The minor disorders of pregnancy
These are
conditions in pregnancy that are not threat to life but can distress the woman,
making life miserable and undermine her health. Even if they can not endanger
life, they should not be ignored or treated lightly. They can interfere with
nutrition, sleep, outdoor recreation and normal household cores. These
conditions should not be accepted as a normal associate of pregnancy but should
be treated and alleviated. Minor disorder may escalate and become a serious
complication of pregnancy.
The role
of the midwife is to health educate the woman in order to tolerate the changes
in pregnancy and her anxiety will be alleviated.
Causes
can be due to hormonal, accommodation, metabolic and postural changes. Every
system of the body changes and is affected by pregnancy.
Musculoskeletal system
Backache
This is a
common problem during pregnancy, an average of 75% of women experience backache
at one stage of their pregnancy. The pregnancy hormones soften the ligament and
it may be partly due to posture by some women to balance the weight of the
gravid uterus.
Treatment
· Health
educate on posture
· Good
shoes (low heel)
· Adequate
rest
· Sleep on
flat surface or with board under the bed.
· Physiotherapy
– Tailor sitting position can be help ful.
· Lying on one side away from the discomfort – affected leg
· uppermost
in sciatic – like pain.
· Pillows
to support the whole limb.
Cramp
The
actual cause of cramp in pregnancy is not known. It can be attributed to
ischaemia or result from changes in pH or electrolyte status (– lack of
calcium, chloride and vitamin B) though no significant evidence to support the
claim.
It may be
due to temporary circulatory changes in the legs.
Treatment
· Calcium
gluconate, milk, cheese Vitamin B, Gentle leg exercises at bed time or while in
warm bath.
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