Term
|
Definition
1. R/O PTL and UTI
2. Comfort measures
- maintain good posture
- wear supportive bra
- avoid excessive bending, walking, lifting
- observe good body mechanics
- sleep on firm mattress with pillows for support
- exercise, especially yoga, swimming, relaxation
- sit with spine supported and neutral spine position
- heat/ice
- pregnancy girdle
- low-heeled shoes
3. Complementary measures
- body work
- acupuncture
- chiropractic
- osteopathy
- physical therapy
- Bowen therapy
- massage
- shiatsu
- reflexology
- homeopathy
- nutritional suggestions
- calcium, 1500 mg daily
- magnesium 750 mg daily
MH (2004), 26-27
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|
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Term
|
Definition
1. Comfort measures
- discontinue repetitive motions
- maintain good posture
- wear supportive bra
- elevate arms
- relaxation exercises
- stabilization of wrist (i.e., splint)
- massage
2. Medical intervention--if no improvement refer to orthopedist for possible corticosteroid injections or surgery
3. Complementary measures
- body work
- homeopathy
- nutrition
- vitamin B6 supplementation
- magnesium supplementation
- Chinese medicine
- acupressure (kidney meridian and pericardium 6 for 7-10sec 3 times each)
- acupuncture
- Shiatsu
MH (2004), 27-28
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|
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Term
|
Definition
1. Comfort measures
- exercise
- rest
- decrease stress
2. Nutrition
- whole grains
- fibrous fruits/vegetables
- dried fruits (esp. figs/prunes)
- other fruits/juices
- at least 8 non-caffeinated beverages/day
- vitamin B rich foods
- limit consumption of muscle meats to 2-3 times/week
- carob powder added to blended drinks/foods
3. Medical interventions
- changing brand of iron supplement
- natural bulk laxatives (avoid other laxatives): Metamucil/Citrucel/psyllium
- colace is a safe stool softener, but only to be used when other methods have failed
4. Complementary measures
- homeopathy
- Chinese medicine
- acupuncture
- shiatsu (stomach meridian)
- acupressure (stomach 36: 3 times for 7-10sec)
- reflexology--intestinal zone; clockwise motion
- herbs
- psyllium seeds: 1-2 tsp soaked in water
- dandelion decoctions
MH (2004), 28-29
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|
|
Term
Dyspareunia
(discomfort during intercourse) |
|
Definition
1. R/O preexisting dyspareunia
2. Reassurance of normality
3. Alternative positioning
4. Ice to perineum for vascular engorgement
5. Alternative means of sexual gratification
MH (2004), 30 |
|
|
Term
|
Definition
1. Indications for referral: cyanosis, pain, abnormal heart/lung sounds, deterioration of vital signs, fever, cough
2. Comfort measures
- fresh air
- breath slowly
- stand up and stretch with deep breathing
- elevate head of bed
- relaxation exercises
- hands & knees
3. Complementary measures
- Chinese medicine: shiatsu of lung 1 and pericardium 6
MH (2004), 30
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|
Term
Edema of Lower Extremities |
|
Definition
1. R/O preeclampsia, varicosities, thrombophlebitis
2. Comfort measures
- avoid restrictive clothing
- vary position often
- minimize long periods of standing/walking
- elevate legs throughout day
- rest on left side
- exercise
- massage
3. Complementary measures
- osteopathy
- Chinese medicine
- acupuncture
- shiatsu
- acupressure (kidney meridian, kidney 7, stomach 36, bladder 23, kidney 3)
- reflexology: lymphatic system zone, kidney, liver, and GI tract
- herbs
- dandelion tea (diuretic)
- parsley (1/4 oz fresh/day)--uterine stimulant and contraindicated with GI disease
MH (2004), 30-31
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|
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Term
|
Definition
1. Exclude anemia (if present rec. supplement) and inadequate nutrition
2. Comfort measures
- reassurance of normality
- regular exercise
- good posture
- well-balanced meals
- naps
3. Complementary measures
- Chinese medicine: shiatsu
4. Nutrition
- B vitamins
- increase protein
MH (2004), 31-32
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|
|
Term
|
Definition
1. Exclude PTL, UTI, round ligament pain
2. Comfort measures
- exercise
- prevent constipation
- eat 4-5 small meals/day
- chew slowly
- more fruits/vegetables
- cook vegetables
- avoid gas-forming foods
- knee-chest position/squats
- abdominal massage
- avoid combining carbs/proteins in same meal
- eat fruit alone
3.Medical intervention
- simethicone: Maalox/Mylanta
4. Complementary measures
- homeopathy
- nutrition
- herbs
- dill
- papaya
- ginger
- peppermint
MH (2004), 32-3
|
|
|
Term
|
Definition
1. Exclude sinusitis, seasonal allergies, ocular strain, migraines
2. R/O preeclampsia after 20 weeks
3. Comfort measures
- adequate hydration
- rest
- fresh air
- yoga
- eat small frequent meals
- relaxation
- cool or warm wet washcloth on forehead
- ice pack
- bath with epsom salts
- massage
4. Medical interventions
5. Complementary treatments
- chiropractic
- biofeedback
- massage
- magnet therapy
- homeopathy
- Chinese medicine
- acupunture
- shiatsu
- acupressure (In Do, bladder 10)
HN (2004), 33-34
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|
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Term
|
Definition
1. Comfort measures
- relaxed mealtimes
- eat slowly/chew thoroughly
- avoid: coffee, alcohol, chocolate, fats
- avoid cold foods/liquids
- pat of butter before meals
- more raw foods
- drink only glass of water with 1 tbsp apple cider vinegar w/meals
- avoid eating or lying down 3 hours before bedtime
- yogurt
- raw almonds
- good posture
- flying exercise (raise/lower arms while tailor sitting)
- wear loose-fitting clothing
- use extra pillow
- avoid cigarettes
2. Medical interventions
- antacids (may reduce iron absorption): Maalox/Gelusil
- Tums/calcium carbonate may cause severe rebound heartburn
- milk of magnesia can cause diarrhea and contraindicated w/kidney stones. Chronic use can cause magnesium toxicity.
- amphojel can cause constipation and interfere with calcium absorption
- simethicon: Maalox/Mylanta ok but unproven
- antisecretory antihistimines
- Pepsid AC (B), Tagamet (B), Zantac (B), Axid Pulvules (C)
3. Complementary measures
- osteopathy
- homeopathy
- Chinese medicine
- shiatsu
- acupressure: stomach meridian, stomach 36, pericardium 6, bladder meridian, conception vessel 22
- reflexology: esophagus, stomach, intestine zones and sedation of solar plexus and diaphragm
- herbs
- papaya
- marshmallow root
- catnip
- ginger
- peppermint (steep 1 tsp/1 cup water for 20 mins or5gtt tincture)
MH (2004), 34-36
|
|
|
Term
|
Definition
1. Comfort suggestions
- drink lots of water
- rest in left lateral position
- elevate the foot of bed
- avoid standing or sitting for long periods
- Kegel exercises
- do not sit for long periods or strain on toilet
- exercise daily
- warm sitz baths 4-6/day for 20 min followed by 1 min in cold water
- cornstarch or baking soda in sitz bath for itching
- witch hazel compresses
- ice
- avoid donut pillows
- avoid spicy foods
2. Medical interventions
- Preparation H/other topical analgesics
3. Complementary measures
- homeopathy
- Chinese medicine
- acupuncture
- shiatsu
- acupressure
- nutrition
- vitamin B6, 25 mg with every meal
- vitamin C
- vitamin E
- bioflavonoids
- raw garlic/onions
- reflexology (lymphatic system/intestinal/rectal zones)
- herbs
- comfrey (limited use in pgcy, only external compresses)
- horse chestnut
- plantain leaves (4 oz to 1/2 gal steeped 8 hrs) as sitz bath
- pilewort ointment (5 g/100 mL) or suppository
- nettle leaf tea (1c/day)
- garlic suppository
- grated raw potato suppository
|
|
|
Term
|
Definition
1. Comfort measures
- exercise daily
- avoid caffeine
- decrease fluids before bed
- avoid large meals w/in 2 hrs of bed
- sleep regular hours
- nonstimulating activities before bed
- warm bath/warm drink (milk) before bed
- set environment
- massage
- pillows for comfort
- relaxation techniques
- naps
2. Complementary measures
- homeopathy
- Chinese medicine
- acupuncture
- shiatsu
- acupressure (bladder 10, 31, 32)
- nutrition
- vitamin B deficiencies implicated
- calcium/magnesium supplement before bed
- oats
- herbs
- valerian root (10-25 gtt tincture, bid to tid, or 1 c of tea--1 tsp herbs/150 mL water--up to several cups/day)--Avoid prolonged use
- skullcap tea
- catnip tea
|
|
|
Term
|
Definition
1. supplement with calcium and magnesium
2. comfort measures
- exercise
- good posture
- elevate legs
- warm bath
- push-away exercise (stretch calfs)
- flex feet with toes up with cramp
- massage toward heart
- 3. Complementary measures
- homeopathy
- Chinese medicine
- acupressure (stomach, gallbladder, and bladder meridians. bladder 57)
- herbs
|
|
|
Term
|
Definition
1. R/O vaginal infex/ROM
2. reassurance of normality
3. comfort measures
- cotton underwear
- avoid commercial feminine hygiene products
4. Complementary measures
- Chinese medicine
- shiatsu (kidney meridian)
- Nutritional suggestions
- L. acidophilus 2 caps tid
- vitamin B complex 100 mg tid
- vitamin B 50 mg tid
- vitamin C w/biofavonoids qd
|
|
|
Term
|
Definition
1. After 1st tri R/O emotional problems, hydatidiform mold, hyperemesis gravidarum
2. comfort measures
- eat before getting out of bed
- get out of bed slowly
- light protein snack at bedtime
- always carry food
- avoid strong odors/spicy food/fatty food
- suck on hard candies
- dry food/carbonated drinks may be better tolerated
- fresh air
- vitamin B foods
- ginger
3. Medical interventions
- antiemetics/antihistamines
- doxylamine/pyridoxine
- hydroxyzine/metoclopramide (Vistaril)
- dramamine
- compazine
- droperidol
- phenergan
- anzemet/kytril/zofran
4. complementary measures
- homeopathy
- hypnosis
- Chinese medicine
- acupressure (pericardium 6--wristbands, stomach 36)
- acupuncture
- reflexology
- nutrition
- barley/oat broth
- yogurt/kefir
- 1tsp apple cider vinegar in 8 oz water 1st thing in morning
- herbs
- RRL (1oz/2 c water or 1ml tincture)
- peppermint tea
- black horehound tea
- catnip tea
- meadowsweet
- peach leaf tea
- spearmint tea
- lemon balm tea
- basil tea
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|
|
Term
Ptyalism
(excessive salivation) |
|
Definition
1. comfort measures
- suck on hard candies
- decrease starch
- avoid dairy
- fruit better tolerated
2. complementary measures
|
|
|
Term
Round Ligament Discomfort |
|
Definition
1. R/O UTI, PTL, GI complications
2. comfort measures
- pelvic girdle
- pillows in bed
- exercise/pelvic rocking
3. Medical intervention
4. complementary intervention
|
|
|
Term
|
Definition
1. R/O UTI
2. reassurance of normality
3. comfort measures
- increase fluids during day/decrease before bedtime
- limit caffeine
4. complementary measures
- shiatsu (kidney meridian)
|
|
|
Term
|
Definition
1. Comfort measures
- maternity support hose/ace wraps
- avoid constrictive clothing
- avoid crossing legs
- exercise (mild)--walking
- avoid long periods of standing
- lie on left lateral
- for vulvar varicosities--foam pad can be worn
2. teach s/s of deep vein thrombosis and avoid injury to varicosities
3. During delivery avoid laceration of vulvar varicosities and progressive ambulation
4. complementary measures
- homeopathy
- Chinese medicine
- nutrition
- vitamin C
- vitamin E
- biofavonoids
- raw garlic/onions
- okra
- buckwheat
- oats
- wheat germ
- dark leafy greens
- herbs
- comfrey (small doses as compress only)
- horse chestnut
- nettle leaf tea (1c/d)
MH (2004) 45-6
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