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Physical and Psychological Changes of Pregnancy PowerPoint PPT Presentation


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Physical and Psychological Changes of Pregnancy. Chapter 9. Physical Changes. Reproductive changes Uterus, cervix Ovarian, vaginal Breast tissue Cardiovascular Pulse and BP Vena Cava syndrome Hemodilution and anemia Hypercoagulation. Physical Changes.

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Physical and Psychological Changes of Pregnancy

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Physical and Psychological Changes of Pregnancy

Chapter 9


Physical Changes

Reproductive changes

  • Uterus, cervix

  • Ovarian, vaginal

  • Breast tissue

    Cardiovascular

  • Pulse and BP

  • Vena Cava syndrome

  • Hemodilution and anemia

  • Hypercoagulation


Physical Changes

  • Respiratory- increase volume, pressure on diaphragm

  • GI-N/V, delay in GI emptying due to progesterone

  • Constipation and hemorrhoids

  • Urinary- frequency, GFR increase, glycosuria


Physical Changes

Skin

  • Color

  • Striae

  • Hyperactive sebateous/ sweat glands

  • Alteration in hair growth

    Musculoskeletal

  • Teeth

  • Posture

  • Diastasis recti


Metabolism

  • Weight gain

  • Water retention

  • Nutrient demands increase

  • Delay in gastric emptying


Endocrine and Hormonal

  • Placental hormones

  • hCG

  • hPL

  • Estrogen

  • Progesterone

  • Relaxin


Signs of Pregnancy

  • Presumptive/Subjective- statement

  • N/V, amenorrhea, fatigue, quickening

  • Probable/Objective-observable

  • Goodells, Chadwick’s, fundal height

  • Diagnostic/Positive

  • Heart beat, gestational sac


Psychological Responses

  • Maternal response

  • First tri- ambivalence, disbelief, fear

  • Second tri- excited, tells others, fear abandonment, body image

  • Third tri- tired, fears delivery


Psychological Responses

  • Spouse

  • First tri- Only one to know

  • Second tri- May be turned off by changes

  • Fetal movement= reality

  • Third tri-Couvade, observance of rituals, development of s/s of pregnancy


Familial Responses

  • Grandparents

  • Siblings

  • Toddlers

  • School age

  • Adolescents


Cultural Responses

  • Wellness vs. Illness

  • Food/Water

  • Hot vs. Cold

  • Herbs

  • Healers

  • Incorporate culture into care


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