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Obstetric and Gynecological Nursing - The Carter Center

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Management:<br />

- Small <strong>and</strong> frequent meal, sleeping with more pillows than<br />

usual.<br />

- For persistence/sever case/ prescribe antacids.<br />

3. Pica: - This is the term used when mother craves certain<br />

foods of unnatural substances such as coal, soil...etc. <strong>The</strong><br />

cause is unknown but hormones <strong>and</strong> changes in metabolism<br />

are blamed.<br />

Management:<br />

- Seek medical advice if the substance craved is potentially<br />

harmful to the unborn baby.<br />

4. Constipation: - Progestrone causes relaxation <strong>and</strong><br />

decreased peristaltic activity of the gut, which is also<br />

displaced by the growing uterus.<br />

Management:<br />

- Increase the intake of water, fresh fruit, vegetables <strong>and</strong><br />

ruphages in the diet.<br />

- Exercise is helpful especially walking<br />

5. Backache - <strong>The</strong> hormones sometime soften the<br />

segments to such a degree that some support is needed.<br />

Management:<br />

- Advice the mother to sleep on firm bed.<br />

- Advice support mechanisms of the back.<br />

58

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