Complications of the pregnancy

Problems of routine of the pregnancy

Badly of back

Common, particularly in the third trimester when the patient' S center off gravity has shifted.

Treatment : mild exercise, gentle massage, heating pads, Tylenol, (severe) muscle releasing gold narcotics

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Constipation

Caused by : decreased bowel motility secondary to elevated Progesterone (normal in pregnancy), which edge lead to greater absorption off toilets.

Treatment : increased PO fluids, stool softeners, bulking agents

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Contractions--

occasion, irregular contractions that occur several times per day normal are perfectly and are known ace Braxton Hicks contractions
Caused by : dehydration
Treatment : fluid intake
regular contractions (every 10-15 min) has sign off Preterm labor and should Be assessed by Cervical exam.

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Dehydration

Caused by : expanded intravascular space and increased third spacing off fluids

Treatment : fluid intake

Complication : uterine contractions (Cause is that dehydration causes body release off ADH, which is similar to Oxytocin in structure. Oxytocin itself edge causes uterine contractions and thus ADH edge cross-country race-react with oxytocin receptors and causes contractions.)

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edema S

Caused by : compression off the inferior vena undermined (IVC) and pelvic veins by the uterus leads to increased hydrostatic presses in lower extremities.

Treatment : raising legacy above the heart, sleep one to their sides

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Backward flow gastro-œsophagien

Caused by : relieving off the lower esophageal sphincter (LES) and increased transit time in the stomach (normal in pregnancy)

Treatment : antacids, multiple small meals has day, avoid lying down within year hour off eating, H2 blockers, proton pump inhibiters

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Hémorroïde S

Caused by : increased venous stasis and IVC compression leading to congestion in venous system along with increased abdominal presses secondary to constipation.

Treatment : topical anesthetics, steroids, treatment off constipation

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Pica

cravings for nonedible items such ace dirt gold clay. Commonly, patient will Be placed one ice nonedible chips to chew one instead off thesis items.

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Low abdominal pain

Caused by : rapid expansion off the uterus and stretching off ligaments such ace the round ligament.

Treatment : Tylenol

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Polyurie

Caused by : increased intravascular volume, elevated GFR (glomerular filtration misses), and compression off the bladder by the expanding uterus. Patients are advised to continues fluid intake despite this. Urinalysis and culture should Be ordered to rule out infection, which edge also causes increased urinary frequency goal typically is accompanied by dysuria (bread when urinating).

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Varixes

Caused by : relieving off the venous smooth muscle and increased intravascular presses.

Treatment : rise off the legacy, presses stockings

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