Minor Disorders of Pregnancy for 3rd Bsc 2014

8/9/2019 Minor Disorders of Pregnancy for 3rd Bsc 2014

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Minor disorders of

PregnancySINDHU SEBASTIANLECTURER

FMCON

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MeaningDuring pregnancy the b !y "i## g thr ugh a# t $ change% an! % &e $ the%e change% &aybe unp#ea%ant r e'en " rrying( S !uringpregnancy a nu&ber $ % ca##e! &in r!i% r!er% &ay ari%e( The%e &in r !i% r!er% &ay ccur !ue t

h r& na# change%) acc && !ati n change%)&etab #ic change% an! p %tura# change%(E'ery %y%te& $ the b !y i% a*ecte! bypregnancy

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,ari u% &in r !i% r!er%1(Aci!ity an! heartburn

+(-ica.(Lig&ent pain/(Bac0 ache

(Leg cra&p%

2(C n%tipati n3(Hae& rr i!%4(Fre5uiency $

&icturati n

6(,eric %e 'ein1 (Breat ten!erne%%

11(Nau%ea an! ' &iting1+(An0#e e!e&a1.(,agina# !i%charge1/(Fainting

1 (Hea! ache

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Causes of minor disorders

1(Due t h r& na# change%)+(Acc && !ati n change%)

.(Metab #ic change%/( - %tura# change%

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Acidity and Heart burn

Thi% i% burning pain in the&e!itati na# regi n cau%e!by re8u9 $ the %t &achc nte9t% in t thee% phagu%(

It i% & %t tr ub#e% &e at.: th ;/: th "ee0(

Pica Thi% i% the ter& u%e! "henthe & ther cra'e% certain$ !% unnatura# %ub%tance

%uch a% c a#) c#ay)!irt)ice


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Nur%ing &anage&entNursing diagnosis

I&paire! nutriti na# %tatu% re#ate! t heart

burn) aci!ity) an! picaInterventions: for Pica

I$ the %ub%tance cra'e! i% har&$u# t the baby%he %h u#! be a!'i%e! $ r &e!ica# he#p(

Enc urage t %t p eating the n n $ !C rrecting ane&ia a% it a#"ay% acc &panie%the ir n !e


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Liga&ent pain ) Bac0 ache #egcra&p%

Ligament pain: The gr "th $ the pregnancypr gre%%e% cau%e% %tretching $ the %upp rting#iga&ent% $ ab! &en "hich the " &en &aye9perience% %harp pain$u# %pa%&% ca##e! #iga&ent pain

Back ache : Bac0ache i% a c && n !i% r!er that i% n tre%tricte! t a particu#ar tri&e%ter but &ay %pan a##three tri&e%ter% an! c ntinue t the p %t nata# peri !

Leg cramps : Cra&p% are a %u!!en %harp pain r

gripping c ntracti n $ the ca#$ &u%c#e%) $re5uent#yccur% !uring the thir! tri&e%ter $ pregnancy( The

" &en &ay " 0en up !uring the &ight an! #e$t "ithpain$u# ca#$ &u%c#e(


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Nur%ing &anage&entNursing diagnosis : Acute pain bac0 ache )#iga&ent pain an! #eg

cra&p% re#ate! t &u%c#e %pa%& %ec n!ary tp %tura# change%Interventions :

Liga&ent pain=

A' i!ance $ %tretching $ &u%c#e%( Ta0e "ar& bath r h t "ater bag app#icati nMa%%aging the ab! &ina# &u%c#e%


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Back ache :I&pr 'e&ent $ p %tureRe%t n har! be! > $ r& &attre%%U%e $ "e##


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Leg cramps :%upp#e&entary ca#ciu& therapy in tab#et r

%yrup a$ter the princip#e &ea#App#icati n $ heat,ita&in B 1 @.:&g !ai#yLeg %tretching e9erci%e be$ re g t be!(An0#e% an! #eg & 'e&ent% increa%e thecircu#ati n an! t he#p% t pre'ent cra&pingInc#u!e p#enty $ ca#ciu& rich $ ! %uch a%

#ea$y 'egetab#e%) !iary pr !uct%) %un8 "er%ee!% an! a#% &agne%iu& rich $ ! @nut%!ate%)


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Rub r &a%%age thehar! &u%c#eMa%%aging the #eg?hen the " &en i%tr ub#e! "ith ca&p%

a!'ice the " &en tpu## the t e% up"ar!%t "ar!% the an0#e@! %i8e9 the $ t in

pp %ite !i%%ecti n i(e(an! rub the &u%c#ehar!) an! a#%%traighten the #eg an!pre%% the 0nee(

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pre%cribe A%ph ge#"hich bin!%ph %ph ru% ininte%tina# tract an!# "er% it% #e'e#A' i! %tretching "itht e p inte! an! #eg$u## e9ten%i n,it C rich $ !

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c n%tipati nNur%ing !iagn %i% =C n%tipati n re#ate! t !ecrea%e! peri%ta#tic

& 'e&ent %ec n!ary t h r& na# change%


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He& rrh i!%I$ the c n%tipati n per%i%t% then he& rrh i!%&ay !e'e# p cau%e! by %training at!e$ecati n an! a#% pre%%ure $r & the bu#0 $gr "ing uteru% "hich %ub%e5uent#y cau%e%

particu#ar !i cu#tie% !uring birthing pr ce%%Nur%ing !iagn %i% =He& rrh i!% re#ate! t c n%tipati n


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Interventions:

-re'enti n $c n%tipati nRegu#ar u%e $#a9ati'e% t 0eep theb "e# % $t(L ca# app#icati n $hy!r c rti% ne

int&ent(Surgica# treat&ent i%"ith h #! a% thec n!iti n %harp#yi&pr 'e% a$ter the!e#i'ery(

C #! c &pre%% t

re!uce painnee che%t p %iti n

Rep#acing thehe& rrh i!% "ith

gent#e


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re!uency of Micturation Thi% ccur% in the


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Nursing diagnosis =

I&paire! b#a!!er pattern re#ate! c &pre%%i n$ uteru% 'er the b#a!!er

Inter'enti n%Rea%%ure that it i% a n r&a# phen &en nOb%er'e $ r urinary tract in$ecti nRe!uce the ca*eine

Teach 0ega# e9erci%e%


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"#$aricose vein

,aric %e 'ein i% !e'e# p&ent $t rtu u% 'ein becau%e $ the "eight$ the !i%ten!e! 'ein put pre%%ure n

'ein% returning b# ! $r & the # "ere9tre&itie% (Thi% cau%e% p #ing $b# ! in the 'e%%e#% $ #eg% an! 'u#'a

Nur%ing !iagn %i% =Acute pain re#ate! t 'en u%

c nge%ti n )!ecrea%e! 'en u% return%ec n!ary t h r& na# change%

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&Breast tenderness The Bre%t bec &e% ten!er an! $ee#ing $u##ne%% !uet the e*ect $ increa%e! e%tr gen "hich i% $ rpreparati n $ $at %t re $ r the brea%t $ee!ing (The'a%cu#ar circu#ati n i% increa%e! an! the nipp#e%bec &e #arger an! are #a bec &e pig&ente! (Nur%ing !iagn %i% =

Acute pain brea%t ten!erne%% re#ate! t increa%e!#e'e#% $ pr ge%ter ne an! e%tr gen

Inter'enti n%Manage&ent=;

A!'ice t "ere


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Nausea and vomiting

It i% a c && n!i% r!er %een inab ut : " &enbet"een / th an! 12 th "ee0 $ ge%tati n(

They u%ua##y appear$ ## "ing


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Nur%ing !iagn %i% =Ri%0 $ r 8ui! ' #u&e !e


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Ank%e edemaAn0#e%) $eet)


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Inter'enti n%

A' i! %tan!ing $ r# ngti&eA' i! cr %%ing the #eg

"hi#e %itting r %#eepingRegu#ar#y chec0 the ring%an! bang#e% i$ han!% an!


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$agine% discharge or

%eukorrhoeaIt i% the increa%e! "hite n n irritant 'i%c u%'agina# !i%charge in pregnancy !ue t highe%tr gen #e'e# an! increa%e! b# ! %upp#y t'agina# epithe#iu& an! cer'i9(Nur%ing !iagn %i% =Ri%0 $ r in$ecti n re#ate! t increa%e! 'agina#

!i%charge %ec n!ary t h r& na# change%Nur%ing !iagn %i% = Ri%0 $ r in ury re#ate!hea!ache an! $ainting %ec n!ary t 'a% !i#atati n


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Inter'enti n%

Fre5uent "a%hing $ the 'a#ue @.;/ ti&e% a !ay"ith p#ain "ater

+(?ear # %e an! c tt n un!er"ear.(N tice $ r any p %%ibi#ity $ in$ecti n ie !i%charge

i% c # re!) $ u# %&e## an! itching (/(Start "ith &etr ni!i #e


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ainting '#Head ache

ainting: In ear#y pregnancy $ainting ccur%!ue t 'a% !i#atati n un!er the in8uence $pr ge%ter ne ( It &ay %ub%i!e $ ## "ing thec &pen%at ry there ca%e in b# ! ' #u&e(Head ache: Fre5uent#y " &en c &p#aint%$ hea!ache !uring pregnancy


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Inter'enti n%A' i! # ng peri !% $ %tan!ing a% "e## a% %itting

r #ying ! "n "hen %he $ee#% %#ight#y $aint( Try t get up %# "#y a$ter %itting r #ying ! "n(I$ y u $ee# $aint "hi#e n #ying ! "n n y urbac0 turn t %i!eRegu#ar re%t an! re#a9ati nBri%0 "a#0Occa%i na# u%e $ paraceta& #

Se'ere hea! ache n t re#ie'e! by paraceta# & #ccurring !uring the thir! tri&e%ter t gether"ith increa%e! b# ! pre%%ure r pr tenuria)it%h u#! be n tice t the phy%ician


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(HAN) *+,

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Minor Disorders of Pregnancy for 3rd Bsc 2014