المشاكل في فترة الحمل الاولى first trimester

عدد الرسائل : 5 تاريخ التسجيل : 06/10/2008

MORNING SICKNESS

About one-third to one-half of pregnant women feel nausea (discomfort in the stomach) during the early weeks of pregnancy. Although it is called morning sickness, women may also feel unwell in the early evening or at other times of day. It generally goes away by about the third month of pregnancy.

· Nursing management:

1) It usually happens in the morning, it may help the woman to eat a piece of dry biscuit, yam, or banana before getting out of bed.

2) If she feels nausea at other times during the day, it may help to eat smaller meals more frequently, rather than two or three big meals a day.

3) If the nausea and vomiting are severe or persist after the third month, or if they interfere seriously with eating, the woman should go to a health facility.

HEARTBURN

Heartburn, in spite of the name, has nothing to do with the heart. It is a burning sensation in the throat and chest caused by indigestion.

It tends to occur towards the end of pregnancy when the enlarged womb pushes up the stomach. This causes small amounts of stomach acid to pass upwards.

· Nursing management:

1) Women should try to eat several small meals every day

2) Not eat spicy or oily foods, and avoid lying down immediately after eating.

GINGIVITIS

Inflamation and tenderness of gum.

Due to increase hormonal level.

· Nursing management:

1. Use soft brush ,do gentel brushing.

2. Good mouth care.

URINARY DISCOMFORT

During the first months of pregnancy, as the uterus and baby are pressing on the bladder, a woman may feel the need to urinate more often than normal. Drinking a lot of water and urinating often may help prevent infections. Signs of infection may include a painful burning sensation when urinating and a constant need to urinate with little or no urine actually passing.

Nursing management:
1. If a woman has these signs she should go to a health facility immediately for medicine, since urinary infections can become worse very quickly.

VAGINAL DISCHARGE

The normal fluids in the vagina tend to increase during pregnancy. This is nothing to worry about unless the discharge becomes greenish, yellowish, or bubbly, and is accompanied by itching or an unpleasant odour. Changes like these are usually signs of an infection.

Nursing management:
1. If a woman develops these problems, a laboratory test may be necessary to identify the cause and determine the best treatment.
2. If the facilities are not available to do laboratory tests, there are guidelines available that specify which antibiotics to give when signs of a vaginal infection are present .

CHANGE IN UTERUS

GRAVING

Usually spicy is an appetite for usual food or substances ,this may be harmful .Because pregnant women replaces good nutrition with unhealthy food.

DIZZINESS& FAINTINESS

Vasomotor center is not stable at this time .Increase in hypoglycemic and anemic women.

Nursing management:

1. Avoid warm and crowded area.

2. Avoid hot shower.

3. Avoid sudden change in position.

PTYALISM

Excessive salivation, un known causes ,or may hormonal influence.

Nursing management:

1. Oral hygienic care and mouth brush.

2. vitB1,B6 Administered.

3. Antihistamenic and atropine may prescribed.

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