Pregnancy and its management

Pregnancy, sign and symptoms of Pregnancy, its management according system.

1. PRESENTED BY, SONAL PATEL, F.Y.M.Sc(N). J.G COLLEGE OF NURSING, AHMEDABAD.

2. PREGNANCY AND ITS MANAGEMENT

3. PREGNANCY DEFINITION The period from conception to birth. After the egg is fertilized by a sperm & then implanted in the lining of the uterus,it develops  into the placenta & embryo, and later into a fetus.

4. TRIMESTER

5. SIGN AND SYMPTOMS:

6. SIGN AND SYMPTOMS :

7. 1. Presumptive signs

8. 2. Probable signs

9. 2. Probable signs

10. 3. Positive signs

11. MINOR DISORDER OF PREGNANCY AND MANAGEMENT

12. DIGESTIVE SYSTEM

13. 1. NAUSEA AND VOMITING: Due to higher levels of HCG (10 weeks)

14. 2. CONSTIPATION : due to the effect of progesterone, it diminished physical activity and pressure of the gravid uterus on the pelvic colon. Iron supplements also can contribute to constipation.

15. MANAGAMENT

16. 3. ACIDITY AND HEARTBURN Due to the growing uterus pressing on the stomach, rising progesterone levels, and decreased gastric motility.

17. MANAGEMENT :

18. 4 . ABDOMINAL DISCOMFORT Due to Pressure, pelvic heaviness, is caused by the weight of the uterus on the abdominal wall . Flatulence and distention can be due to large meals, gas-forming foods, and chilled drink.

19. MANAGEMENT

20. 5 . PICA When the mother eating abnormal food or unnatural substances such as coal, chalk, ashes. Due to unknown but may be hormones changes To take medical advice.

21. MUSCULO-SKELETOL SYSTEM

22. Due to altered posture and extra weight carried . MANAGEMENT : Frequent rest periods are recommended. Anemia must be Find out. Take necessary treatment. Obtaining regular exercise. 1. Fatigue

23. Common in pregnancy(50%) Due to weight gain, hyperlordosis , high heel shoes, urinary infection or constipation. 2. BACKACHE

24. Avoid MANAGMENT

25. 3. LEG CRAMPS:

26. MANAGMENT

27. CIRCULATORY SYSTEM

28. Veins that have become enlarged and twisted(later months) Due to weakness of the vascular walls. 1. VARICOSE VEINS

29. MANAGMENT

30. A swollen vein or group of veins in the region of the anus. MANAGEMENT: Soaking in a warm sit’z bath. Sitting on a soft pillow. Eating high fiber food & avoiding constipation. Drinking sufficient fluids. Increasing exercise such as walking. Applying ointment, drugs taken if needed. 2. HEMORRHOIDS(PILES)

31. The woman presents with dizziness or light headache. Other causes may be dehydration, hypoglycemia, prolonged standing, standing upright suddenly. 3. FAINTING

32. MANAGMENT

33. Due to weight or evidences of preeclampsia. Generalized edema, always serious, must be investigated. 4. ANKLE EDEMA

34. MANAGMENT

35. 1. BREATHLESSNESS Due to progesterone, allergic problems, (12th week) MANAGEMENT Take a Proper Rest. RESPIRATORY SYSTEM

36. NERVOUS SYSTEM

37. Discomfort caused by the fetal movements, frequency of micturition, some anxiety or fear.(late pregnancy) 1. INSOMNIA

38. MANAGMENT

39. Common and usually due to tension. Severe , persistent headache due to preeclampsia, eclampsia . (third trimester) MANAGEMENT Changing position slowly. Regularly Check Blood Pressure. Eating small snack. Use PCM only if prescribed by physician. 2. HEADACHE

40. GENITOURINARY SYSTEM

41. It is a white or yellowish mucous discharge from the vagina. MANAGEMENT : Proper cleansing hygiene. Wear cotton underwear. To cleanse the vulva at least once a day with soap & water & to dry thoroughly. 1. VAGINAL DISCHARGE(LEUKORRHEA)

42. Urinary frequency and stress incontinence in multiparas are common, especially in advanced pregnancy. Due to increased intra abdominal pressure and reduced bladder capacity. Suspect urinary tract disease if dysuria or hematuria is present . 2. URINARY SYMPTOMPS

43. MANAGMENT

44. 1.SKIN Scarring of the skin of abdominal area is called P regnancy stretch marks or Striae gravidarum. Dark vertical line that appearance from navel to pubis is called Linea Nigra . Chloasma or Mask of Pregnancy means Brown patches of pigmentation on forehead, cheek,neck . INTEGUMENTARY SYSTEM

45. MANAGMENT

46. Antenatal Advice

47. Vaginal bleeding Reduced fetal movement Frontal or recurring headache Rupture of the membrane Sudden nausea and sickness Epigastria pain DISORDERS THAT REQUIRE IMMEDIATE ACTION

48. Summary

49. Write Nursing care plan on Antenatal mother. Submitted Date : 26/01/2018 Venue: F.Y.MSc (N) Class Assignment