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    Chapter 10

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    Ayro Business Center
    This document discusses several minor complaints that may occur during pregnancy, including gingivitis, increased salivation, heartburn, constipation, hemorrhoids, dyspnea, urinary symptoms, vaginal discharge, and backache. For each complaint, the causes are described and treatment options are provided, such as proper dental hygiene, antacids, increasing fluid/fiber intake, mild laxatives, soothing creams, and back support.

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    Chapter 10

    Uploaded by

    Ayro Business Center
    9 views13 pages
    This document discusses several minor complaints that may occur during pregnancy, including gingivitis, increased salivation, heartburn, constipation, hemorrhoids, dyspnea, urinary symptoms, vaginal discharge, and backache. For each complaint, the causes are described and treatment options are provided, such as proper dental hygiene, antacids, increasing fluid/fiber intake, mild laxatives, soothing creams, and back support.

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    This document discusses several minor complaints that may occur during pregnancy, including gingivitis, increased salivation, heartburn, constipation, hemorrhoids, dyspnea, urinary symptoms, vaginal discharge, and backache. For each complaint, the causes are described and treatment options are provided, such as proper dental hygiene, antacids, increasing fluid/fiber intake, mild laxatives, soothing creams, and back support.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    9 views13 pages

    Chapter 10

    Uploaded by

    Ayro Business Center
    This document discusses several minor complaints that may occur during pregnancy, including gingivitis, increased salivation, heartburn, constipation, hemorrhoids, dyspnea, urinary symptoms, vaginal discharge, and backache. For each complaint, the causes are described and treatment options are provided, such as proper dental hygiene, antacids, increasing fluid/fiber intake, mild laxatives, soothing creams, and back support.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    AWDAL COLLEGE

    MINOR COMPLAIN DURING


    PREGNANCY

    CHAPTER 10
    Minor Complaints During Pregnancy
    Gingivitis
    increased vascularity and hypertrophy of the interdental
    papillae. It is improved usually after pregnancy
    termination.
     Increased tendency for bleeding.
    Retention of food debris predisposes to sepsis and dental
    cares.
    Treatment: 1. Proper dental hygiene. 2. Cryosurgery for

    severe cases.
    Ptyalism (Sialorrhoea)
    Increased salivation may occur early in pregnancy
    and subsides later on. It is due to failure of the
    patient to swallow the saliva rather than increase
    in its amount.
     Treatment: Care of dental hygiene.
     Discontinue smoking.
    Anticholinergic drugs as belladonna, which induce
    dryness of the mouth, may be needed
    Heartburn
    A common complaint caused by reflux of
    gastric contents into the lower esophagus due
    to mechanical relaxation of the cardiac
    sphincter caused by upward displacement
    and compression of the stomach by the
    pregnant uterus.
     Sometimes the cardiac actually herniates
    through the diaphragm.
    Treatment: 1. More frequent but smaller
    meals
     2. Avoidance of bending over or lying flat.
     Antacids containing aluminium hydroxide
    are preferable as they buffer the gastric
    contents,
    Constipation
    Causes:
     1. Reduced intestinal motility due to steroid
    hormones.
    2. Increased fluid resumption from the large
    bowel.
    3. Reduced exercise
    . 4. Mechanical compression by the gravid
    uterus.
    Treatment
    1. Evacuate the bowel at the same time every
    day.
     2. Increase fluid intake.
    3. Diet rich in green vegetables, bran and fruits.
    Mild laxative as sienna preparations. Liquid
    paraffin interferes with absorption of fat soluble
    vitamins, so better to be avoided.
    Haemorrhoids

    Causes.
     Laxity of the rectal veins by
    progesterone effect.
     2. Pressure by the gravid uterus.
     3. Tendency to constipation.
    Treatment:
    1 Avoid constipation.
     Soothing and astringent agents.
    Local anaesthetics.
    Surgical and local injection treatment have to
    be avoided.
    Dyspnea
    It may occur early in pregnancy due to
    hyperventilation caused by progesterone.
    Late in pregnancy, it occurs due to pressure on
    the diaphragm by the pregnant uterus
    Urinary symptoms
    Frequency and stress incontinence may occur
    during pregnancy
    Causes :
    1. Increased intra-abdominal pressure.
    2. Pressure on the bladder by the enlarging uterus
    reducing its capacity
    Leucorrhoea Increased vaginal discharge is a
    common complaint during pregnancy due to excess
    estrogen production.
     No treatment is needed except if there is
    associated infection. Monilial infection is common.
    Backache

    Causes:
    Lumbar lordosis.
    Relaxation of ligaments and intervertebral
    joints by progesterone effact
    Management:
    Adequate rest and support the back when
    sitting in a chair by a pillow
    Thanks

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