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. CLASS ONE, Section I, A. 8
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A. Expected physical changes

8) Musculoskeletal

(a) Sacral bones relax because of hormonal changes. This often causes a waddling gait with slight separation at symphysis pubis.   (b) Some postural changes occur to compensate for weight shift. This is to maintain the body's center of gravity, but it also contributes to muscle aches. Caution: as pregnancy progresses, be aware that labor contractions can feel similar to back pain. Try to discern between the two by feeling abdomen for regular patterned movements or tightening of muscle and also wear flat shoes to decrease chance of falling.
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