INTEGUMENTARY and INTEGUMENTARY and MUSCULOSKELETAL SYSTEMMUSCULOSKELETAL SYSTEM

(Changes during 2(Changes during 2ndnd trimester of trimester of pregnancy)pregnancy)

PREPARED BY:PREPARED BY:

Maria Elisa B. BelarsoMaria Elisa B. Belarso

BSN2-CBSN2-C

PHYSIOLOGIC CHANGES OF PHYSIOLOGIC CHANGES OF PREGNANCYPREGNANCY

INTEGUMENTARY SYSTEMINTEGUMENTARY SYSTEMSkinSkin

circulation & metabolism circulation & metabolism -“hot” perspiration-“hot” perspiration-Acne -Acne - HyperpigmentationHyperpigmentation

91% of women91% of women

Estrogen, progesterone, & Estrogen, progesterone, & melanocyte-stimulating hormonemelanocyte-stimulating hormone

Dark complexion > light complexionDark complexion > light complexion ““mask of pregnancy” chloasmamask of pregnancy” chloasma Linea nigra Linea nigra

Chloasma(mask of Chloasma(mask of pregnancy)pregnancy)

Physiologic Changes of Physiologic Changes of PregnancyPregnancy

Integumentary SystemIntegumentary SystemConnective TissueConnective Tissue

““Stretch marks”Stretch marks” Striae gravidarumStriae gravidarum Linear tears in connective tissueLinear tears in connective tissue

Abdomen, breasts, & buttocksAbdomen, breasts, & buttocks Slightly depressed, purple – pink Slightly depressed, purple – pink

streaksstreaks Permanent but change to silvery Permanent but change to silvery

white colorwhite colorHair & NailsHair & Nails

Grows more rapidlyGrows more rapidly After delivery: rapid hair loss resolves After delivery: rapid hair loss resolves

by 6-12 months post partumby 6-12 months post partum

Physiologic Changes of Physiologic Changes of PregnancyPregnancy

Musculoskeletal SystemMusculoskeletal System Relaxin & progesteroneRelaxin & progesterone

-Gradual softening of pelvic -Gradual softening of pelvic cartilage & connective tissuecartilage & connective tissue

-Relaxed sacroiliac joints & -Relaxed sacroiliac joints & symphysis pubissymphysis pubis

-“waddling” gait of pregnancy-“waddling” gait of pregnancy Lordosis of spineLordosis of spine Separation of rectus abdominisSeparation of rectus abdominis

musclesmuscles-Diastasis recti-Diastasis recti(also known as abdominal separation)(also known as abdominal separation)