Common Minor Pregnancy Problems and Treatments
Pregnancy can bring about minor issues like backache, symphysis pubis dysfunction, constipation, hyperemesis gravidarum, heartburn, varicose veins, and piles. These problems are manageable with simple treatments including posture maintenance, analgesia, dietary adjustments, and support measures. Seek medical advice for severe symptoms.
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Presentation Transcript
Minor problems of pregnancy These problems of pregnancy are not dangerous to mother but can be troublesome on a day to day basis .most are improved by simple treatments . This include : Backache : Backache is due to laxity of spinal ligaments and weight of pregnancy causing an exaggerated lumber lordosis .Pregnancy also exacerbate the symptoms of a prolapsed intervertebral disk .Advice should include maintenance of correct posture, avoiding lifting heavy objects including children avoiding high heels ,regular physiotherapy and simple analgesia like paracetamol a lone or with codeine
Symphysis pubis dysfunction : This is a painful condition usually occurring in the third trimester. The symphysis pubis joint becomes loose causing the two halves of the pelvis to rub on one another when walking or moving .The condition will only improve after delivery ,the management by simple analgesia ,a low stability belt may be born. Constipation This due to the effect of progesterone in slowing gut motility but the weight of graved uterus on the rectum may contribute and also administered iron tablets. A high fiber diet should be encouraged and mild laxative (non stimulant) such as lactulose may be used
Hyper emesis gravid arum: Nausea and vomiting are often common in first trimester referred as morning sickness .It is worse in molar pregnancy or multiple gestation and is probably related to high circulating human chorionic gonadotrophin (hCG),severe symptoms may lead to Mallory Weiss tears ,hematemesis ,dehydration and even malnutrition. In this situation admission to hospital is mandatory and anti emetics such as metoclopramide or chlor perazine are given on regular basis. Intravenous hydration, parenteral nutrition ,parenteral B complex vitamin in severe cases
Heartburn This is very common. The symptoms are of burning in the chest or discomfort, often on lying down. Heart burn is caused by the weight effect of the pregnant uterus preventing stomach emptying and the general relaxation of the esophageal sphincter due to progesterone. Management includes liquid antacids preparations, stopping smoking, frequent light meals and lying with the head propped up at night.
Varicose veins and piles These both become worse in later pregnancy. Both are thought to be due to relaxant effect of progesterone on vascular smooth muscle and the dependent venous stasis caused by the weight of the pregnant uterus on the inferior vena cava. Neither condition should be treated surgically in pregnancy. Piles may be improved with local anesthetic anti irritant cream and a high fiber diet, rectal examination should be carried if suspect rectal carcinoma. Varicose veins of legs may be symptomatically improved with support stockings avoiding standing for long time simple analgesia ,avoid trauma .
Carpal tunnel syndrome: Compression neuropathies occur in pregnancy due to increased soft tissue swelling .the median nerve where it passes through the fibrous canal at the wrist before entering the hand is most susceptible to compression ,the symptom s include numbness, tingling and weakness of the thumb and forefinger and often severe pain at night. Diuretics are not adviced,simple analgesia and splinting of the affected hand .Surgery is rarely performed during pregnancy. Edema of lower limb is common during pregnancy due to increase capillary permeability which allows intravascular fluid to leak to extravascular compartment.Odema is best is best dealt with by frequent periods of rest with leg elevation occasionally support stockings are indicated.Genelized edema may be due to preeclampsia .so you have measure blood pressure and urine for protein.
Other minor disorders include Itching Urinary incontinence . Nose bleed. Headache. Breast soreness. Insomnia. Striae gravid arum and chloasma
