1. Health Promotion During Pregnancy Self-care needs  Bathing  Breast care  Dental care  Perineal hygiene  Sexual activity  Exercise  Sleep  Work  Travel

2.  Fatigue  Muscle cramps  Hypotension  Varicosities  Breast discomfort  Palmar erythemia  Constipation  Nausea, Vomiting  Hemorrhoids  Heart palpitations  Frequency of urination  Abdominal discomfort  Leukorrhea First-Trimester Discomforts

3.  Backache  Headache  Dyspnea  Ankle edema  Braxton Hicks contractions Middle to Late Pregnancy Discomforts

4. Teratogens Any factor that adversely affects fertilized ovum, embryo or fetus

5. Factors Influence Damage Strength Timing Affinity for tissue

6. Teratogenic Fetal Exposure  Maternal infections:  TORCH  Toxoplasmosis  Rubella  Cytomegalovirus  Herpes simplex virus

7. Teratogenic Fetal Exposure  Syphilis  Lyme disease  Infections that cause illness at birth  Gonorrhea, candida, chlamydia, StrepB, Hepititis B  Live Vaccine Virus

8. Teratogenic Fetal Exposure  Environmental:  Metal and chemical,Radiation,Hyperthermia and hypothermia  Maternal stress  Drugs: Pregnancy Risk Categories  A,B,C,D,X  Alcohol: Fetal Alcohol Syndrome  Cigarettes

9. Preparing for Labor  Lightening  Show  Rupture of membranes  Excess energy  Uterine contractions