physical and psychological changes of pregnancy
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Physical and Psychological Changes of Pregnancy

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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 changes
Physical Changes

Reproductive changes

  • Uterus, cervix
  • Ovarian, vaginal
  • Breast tissue

Cardiovascular

  • Pulse and BP
  • Vena Cava syndrome
  • Hemodilution and anemia
  • Hypercoagulation
physical changes3
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 changes4
Physical Changes

Skin

  • Color
  • Striae
  • Hyperactive sebateous/ sweat glands
  • Alteration in hair growth

Musculoskeletal

  • Teeth
  • Posture
  • Diastasis recti
metabolism
Metabolism
  • Weight gain
  • Water retention
  • Nutrient demands increase
  • Delay in gastric emptying
endocrine and hormonal
Endocrine and Hormonal
  • Placental hormones
  • hCG
  • hPL
  • Estrogen
  • Progesterone
  • Relaxin
signs of pregnancy
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
Psychological Responses
  • Maternal response
  • First tri- ambivalence, disbelief, fear
  • Second tri- excited, tells others, fear abandonment, body image
  • Third tri- tired, fears delivery
psychological responses9
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
Familial Responses
  • Grandparents
  • Siblings
  • Toddlers
  • School age
  • Adolescents
cultural responses
Cultural Responses
  • Wellness vs. Illness
  • Food/Water
  • Hot vs. Cold
  • Herbs
  • Healers
  • Incorporate culture into care
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