Definition of Adaptation During Pregnancy:
Maternal physiological changes in pregnancy are the normal adaptations that a woman undergoes during pregnancy to better accommodate the embryo or fetus. The body must change its physiological and homeostatic mechanisms in pregnancy to ensure the fetus is provided for.
![Psychological adaptation during pregnancy](https://nursingexercise.com/wp-content/uploads/2023/06/Psychological-adaptation-during-pregnancy.jpg)
Major Adaptations for Extra Uterine Life:
It includes-
- In pulmonary system,
- In cardiovascular system,
- In controlling body’s temperature/ Thermoregulation,
- Also, the immune system faces lots of challenges.
All the above points of adaptations for extra uterine life have discussed in the below:
1. In pulmonary system:
- Before birth, maternal lungs and the placenta do the gas exchange for the fetus.
- After birth, lungs of the newborn take up the total pulmonary function.
- Thus the fetal lungs acquire adequate number of alveoli and produce surfactant.
2. In cardiovascular system:
- Prior to birth, the fetus relies solely on the placenta for all gas exchanges and excretion of metabolic waste.
- Separated from the placenta at birth, the baby’s circulatory system must divert deoxygenated blood to the lungs for reoxygenation. This involves several mechanisms.
3. Thermoregulation in newborn:
- By ‘brown fat’ which uses up to three times oxygen as other tissue. As a result, there is diversion of oxygen and glucose from vital centers such as brain and cardiac muscle.
- Also cold stress causes vasoconstriction leading to reduced pulmonary perfusion.
- Undesired biochemical effects and respiratory distress exhibited by tachypnoea is resulted due to cold stress.
Psychological Adaptation During Pregnancy:
1. Maternal Emotional Responses to Change in body image:
- Varies from person to person,
- Some feel beautiful,
- Some feel overweight & uncomfortable.
2. Maternal Role Tasks is to:
- Ensuring safe passage throughout pregnancy and birth,
- Primary focus of woman’s attention,
- Participating in positive self-care activities,
- Diet, exercise, overall well-being.
3. Maternal role in 1st trimester:
- Woman focusing on herself, not fetus,
- Acceptance of pregnancy,
- Identification of what must be given up to assume new role.
4. Maternal role in 2nd trimester:
- Developing attachment to fetus,
- Family needing to relate to fetus,
- Identification with infant, learning how to delay own desires.
5. Maternal role in 3rd trimester:
- Having concern for herself and fetus as a unit,
- Unconditional acceptance,
- Questioning her ability to become a good mother.
Major Physiological Changes During Pregnancy:
The major maternal physiological adaptation to pregnancy includes:
- Systemic changes: volume homeostasis, blood and cardio vascular system.
- Respiratory changes,
- Urinary tract and renal function,
- Alimentary tract,
- Reproductive organs,
- Endocrinological changes.
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Maria Khatun Mona is a Founder and Editor of Nursing Exercise Blog. She is a Nursing and Midwifery Expert. Currently she is working as a Registered Nurse at Evercare Hospital, Dhaka, Bangladesh. She has great passion in writing different articles on Nursing and Midwifery. Mail her at “[email protected]”