Minor problems of pregnancy

Minor Problems of Pregnancy د.نادية مضر الحلي

Backache
Backache is due to the laxity of spinal ligaments and weight of the pregnancy causing an exaggerated lumbar lordosis. Pregnancy can exacerbate the symp¬toms of a prolapsed intervertebral disc, occasion¬ally leading to complete immobility. Advice should include maintenance of correct posture, avoiding lifting heavy objects (including children), avoiding high-heels, regular physiotherapy and simple analgesia (paracetamol or paracetamol-codeine combinations).


Symphysis pubis dysfunction
This is an excruciatingly painful condition usually occurring in the third trimester. The symphysis pubis joint becomes loose , causing the two halves of the pelvis to rub on one another when walking or mov¬ing. The condition will only improve after delivery, and the management revolves around simple anal¬gesia and, under the physiotherapist s direction, a low stability belt may be worn.

Constipation
Constipation is usually blamed on the effect of proges¬terone in slowing gut motility, but the physical weight of the gravid uterus on the rectum may contribute, as may concomitantly administered iron tablets. A high-fibre diet should be encouraged, increase daily fluid intake and a mild (non-stimulant) laxative such as lactulose may be suggested.