
• WEAKNESS IN THE MUSCLES FOR THUMB MOVEMENTS.
• DUE TO COMPRESSION EFFECT ON THE MEDIAN NERVE.
• PHYSIOLOGICAL CHANGES IN PREGNANCY WITH RETENSION OF EXCESS FLUID ARE
THE COMMON CAUSE.
35.
36. MANAGEMENT-
• TREATMENT IS MOSTLY SYMPTOMATIC.
• A SPLINT IS APPLIED DURING SLEEP TIME TO THE SLIGHTLY FLEXED
WRIST TO GIVE RELIEF.
• CORTICOSTEROID INJECTION OR SURGICAL DECOMPRESSION IS
RARELY NEEDED.
• IT RESOLVES SPONTANEOUSLY FOLLOWING DELIVERY
37. VAGINAL DISCHARGE-
• THIS IS DUE TO THE INCREASED TRANSUDATION OF FLUIDS AS A
RESULTS OF INCREASED VASCULARITY AND HYPERESTROGENIC
STATE DURING PREGNANCY. THE DISCHARGE IS CLEAR AND WHITE
AND DO NOT HAVE UNPLEASANT SMALL.
38. MANAGEMENT-
• ASSURANCE TO THE PATIENT AND ADVICE FOR LOCAL CLEANLINESS
ARE ALL THAT ARE REQUIRED.
• PRESENCE OF ANY INFECTION SHOULD BE TREATED WITH VAGINAL
APPLICATION OF METRONIDAZOLE OR MICONAZOLE.
39. LEUCORRHEA-
• GRADUAL INCREASE IN THE AMOUNT OF NON IRRITATING VAGINAL
DISCHARGE DUE TO ESTROGEN STIMULATION OF CERVICAL MUCUS IS
NORMAL DURING PREGNANCY.
• SUCH VAGINAL FLUID IS MILKY, THIN, AND NON IRRITATING UNLESS
INFECTION HAS OCCURRED.
• PERSISTENT EXTERNAL MOISTURE DUE TO MUCUS MAY CAUSE MILD
PRURITUS, BUT ITCHING IS RARELY SEVERE WITHOUT INFECTION
40. MANAGEMENT-
• REASSURE THE PATIENT, AND SUGGEST PROTECTIVE PERINEAL PADS.
• EXCESSIVE LEUCORRHEA ACCOMPANIED BY PRURITUS OR
DISCOLORATION OF THE SECRETION MAY INDICATE BLEEDING OR
INFECTION, REQUIRING TREATMENT.
41. URINARY SYMPTOMS-
• URINARY FREQUENCY, URGENCY, AND STRESS INCONTINENCE IN
MULTIPARAS ARE COMMON, ESPECIALLY IN ADVANCED PREGNANCY.
• DUE TO INCREASED INTRA ABDOMINAL PRESSURE AND REDUCED
BLADDER CAPACITY.
• SUSPECT URINARY TRACT DISEASE IF DYSURIA OR HEMATURIA IS
PRESENT.
42. MANAGEMENT-
• WHEN URGENCY IS PARTICULARLY TROUBLESOME, LIMIT CAFFEINE,
SPICES AND POPULAR BEVERAGES.
• AN 8 OZ GLASS OF CRANBERRY JUICE HELPS TO DECREASE URINARY
TRACT INFECTIONS.
43. BREATHLESSNESS-
• BREATHLESSNESS, NOT ACTUAL DYSPNEA, IS A PROGESTERONE
EFFECT.
• IN NON SMOKERS AND OTHERS FREE OF COUGH OR ALLERGIC
PROBLEMS, BREATHLESSNESS OCCURS AS EARLY AS THE 12TH WEEK
OF PREGNANCY, AND MOST WOMEN HAVE THIS SYMPTOM BY THE
30TH WEEK.
45. ITCHING OF BODY-
• SOME MOTHERS COMPLAIN OF GENERALIZED THE ITCHING, WHICH
OFTEN STARTS OVER THE ABDOMEN.
• THIS OCCUR DUE TO LIVER’S RESPONSE TO THE HORMONES IN
PREGNANCY WITH RAISED BILIRUBIN LEVEL.
46. MANAGEMENT-
• AN ANTI- HISTAMINE IS PRESCRIBED.
• WASHING WITH MILD SOAPAND WEAR COTTON UNDERWEAR.
47. CHLOASMA GRAVIDUM-
• (MASK OF PREGNANCY) A BUTTERFLY PIGMENTATION ON THE
CHEEKS & NOSE. IT USUALLY DISAPPEAR FEW MONTHS AFTER LABOR
LINEAALBICANS & STRAIEGRAVIDUM-
• PIGMENTATION IN THE LOWER ABDOMEN, FLANKS, INNER THIGH,
BUTTOCKS & BREASTS INCREASE AS PREGNANCY ADVANCES.
48. Cont..
• IT STARTS PINK (STRAIE RUBRA) THEN BECOMES PALE TO BECOME
WHITE ( STRAIE ALBICANS)AFTER DELIVERY, WHITE PERSISTS.
• IN PRIMIGRAVIDA, THE STRAIE RUBRA PRESENT ONLY.
• IN MULTIGRAVIDA, BOTH STRIAE RUBRA & STRIAE ALBICANS
PRESENT.
49.
50. DISORDERS THAT REQUIRES IMMEDIATE ACTION-
• Vaginal bleeding
• Reduced fetal movement
• Frontal or recurring headache
• Sudden swelling/edema
• Rupture of the membrane
• Premature onset of contraction
• Sudden nausea and sickness.
• Epigastric pain