NORMAL PREGNANCY

COMPLAINTS

Backache    is  very    common, especially  in  the latter  part    of  pregnancy   because

of  the change  in  center  of  gravity with    the enlarging   uterus. Muscles and

ligaments   are now used    that    otherwise   would   not be. Management  is

encouragement   of  correct posture.

Bleeding gums   are caused  by  the increase    of  blood   flow    to  the gums    with

pregnancy.  If  it  is  associated  with    clinical    swelling,   it  is  known   as  epulis.

Management  is  conservative.

Breast enlargement: Each    breast  increases   in  size    by  400 grams   and may

result  in  an  increase    of  1–2 cup sizes.  Management  is  a   support bra.

Carpal tunnel:  As  many    as  50% of  pregnant    women   will    experience

numbness,   tingling,   burning,    or  pain    in  at  least   2   of  the 3   digits  supplied    by

the median  nerve.  Management  is  fitting with    a   wrist   splint  (most   cases   will

spontaneously   resolve after   delivery).

Complexion  changes:    Some    women   develop brownish    or  yellowish   patches

called  chloasma,   or  the “mask   of  pregnancy,” on  their   faces.  Others  may

develop a   linea   nigra   on  the lower   abdominal   midline,    as  well    as

hyperpigmentation   of  the nipples and external    genitalia.  Management  is

conservative.

Dizziness:  BP  normally    decreases   in  pregnancy,  which   may lead    to  postural

hypotension.    Management  is  avoiding    rapid   postural    changes,    such    as

standing    up  quickly.

Fatigue is  very    common  in  pregnancy,  probably    because of  rapid   hormonal

changes.    Management  is  adequate    rest    and avoiding    excessive   activity.

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