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Heartburn – Heartburn (Regurgitation) is a burning pain in the chest, behind the breastbone that occurs when stomach acid travel up the esophagus and causes irritation. This sometimes happens in pregnancy due to relaxation of the lower esophageal sphincter (LES), which normally keeps acidic stomach contents in the stomach.
Heartburn is common during pregnancy having been reported in as many as 80% of pregnancies. [22] It is most often due to GERD and results from relaxation of the lower esophageal sphincter (LES), changes in gastric motility, and/or increasing intra-abdominal pressure. [23] [22] The onset of symptoms can be during any trimester of pregnancy.
Couvade syndrome, also called sympathetic pregnancy, is a proposed condition in which an expectant father experiences some of the same symptoms and behavior as his pregnant partner. [1] These most often include major weight gain, altered hormone levels, morning nausea , and disturbed sleep patterns.
Despite the name, nausea or vomiting can occur at any time during the day. [2] Typically the symptoms occur between the 4th and 16th weeks of pregnancy. [2] About 10% of women still have symptoms after the 20th week of pregnancy. [2] A severe form of the condition is known as hyperemesis gravidarum and results in weight loss. [1] [6]
HG is estimated to affect 0.3–2.0% of pregnant women, although some sources say the figure can be as high as 3%. [6] [9] [5] While previously known as a common cause of death in pregnancy, with proper treatment this is now very rare. [13] [14] Those affected have a lower risk of miscarriage but a higher risk of premature birth. [15]
Genitourinary Changes in Pregnancy. Progesterone causes many changes to the genitourinary system. A pregnant woman may experience an increase in the size of the kidneys and ureter due to the increase blood volume and vasculature. Later in pregnancy, the woman might develop physiological hydronephrosis and hydroureter, which are normal. [33]
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