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1. Minor disorders in pregnancy andits management
Prepared by:
Imran Khan
Salarzai
Student Of BSc
Nursing Khyber

2. Minor disorders of pregnancy
some of them are given in the next slides.
Minor disorders or discomforts of
pregnancy are those presentations and
conditions that result from
pregnancy but do not significantly
interfere with activities of daily
living or any significant threat to
the health of the mother or baby,
in contrast to pregnancy complications.

3. Nausea and vomiting:
 Many women have nausea and vomiting in the
first trimester (3 months) of pregnancy, which is
often called morning sickness. It happens
commonly in the morning when the woman gets
out of bed and this condition is known is
hyperemesis gravidarrium.
Management:
 Stay away from odors that upset your stomach.
 Instead of eating three large meals each day, eat
five to six smaller meals throughout the day.
 Before getting out of bed, eat a few crackers to
calm your stomach.
 Snack on protein-rich foods, such as yogurt.
 Skip foods that are greasy or high in fat.
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4. Heart burn
 This is a painful, burning sensation in the
chest caused by the regurgitation of stomach
acid into the throat. The symptoms of
indigestion, including heartburn, are common
during pregnancy and are caused by
hormonal changes and the growing womb
pressing on the stomach.
Management:
 you should eat small frequent meals,
 avoid spicy and greasy foods and
 refrain from drinking large amounts of liquid
before bedtime.
 Alcohol, coffee and chocolate may aggravate
the problem.
 You should try to sit as upright as possible
and avoid lying flat after a meal
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eshawar
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5. Incontinence
 This can be due to the extra
weight and pressure of your
baby pressing on your bladder
and pelvic floor, especially
when you laugh, sneeze or
run.
Management:
 Regular pelvic floor exercises
during and after pregnancy
will help.
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eshawar
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6. Leg Aches and Cramps
 The extra weight which you
carry during the pregnancy
can cause your legs to ache.
 Leg cramps are also common
in the last months of
pregnancy.
Management:
 Simple stretching and
exercises may help in
alleviating these aches and
cramps.
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eshawar
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7. Piles
 These are dilated veins in your anus and can
be very painful, itchy and uncomfortable,
usually occurring from the third month
onwards.
 Piles may bleed a little and may make going
to the toilet uncomfortable and painful.
Constipation and straining on the toilet can
aggravate the condition,
Management:
 keep your stools soft and regular.
 Having a diet high in fibre, such as wholemeal
bread, fruits and vegetables, and drink plenty
of water will help to prevent constipation;
which in turn can help to ease or prevent
piles
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eshawar
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8. Back pain
 Many pregnant women get back pain.
 The weight of the baby, the uterus and the amniotic fluid,
changes her posture and puts a strain on the woman’s bones
and muscles.
 Too much standing in one place, or leaning forward, or hard
physical work, can cause back pain.
Management:
 Encourage the woman’s husband, children, other family
members or friends to massage the woman’s back.
 A warm cloth or hot water bottle on her back may also
feel good.
 Her family can also help by doing some of the heavy
work, such as carrying small children, washing clothes,
farming etc.
 A tight girdle, or a belt worn about the hips, together
with frequent bed rest, may relieve severe back pain.
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eshawar
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9. Constipation
 Constipation is normal during pregnancy.
 The consumption of iron-containing
prenatal vitamins, hormonal changes and
the pressure of the uterus on the rectum
can aggravate constipation.
Management:
 adequate amounts of fibre in your diet
such as wholemeal breads, wholegrain
cereals, fruit and vegetables and pulses
such as beans and lentils
 drink plenty of water.
 Exercise regularly to keep the muscles
toned
 Avoid iron supplements.
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eshawar
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10. Varicosity
 Varicose veins are swollen veins that may bulge near the surface
of the skin.
 Many women first develop varicose veins – or find that they get
worse – during pregnancy. As your uterus grows, it puts pressure
on the large vein on the right side of your body (the inferior vena
cava), which in turn increases pressure in the leg veins.
Management:
 Lie down or sleep on your left side, to take the pressure off your
inferior vena cava.
 Don't sit or stand for long periods of time.
 If you have to sit at a desk all day at work, don't cross your legs.
 Putting on too much weight, too quickly, can make you more
prone to varicose veins. So try to avoid heavy load lifting.
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eshawar
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11. Swelling of the Feet
 This is due to seepage of fluid through the
walls of the distended veins of the legs but
disappears following night rest.
Management:
 Rest as much as possible, putting your feet up above
your hips.
 You can also do these simple foot exercises to reduce
swelling in your ankles:
 bend and stretch your foot up and down 30 times
 circle each foot eight times one way and eight times
the other way
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eshawar
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12. Pelvic Joint Pain
 As your pregnancy progresses it is
normal to have stretching ligaments
and muscles that may cause you
discomfort and sometimes shooting
pains in your groin area.
 Symphysis Pubis Dysfunction (SPD).
Management:
 Take advice from Obstetric
Physiotherapist. ?They can help you
with some exercises on how to cope
with the condition.
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eshawar
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13. Stretch Marks
 Stretch marks are caused by your skin
stretching to allow for your growing
baby, and are pinky, purple lines that
can be found on your abdomen,
around your bottom or at the sides of
your breasts.
Management:
 some creams and lotions may help
alleviate them but will not be able to
get rid of them.
 When you baby is born, stretch marks
will shrivel up slightly and become
pale and not so noticeable.
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eshawar
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14. Vaginal Discharge
 Vaginal discharge is normal in
pregnancy due to the increase in
hormones, it should be clear and white
and not smell offensive. Vaginal
discharge can also increase towards the
end of your pregnancy.
 If you have any discharge which is a
strange colour, smells, or is itchy then
you may have an infection. A yeast
infection called thrush can display
these symptoms but if you are not sure
then see your midwife or doctor who
would be able to help you.
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eshawar
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15. References
• http://www.babycentre.co.uk/a271/varicose-veins-in-pregnancy
• https://www.pharmacy.nhg.com.sg/page.aspx?id=680
• http://www.open.edu/openlearnworks/mod/oucontent/view.php?id=42&
printable=1
• http://hubpages.com/health/Minor-disorders-in-pregnancy
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eshawar
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