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2. Normal Discomforts of Pregnancy  
The Physiological Basis for the Discomfort; Management of the Discomfort; AND Indications of Potential Problems that Should Be Reported to Your Obstetrics (OB) Care Provider.
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a. Backache
1) Definition: Nonpathological lumbosacral backache usually occurring in the second and third trimesters.

2) Physiological basis

(a) The increased size of the uterus contributes to muscle strain.   (b) Changes in posture also contribute to muscle strain.   (c) Excessive bending, walking, and lifting are other causes of backache.   (d) High back pain can occur from the increasing size of the breasts. 3) Management of high back pain (a) Consider a supportive bra.   (b) Expectant mother can stretch her arms over her head to exercise the muscles of the upper back. 4) Management of lower back pain (a) Practice good posture and body alignment.
 
  • Bend at knees, with back straight
  • Do not  bend at the waist
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(b) Learn proper body mechanics.   (c) Wear low-heeled shoes.   (d) Exercise as permitted by the obstetrics (OB) care provider.   (e) Place pillows in a manner that will position and straighten out the back, alleviating pulling and strain.   (f) Relief measures include moist warm compresses and massage.   (g) Acetaminophen (Tylenol®) will help, if permitted by the OB care provider. IT IS BEST TO NEVER take any medications without the OB care provider's knowledge.
5) Indicators to refer to your OB care provider. (a) Severe persistent pain should be reported. (b) Signs and symptoms of premature labor or urinary tract infection should also be reported to your OB care provider.
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  • Burning with urination
  • Decrease in urinary frequency 
  • Blood in urination
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