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2. Normal Discomforts of Pregnancy
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f. Frequent Urination and Nocturia
1) Definition: Frequent passage of urine and increased night urination occurring in the first and third trimesters.

2) Physiological basis

(a) The enlarging uterus places increased pressure on the ladder.   (b) The bladder has less room to expand and thus has less capacity.   (c) Urine production increases at night. 3) Management (a) Practice kegel exercises. (Birth Classes, Handouts)   (b) Limit your fluid intake at night.   (c) Frequent urination helps prevent urinary tract infection. Urinary tract infection is a frequent problem during pregnancy that can lead to premature labor.   (d) Determine if you have signs and symptoms of infection by assessing your vital signs fever and/or pain during urination.
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4) Report any suspicion of urinary tract infection, diabetes, or ruptured membranes to your OB care provider.
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