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Physical and Psychological Changes of Pregnancy

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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  1. Physical and Psychological Changes of Pregnancy Chapter 9

  2. Physical Changes Reproductive changes • Uterus, cervix • Ovarian, vaginal • Breast tissue Cardiovascular • Pulse and BP • Vena Cava syndrome • Hemodilution and anemia • Hypercoagulation

  3. 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

  4. Physical Changes Skin • Color • Striae • Hyperactive sebateous/ sweat glands • Alteration in hair growth Musculoskeletal • Teeth • Posture • Diastasis recti

  5. Metabolism • Weight gain • Water retention • Nutrient demands increase • Delay in gastric emptying

  6. Endocrine and Hormonal • Placental hormones • hCG • hPL • Estrogen • Progesterone • Relaxin

  7. 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

  8. Psychological Responses • Maternal response • First tri- ambivalence, disbelief, fear • Second tri- excited, tells others, fear abandonment, body image • Third tri- tired, fears delivery

  9. 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

  10. Familial Responses • Grandparents • Siblings • Toddlers • School age • Adolescents

  11. Cultural Responses • Wellness vs. Illness • Food/Water • Hot vs. Cold • Herbs • Healers • Incorporate culture into care

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