minor symptoms of pregnancy Flashcards

1
Q

A 38-year-old G5P2 woman presents to antenatal clinic at 35+2 gestation. Her pregnancy so far has been unremarkable apart from some moderate morning sickness experienced in the first trimester. She complains of a number of minor symptoms.

Which of the following symptoms would be cause for concern and warrant further investigation?

Tiredness
1%
Dysuria
68%
Lower back pains
9%
Nausea / Vomiting
16%
Urinary frequency
5%

A

Many symptoms experienced in pregnancy are normal/benign, though it is important to recognise symptoms that are concerning for pathology (i.e. dysuria)
Important for meLess important
Dysuria may be an indication of urinary tract infection which needs to be promptly treated in all stages of pregnancy. UTI is associated with premature birth. It is believed the localised inflammatory mediators associated with UTI trigger pre-term labour by irritating the neck of the uterus and cervix.

Tiredness in pregnancy is multifactorial and totally normal in the third trimester of pregnancy. Lower back pain is associated with increased laxity in the sacroiliac joints due to the hormone relaxin, and increased mechanical load in pregnancy, this is normal. Nausea and vomiting, although more common in the first trimester of pregnancy is still considered normal throughout pregnancy. Urinary frequency, particularly late in pregnancy, is due to the increased mass effect of the expanding uterus on the bladder, also normal.

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1
Q

what are the minor symptoms of prgenancy

A

Pregnancy: minor symptoms

Minor symptoms of pregnancy may include:
nausea/vomiting
tiredness
musculoskeletal pains

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