Minor Anetnatal problems

Question 1

Itching

Answer 1

Common

Important to check sclera for jaundice and do LFTs to rule out gestational cholestasis

Question 2

Pelvic girdle pain

Answer 2

Pain in pubic and sacroiliac joints

Manage with physiotherapy, analgesia and/or crutches

Question 3

Heartburn

Answer 3

70% - most marked in supine position

management - extra pillows, antacids
Severe - ranitidine

Question 4

Backache

Answer 4

Common (sciatica)

Management: physio, firm mattress

Question 5

Constipation

Answer 5

Common - exacerbated by oral iron

Management - high fibre diet, movicol

Question 6

Ankle oedema

Answer 6

Common and worse at end of pregnancy

Management: Check for pre-eclampsia
Raise foot at night
DO NOT GIVE DIURETICS

Question 7

Leg cramps

Answer 7

30%

Management: Sodium chloride tablet, calcium salts

Question 8

Carpal tunnel syndrome

Answer 8

Management = splints

Question 9

Vagintis

Answer 9

Candidiasis

Manage with clotrimazole pessary