Ectopic Pregnancy

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Ectopic pregnancy occurs to about 1% of the entire pregnancy and this is an emergency condition when it needs to be helped as soon as possible. If there is no action to this condition, it will be dangerous for the mother because of the bleeding in the abdominal cavity, not in the outside. In the ectopic pregnancy case, the embryo has little possibility to stay alive. However, few conditions, the example of abdominal pregnancy, pregnancy and embryo can survive until the maternity time, and if the maternity occurs in Caesarean surgery, there is hope and possibility that the baby can be born alive.

The Causes of Ectopic Pregnancy

Ectopic pregnancy can be caused by various reasons, and the most occurred reason is there is infection in the fallopian tube. There is high possibility that ectopic pregnancy can occur when:

• Mother had the history of ectopic pregnancy before


• Mother had surgery in the area of fallopian tube


• Mother had Diethylstilbestrol (DES) during pregnancy


• The condition of fallopian tube has congenital abnormality


• There is history of transmitted sexual diseases such as gonorrhea, chlamydia, and pelvic inflammatory disease (PID).

The Symptoms of Ectopic Pregnancy

When the pregnancy reaches 6-10 weeks, a mother who has ectopic pregnancy will feel some symptoms such as:

• The pregnant mother feels pain on the one side of waist area and it happens suddenly.


• There is bleeding in vagina outside the menstruation schedule, or abnormal menstruation.


• Feeling deep sore in the bottom side of stomach


• Sometimes the pregnant mother faint

Advanced Stage Symptoms of Ectopic Pregnancy

• Pain in the stomach which often occur


• The pregnant mother’s skin looks pale


• Low blood pressure


• The pulse rate increased

Diagnosis

Ectopic pregnancy is usually hard to be diagnosed by the doctor because of the symptoms and signs of pregnancy in ectopic pregnancy also happen to normal pregnancy. There are some ways that can be done to detect ectopic pregnancy, which are:

• Using USG (ultrasonography). By using USG, doctor can detect the ectopic pregnancy because the damage and bleeding in fallopian tube can be detected and also the embryo in the outside of the uterus can be detected as well.


• Using measure towards HCG (human chorionic gonadotropin – pregnancy homone) rates. The HCG rate of pregnant mother who has ectopic pregnancy is usually not increased.


• Doing small surgery by giving small incision in the lower abdomen (laparoscopy)

Treatment

The doctor will always cancel the ectopic pregnancy by giving medicine that will hold the embryo growth. The long term effect can be avoided if the ectopic pregnancy can be detected early. If the ectopic pregnancy has detected earlier, it can be handled by giving injected medicine so it can be permeated by pregnant mother. This thing will make the fallopian tube in full condition. If the condition becomes serious, such as the fallopian tube had swollen, so the doctor will do surgery.

Prognosis

About 12% of women will have ectopic again if they ever had this kind of condition before. Women will be fertile again after having ectopic pregnancy (60%), severe trauma after having ectopic pregnancy which is followed by the desire not to be pregnant again (30%), and about 10% of women will have fertile problem after having ectopic pregnancy.

Positive support from husbands, families, or friends will be needed for women who ever had ectopic pregnancy. Hopefully, it will decrease the traumatic experience from ectopic pregnancy so the recovery and the feeling to be pregnant again can be fully back (of course by seeing the condition after having ectopic pregnancy). Consult your condition to the doctor or midwife if you want to be pregnant again after having ectopic pregnancy. It is important thing to do so the doctor or midwife can give the steps that you should do to avoid ectopic pregnancy. And if you decide to get pregnant again, you should be tightly watched in the next pregnancy so the pregnancy can be done greatly until the maternity time.

 

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Cramps during Pregnancy

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Normal cramps

Pregnancy has tight relationship with cramps in your lower abdomen. The cramps could happen anytime starting from you not getting period in the beginning of the pregnancy, until the time of labor. Cramps when you do not get any period again during pregnancy indicate some embryo growth in your uterus. This is a good sign that the embryo is developing perfectly. The rest of the follicles that released the egg, or usually called corpus luteum, develop and grow bigger. This corpus luteum will later produce progesterone hormone that will help during pregnancy. Progesterone hormone production by corpus luteum will stop when the placenta starts producing its own progesterone hormone. This will cause cramps in one side of your stomach. Muscles that support the uterus will stretch and widen during pregnancy. This could also be one of the causes of cramps during pregnancy. Cramps at the ending of pregnancy or before labor could be the sign that the mother is ready to give birth. This one particular cramp is not a scary thing, but it is the one thing that a mom to be is waiting for. Light cramps indicate there are some irregular light contractions happening. Light contractions are some process where the uterus is warming up for a labor.

Note cramps that happen at the beginning of pregnancy!

A few examples above are some harmless cramps. But actually cramps could be a sign that the pregnancy is troubled. Cramps that happen during the beginning of pregnancy a moment after you miss your period could be a sign that there are some mistakes in embryo development. If you are experiencing this, contact your doctor immediately. This needs some treatment and handling as fast as possible. To make sure if your embryo is fine and developing like it needs to be, you need to do some check-up with the ultrasonic waves. Cramps that get worse during the beginning of pregnancy until the mid of pregnancy could also be a sign of miscarriage. Especially if the cramps are also accompanied with bleeding, quoted from the American Pregnancy Association.

Cramps during pregnancy could also indicate an ectopic pregnancy. Ectopic pregnancy is where the embryo doesn’t develop inside the uterus. In ectopic pregnancy, the embryo usually places itself and grows in the tuba fallopi part. Tuba fallopi doesn’t have enough space for the embryo to develop. As the result, the mom to be will feel some great pain from the widening and stretched tuba fallopi. This could endanger the mother if it’s not detected and handled soon. The mom to be could die from the stretching of tuba fallopi. (Read: Ectopic Pregnancy and What Causes It)

Cramps that happen after the 20th week is apparently dangerous

Severe cramps that happen in a short period and happen between 20th until 37th week could indicate a premature labor happening. Some medicines are known for stopping the breakage of amniotic fluids and helping the lungs of the baby to get ready even more, if the premature labor has to happen. Cramps that happen at the ending of pregnancy, besides telling you that the labor is close, could also indicate the baby is tangled in placenta. A baby tangled in placenta can endanger both the mother and also the baby. If it happens, a labor needs to be done immediately.

Treatment for normal cramps

If you get cramps during pregnancy, it is suggested to sit down with both knees on a line in front of you. Other than that, drink as much as possible and take a warm bath or shower.

Caution

Never underestimate cramps, even though you are sure of what caused it. Some dangerous and harmful things like ectopic pregnancy were not indicated by the emergence of pain. So when you start getting cramps, contact your doctor immediately. Prompt handling can save the baby and also your tuba fallopi. Cramps that happen more than 8 times in an hour or 4 times in 20 minutes period at 20th week of pregnancy indicate that you might go into labor prematurely.

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7 Ways to Cope With Back Pain during Pregnancy

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1. Practice good postures

Because the baby that you’re carrying is growing bigger each day, your body gravity will move forward. To avoid falling because of the weight, you can look for a support for your back. Here are some principles for good postures:

• Stand up straight.


• Pull up your chin.


• Make sure your shoulders are leaning back and relaxed.


• Do not close your knees.

When you stand up, decide which position is the most comfortable for you. When you have to stand up for quite a while, rest one of your feet on a low small stool – and rest for a little bit.
Good posture also means sitting down carefully. Choose a chair that supports your back, or place a little pillow behind your lower back. Keep your upper back and your neck in a straight comfortable position. You can also consider resting your feet on a low stool.

2. Wear the right clothes

Wear low heeled shoes that are supported with good curves. Wear special trousers or pants and also maternal clothes with low and supportive belt. You can also wear special belts for pregnant ladies. Even though the research about the belt’s affectivity is very limited, some pregnant ladies stated that the additional support was really helpful.

3. Lift things with the right position

When you are about to lift small things, squat and then lift using your feet. Don’t bend your waist or lift using your back. It is important for you to know your limit. If you don’t think you can do it, you can find a help.

4. Sleep sideways

It’s better if you sleep sideways, don’t sleep on your back. Make sure one or both knees are flexed. Place a pillow between your knees or other body parts below the stomach to help your sleeping position, or use a body-sized pillow.

5. Try something hot, cold, or a massage

Use hot pads to warm up your back, or fill your ice box with something hot. Rubbing your back also helps. But it is better if you ask someone else to rub your back or you can also schedule a massage before labor.

6. Include physical activities in your daily routine

Regular physical activities can keep your back strong and are also able to get rid of back pain during pregnancy. With doctor’s approval, try to do light activities or some pregnancy exercises – such as walking or swimming.
You can also stretch your lower back. Rest your hands and knees with your head on a line with your back. Pull in your stomach, twist your back slowly. Hold for a few seconds, then relax your stomach and back – make sure your back is as flat as possible. Repeat for 10 times. Ask your doctor about the stretching exercise.

7. Consider some additional therapies

The results of a few researches suggested that acupuncture would help getting rid of back pain during pregnancy. Chiropractic treatment offers comforts for a few women. If you are considering some additional therapies, discuss the available choices with your doctor first because the back pain you are having might be caused by other factors.

Know when to go to the doctor

Even though it’s a common thing, back pain during pregnancy is not something you should ignore. Talk to your doctor if your back pain still continues after trying the methods above. Taking medicines like acetaminophen (Tylenol, etc.) may be unnecessary, but the most important thing is you should go to do some check-ups. Besides, you need to know that back pain is also a symptom before labor – and severe back pain or back pain with bleeding indicates some problems that prompt attentions. If you are concerned about back pain during pregnancy, let your doctor know immediately.

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The Causes of Pain in Uterus during Pregnancy

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Pelvic muscle pain

Pain in pelvic muscle is a normal thing at the first trimester of pregnancy. This pain might change time to time and in varied intensities, from light pain such as cramps, like what William Sears said on his book “the Pregnancy Book”. Ligament muscles that support the uterus will stretch a little bit by the uterine growth, and the stretch that you can feel the most is at the starting trimesters. The pain may spread to the uterus or even spreads further to the stomach area, pelvis, and lower back.

Fetal position change

Fetal movement is very fast because it usually happens on the 16th and 25th weeks on pregnancy. This movement is usually very slow and will felt like the fetus slides inside your uterus. By the growth of fetus, you will feel more of the fetal movement and in some cases; you will feel the fetus kicking. If the movement stops in a sudden or drastically slowing down, contact your obstetrician immediately. Even though the fetal position movement doesn’t connect directly to the fetal health, but if there are only a few movements, you need to beware of this. According to Sears, this might the sign that your pregnancy is troubled.

Irregular light contractions

According to the book “Biology: Life on Earth with Physiology,” irregular light contractions happen at the starting of pregnancy or usually on the sixth week, but some of the expecting women don’t experience this thing. These contractions happen because of the contraction in the uterine muscles. Some doctors say that this contraction happens when a female body is preparing for a labor. The contractions cause ticklish feeling, cramps, or even pain when the uterus contracts and stretches. Some women state that they feel pain when the irregular light contractions happen. If they happen four times or more during one hour period, and your pregnancy is less than 37 weeks old, contact your doctor immediately.

Other causes

Pregnancy causes a woman becomes more sensitive about the condition of her uterus. The air in stomach can cause light pain that might felt like the fetus is sliding inside her uterus. Some women feel her uterus throbbing when she gets the pain. According to Sears, this condition happens because of the increase of blood flow. There are a few things that could cause uterine muscles getting weak such as heavy work outs, hunger, and also stress. When the uterine muscles get weak, that’s when the pain appears.

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Biaya Administrasi Tabungan Bank Jabar Banten BJB

Biaya Administrasi Tabungan Bank Jabar Banten ( Bank BJB)  - Ternyata banyak juga produk tabungan yang di keluarkan bank jabar banten. Dari beberapa itu saya update disini 3 saja yang sekiranya cocok untuk simpanan harian, sehingga layak untuk di jadikan pilihan untuk menabung.

Tabungan Simpeda
Ini adalah tabungan harian dari bank BJB yang di peruntukan untuk nasabah perorangan atau organisasi.

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Itchy Skin during Pregnancy – Here Are How to Overcome It

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Itchy skin during pregnancy

There are three causes of itch during pregnancy, dry skin, stretch marks on stomach skin, and PUPP symptom. PUPP stands for Pruritic Urticarial Papules and Plaques of Pregnancy that usually happens because of the increase of gonadotropin and estrogen hormone activities. Level of itch also varies. Starting from the lightest up to the one that causes rashes on skin. Even in some cases, there are also swell and red spots. This case usually happens on women who are expecting twins or first child. The itch will appear in the stomach area or stretch marks that spreads to the arms and thighs. This event could be very dangerous for both the mother and the baby. The effect is also very uncomfortable. In usual case, the doctor will usually give you tropic ointment or recommend antihistamin.

Actually most of the itch cases that happen during pregnancy are not dangerous because this is a normal case. But if you feel really uncomfortable, contact the doctor immediately. The itch is usually gone a moment after giving birth. Usually the itch will appear again if the mother is in a place with a hot weather. Wear loose-fitting clothes and also made of cotton so the air circulation will still keep on going. It’s better to stay at home when it’s hot outside. But if you really have to, prepare some wet wipes or a mini fan to keep the skin from drying.

Tips to reduce itch

Usually when someone feels itch on his body, he will scratch it and this causes skin irritation or secondary infection. That’s why, be careful when scratching or it’s better if you just hold it in. It’s normal to feel uncomfortable. Here are some tips to reduce the itch.

1.    Use some moisturizer lotion. Keep your skin moisturized during pregnancy because the risk of getting itches will be very high. Using moisturizer lotion will help reduce the scratching marks. Just apply the lotion on the areas that itch, like stomach or chest area.

2.    Consume more vegetables, fruits, and water. The ingredients in them are very good for keeping your body moisturized naturally. The benefit is not only for the mother, but also for the baby.

3.    Wear sweat-absorbed clothes. Pregnant women usually produce more sweats than not pregnant women. Frequent sweating and hot weather will cause itch. The solution is by wearing maternal clothes that are made of cotton. Besides reducing itch, this material is also comfortable to wear.

4.    Shower with cold water. It’s better to not take a warm or hot shower because it will increase the risk of getting itch. Don’t forget to use soaps that have low pH level, such as baby soap.

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Molar pregnancy – symptoms, diagnosis, and treatment

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Molar Pregnancy (hydatidiform mole) is a benign tumor in the form of an abnormal pregnancy that occurs as a result of the failure to establish the fetus would be forming a membrane surface tissue (villi) that resemble grape bunch. Pregnant molars are benign tumors that form from the trophoblast (the edges of the egg cells) that have been fertilized. The tumor was attached to the uterine wall and become the placenta and the membranes that nourish the products of conception. This type of tumor may be malignant.

Medically, molar pregnancies can occur in the absence of primordial tissue (agenesis) or any changes (degeneration) system of blood flow to the primordial tissue at gestation week 3 to week 4. Other causes are the continuing flow or circulation without going to the fetus, resulting in increased production of trophoblast cell fluid. Pregnant molar can also be caused by abnormalities of sex kromsom substance.

Symptoms similar to molar pregnant women who are pregnant normal, such as: missed period, nausea, vomiting, and so on. Examination pregnancy test also gave positive results. But the difference is, the molar was not pregnant there are signs of fetal movement, uterine appear larger than the actual gestational age, and discharge the liquid bubbles like grapes along with vaginal bleeding.

Through the radiologic examination or x-ray does not look any fetal bone, but something like a honeycomb or a snow storm. Similarly, an ultrasound will produce a picture similar to a snow storm and did not reveal any signs of fetal heart rate. In molar pregnant, HCG levels will rise higher than normal levels of HCG in pregnancy.

Response pregnant molars can be done by issuing mola (evacuate), then do follow-up monitoring (follow-up). In women of fertile and still wanted to have children, spending mola can be done by curettage or suction curettage. A week after the first curettage, curettage repeated again performed to ensure the uterus is completely clean. Whereas in older women or children who are not wanted, to do removal of the uterus (hysterectomy).

At follow-up monitoring (follow-up) was conducted to monitor and evaluate the condition after the evacuation, whether clinical, laboratory and radiological. Surveillance continued with HCG examination conducted once a week so that the levels of HCG became negative. If the level of HCG is negative, it is still necessary examinations for three consecutive weeks to ensure the HCG levels remain negative. Further examination HCG levels once a month for six months. If further investigation shows that HCG levels still remain or even increase, the need chemotherapy.

Patients molar pregnant women advised not used until the completion of further scrutiny. For women who do not have children, it is recommended using contraception to delay pregnancy for one year, whereas for non-pregnant for two years.

To determine whether your pregnancy is normal or did abnormalities, in this example, pregnant molar, recognize the signs and you should regularly check their pregnancy to the midwife or obstetrician.

.

 

 

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Miscarriage – causes and signs

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Miscarriage is one of the most feared by pregnant women. The thought of the presence of the baby, cute little baby when miscarriage already gone over. Compounded by pain, stress, and even trauma haunts pregnant women who had a miscarriage.

Therefore, let us know about what is a miscarriage, what causes it and how the signs of this miscarriage. In order to know about the ins and outs of miscarriages, miscarriages are expected to be avoided. Miscarriage is defined as the discharge of the fetus or premature labor before being able to live. The risk of miscarriage has a percentage of 15% – 40% of pregnant women, and 60-75% of miscarriages occur before the age of 3 months of pregnancy. However, the number of events or risk of miscarriage decreases in gestational age over 3 months.

Occurrence Cause Miscarriage 

The factors that cause a miscarriage are:

• Abnormalities in the fetus due to chromosomal abnormalities, which occur during the process of fertilization. As a result, the embryo is formed and issued defective body. 


• Maternal abnormalities, such as abnormalities in hormonal system (prolactin can is too high or too low progesterone), the immune system, chronic infections, and serious illness suffered by the pregnant mother.


• Abnormalities in the uterus. The most common abnormality is the presence of myoma (a tumor of muscle tissue) that can interfere with the growth of the embryo. Other abnormalities include a uterus is too weak to be able to withstand the weight of the developing fetus. Pregnancy in a uterus that is too weak usually can only last until the end of the first trimester. 


• Other causes are infection, such as TORCH virus, HIV, Hepatitis, etc.


• Miscarriage can also be caused by lifestyle. Women who have smoking habits, consume alcohol, obesity or underweight can have a hormonal disorder that results pregnancy disorders. 

Signs of Miscarriage 

Before the miscarriage actually happens, usually there are some signs that indicate that something is not right in the pregnancy. The signs of a miscarriage are:

· Bleeding

Bleeding is the most common sign. Bleeding can occur only in the form of patches lasting until bleeding. Sometimes there is a section of the torn tissue that comes out with the blood. For example, part of the uterine wall tissue is torn or torn amniotic sac.

Sometimesthere areparts ofthe torntissuethatcomeoutwithblood

·  Stomach cramps or spasms

This signfeelsa bit likecramps early in the coming months. This cramping usually lasts over and over long periods of time. Cramps or spasms can also occur in the pelvic area.

·  Pain in the Lower Abdomen

Pain in the lower abdomen occurs in a long time. Besides in the abdomen, the pain can also occur at the bottom of the pelvis, groin and genital area. This pain occurs within a few hours to several days after bleeding symptoms.

 

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Waspadai Diabetes Melitus Pada Bayi

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Bagi calon ibu hamil yang memiliki riwayat kesehatan diabetes maka sebelum menjalani kehamilan harus terlebih dahulu memiliki pemeriksaan. Meskipun demikian bayi yang baru lahir dari ibu yang memiliki riwayat garis keturunan memiliki diabees melitus tidak selalu mewarisi penyakit diabetes melitus seperti ibunya atau menjadi pembawa keturunan diabetes. Dengan demikian kondisi ini dapat melumpuhkan bahwa diabetes melitus selalu identik dengan keturunan melainkan terkait dengan mutasi gen yang dapat menjadi resiko tertinggi terjadinya diabetes melitus pada bayi yang baru lahir.

Penting bagi ibu hamil untuk menjaga kesehatan, terutama berat badan yang ideal selama kehamilan yang dapat berpengaruh pada berat badan bayi yang baru lahir. Selain itu hal yang perlu diwaspadai adalah pemberian susu formula yang mengandung kandungan gula tambahan yang over menyebabkan berat badan bayi berkembang pesat dan menjauhi berat badan ideal sesuai dengan usia normalnya. Selain kandungan gula, sel sel lemak yang terkandung di dalam susu formula relatif sulit dicerna dibandingkan dengan air susu ibu (ASI) yang memiliki sel lemak yang mudah diserap oleh bayi anda. Hal ini membutuhkan kondisi adaptasi sehingga tubuh bayi anda membutuhkan adaptasi yang memaksa sel tubuh mengarah pada kondisi diabetes melitus pada saat bayi.

Dari uraian di atas dapat ditarik kesimpulan bahwa bayi siapapun dapat mengalami diabetes baik pada saat lahir atau ketika usia batita, hal ini dikarenakan gaya hidup ibu hamil yang tidak sehat dan juga pola pemberian susu dan MPASI yang menyebabkan berat badan bayi anda meningkat secara dratis menjauhi ideal sesuai dengan usia bayi.Adapula yang meyakini bahwa diabetes melitus dapat terjadi dikarenakan mutasi gen yang dapat terjadi karena adanya faktor, salah satunya faktor lingkungan, zat kimiawi atau infeksi mikroorganisme. Meskipun sampai saat ini diperlukan penelitian lebih lanjut untuk mengetahui kerusakan gen yang memicu kejadiaan diabetes melitus pada bayi.

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Understanding Hormones of Pregnancy

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During pregnancy, a female body will react by making changes and producing pregnancy hormones to support the pregnancy itself. These pregnancy hormones are useful to support the pregnancy especially for the baby to develop well. It’s good for pregnant women to know about hormones produced during pregnancy and also the functions and effects caused by them, so there will not be any misunderstandings or even turning them into pregnancy myths for the changes that happen during pregnancy. These are a few hormones produced during pregnancy, and the functions and effects caused:

Pregnancy Hormone HCG (Human Chorionic Gonadotrophin)

This hormone will only be found in the body of a pregnant woman, it’s made by embryo right after fertilization and also because of placenta tissues. The pregnancy hormone that is produced by villi choriales causes the increasing of progesterone production by the egg and suppresses period and takes care of the pregnancy. The production of HCG will increase up until the 70^th day and will decrease for the rest of the pregnancy. Pregnancy hormone HCG might have additional functions, such as; HCG affects immunity tolerant on pregnancy. This hormone is an indicator that’s detected by the pregnancy test pack via urine. If a pregnancy test pack detects any increase of HCG hormone level in urine, then the pregnancy test pack will indicate that there is a pregnancy or a positive test result.

Cause
High level of HCG in blood causes nausea and morning sickness.

Pregnancy Hormone HPL (Human Placental Lactogen)

Is a hormone produced by placenta, it’s a protein hormone that stimulates development and causes changes in carbohydrate and fat metabolisms. This pregnancy hormone is very important in breasts milk production. Low level of HPL indicates the placenta is not functioning well. 

Cause
Changes on breasts. Breasts get bigger and sore on nipples if touched.

Pregnancy Hormone Relaxin

Pregnancy hormone produced by corpus luteum and placenta. Soften cervical and relaxes the hip joint.

Cause
Relaxation on ligament and joints.

Pregnancy Hormone Estrogen

Produced by ovaries and affects the accretion of uterine endometrium, histology changes on vagina. Affects the growth of mammae gland duct during lactation, controls releasing of LH and FSH, sensitizes uterine muscles, loosens up cervix, vagina, vulva, and causes contractions on uterus. Estrogen also toughens up uterine walls to overcome contractions during labor. This hormone also softens body tissues, so body joints and tissues get weak and can’t support your body very well. Really important for the health of genital system, reproduction organ and breasts.

Cause
Might affect body fluids balance so a fluid hoarding could happen and causes swelling. Besides with the increase of this hormone a pregnant woman also feel pain on her back. Might also cause varices.

Pregnancy Hormone Progesterone

This hormone is useful for building layers in the uterine wall to support placenta in the uterus. Also useful to prevent contraction moves or uterine muscles wrinkling, so an early labor can be avoided. This hormone also helps breasts getting ready for lactation.

Cause
This hormone can “expand” veins that lowers blood pressure, that is why you get headaches often during pregnancy. This hormone also slows down digestive system, bloating or constipation. This hormone also affects your moods, increases body temperature, fasten your breathing, nausea, and decrease of sex drive during pregnancy.

Pregnancy Hormone MSH (Melanocyte Stimulating Hormone)

This hormone stimulates pigmentation on skin.

Cause
Darken the color of nipples area. Pigmentation on face, the insides and the lines from navel to below (linea nigra)

 

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