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• Areola and genital skin
pigmentation is
accentuated
• After delivery, pigmentary
changes usually disappear
or regress considerably







• Includes angiomas and palmar erythema
• Likely caused by hyperestrogenemia
• No clinical significance and disappear in
most women after pregnancy
• Increased cutaneous blood flow in
pregnancy serves to dissipate excess heat
generated by increased metabolism.


S →

D →

V →























































































































• Deficiencies in thrombophilias (regulatory
proteins; coagulation inhibitors) account for
many thromboembolic episodes during
pregnancy
• Activated protein C, along with cofactors
protein S and factor V, function as an
anticoagulant by neutralizing the
procoagulants factor Va and factor VIIIa























































































































































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• Joint Relaxation







LORD S S P

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