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15 Cards in this Set
- Front
- Back
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Hormonal adjustments caused by Progesterone |
Increase by 10x Regulate body fat Temperature regulation Prepare for lactation Development of uterine endometrium Decrease excitability and tone of smooth muscle |
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Adjustments caused by Oestrogen |
Increase 100x Breast development Associated with nausea Improve vascularisation Relaxation of pelvic joints and ligaments |
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Weight gain during pregnancy |
Normal=12.5kg 2nd half/last trimester Any pt with excessive increase/loss/ plateauing of weight are referred |
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GI changes |
●Appetite - dietary cravings are common ● Gastric reflux- sphincter relaxation ●GI motility- decreased ●Gi transit time -slower ●liver- function unchanged ● gall bladder- dilated |
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Nausea and vomiting and meds used |
Increase in estrogen Stops at 14-16 weeks Small carb smacks • Pyridoxine-safe • Metoclopramide -safe? • phosphoric acid and sucrose - sade? |
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Heartburn and indigestion |
Late pregnancy -T3 Passage of small amounts of stomach contents back into lower portion of oesopgagus due to relaxation of gastro-oesophageal sphincter (progesterone) Upward pressure of developing foetus against stomach Worse at night-pressure and gravity |
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Management of heartburn |
*small bland meals *eat slowly * dont lie down directly after meal * semi sirting possition when sleeping * loose fitting clothes * avoid constipation * antacids |
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Constipation |
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When is Urinary Tract problems common |
*early pregnancy - uterus enlarging but within pelvic cavity, compress bladder causing frequency * again at term- foetal head descend into pelvis |
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UTIs |
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Management of pregnancy incontinence |
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Test performed |
*ultrasonography- fetal development *doppler ultrasound-fetal hear pulsation * chronic villus sampling-genetic disorders *Amniocentisis - fetal chromosomes, downs and neural tube defect * percutaneous umbilical blood sampling - urgent info about fetus * alpha feto protein- risk of doens and neural tube defect * fetal nuchal translucency - extra chromosomes |
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Backaches |
Increase oestrogen-pelvic joints and ligaments relax in late pregnancy Altered centre of balance-pride of pregnancy due to increased weight of fetus Tx: - correct upright posture -Avoid heels -Sleep posture |
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Medicine Use Category A and B |
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Medicine Use C, D and X |
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