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Chapter: Medicine Study Notes : Reproductive and Obstetrics

Minor symptoms of Pregnancy

Pregnancy testing: requires a few drops of urine, +ive from first day of missed period until week 20, false +ives low

Minor symptoms of Pregnancy

 

·        Pregnancy testing: requires a few drops of urine, +ive from first day of missed period until week 20, false +ives low

·        Early: amenorrhoea, nausea, vomiting, bladder irritability 

·        Nausea: At 20 weeks, 20% may still vomit.  Reassure, small meals and ¯stress

·        Headaches, palpitations and fainting due to peripheral dilation.  Drink lots

·        Urinary frequency (exclude UTI)

·        Abdominal pain

·        Breathlessness 

·        Constipation due to ¯motility.  Give fibre and lots of fluid

·        Reflux oesophagitis

·        Backache in 3rd trimester

·        Carpal tunnel syndrome (due to fluid retention)

·        Itchy rashes 

·        Ankle oedema – almost universal.  Exclude ­BP and proteinuria (Þ pre-eclampsia)

·        Leg cramps

 

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Medicine Study Notes : Reproductive and Obstetrics : Minor symptoms of Pregnancy |


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