Constipation can occur early so at least in part is due to hormones, but is aggravated by enlarging pelvic contents. With the vasodilatation and compression of pelvic veins this may result in haemorrhoids. Women should be advised to increase their fluid and fibre intake, and if laxatives are needed they should be of the fibre based type, eg. Metamucil or Fybogel. A regular exercise program, preferably swimming, with physiotherapy as required, complements postural back care.
Some women develop symphysis-pubis pain, especially.
If coexistent scoliosis, and may require a s-p. Corset, obtainable through physiotherapy departments. Dental decay and periodontal disease accelerates in pregnancy and should be reviewed by a dentist as early as possible. Skin changes include chloasma and spider naevi, which commonly disappear after the pregnancy. The increased production of melanin in pregnancy may lead to the diagnosis of pre-existent melanomas.