By Helen Baston; Jennifer Hall
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Extra info for Antenatal
Example text
1: Continued ■ Constipation Relaxation of smooth muscle of gastrointestinal tract due to progesterone. Slower passage of food, increased absorption of water. Constipation may be exacerbated by some oral iron therapy. g. cereals, fresh fruit and vegetables. A systematic review of interventions for treating constipation in pregnancy concluded that bowel stimulants were more effective than bulking agents but were more likely to lead to abdominal pain and diarrhoea (Jewell Young 1998). Haemorrhoids may compound the problem.
She has seen her general practitioner (GP) who gave her some general advice about what she should and should not be eating. Aware of her previous medical history, the GP told Joanna to go to the reception desk and to make an appointment for the community midwife to visit her at home to undertake the ‘booking’. A week later she received a package of information and a letter from the midwife confirming the appointment time and asking Joanna to produce an early morning specimen of urine (EMSU) on the day of the visit.
Domestic violence : According to a Swedish study (Stenson et al 2001), most women do not object to being asked by their midwife about domestic abuse, including those who have reported exposure to violence. Find out about the implications for the unborn baby of being infected with beta-haemolytic Streptococcus. Identify five drugs that may have a teterogenic effect. Describe five jobs which might be hazardous during pregnancy and why. Social history The woman experiences her pregnancy within a social context.