W21 Concern breast appearance female (ICD-10:N64.9)

Introduction

Concerns about body image during pregnancy can have a significant impact on a woman’s mental and emotional well-being^[1]. This guide aims to provide healthcare professionals with a comprehensive approach to addressing body image concerns in pregnant women. By understanding the symptoms, causes, and diagnostic steps, as well as possible interventions, healthcare professionals can effectively support pregnant women in maintaining a positive body image throughout their pregnancy^[2].

Codes

• ICPC-2 Code: W21 Concern breast appearance female
• ICD-10 Code: N64.9 Disorder of breast, unspecified

Symptoms

• Weight gain: Pregnant women may experience weight gain, which can contribute to body image concerns^[3].
• Changes in body shape: Pregnancy can lead to changes in body shape, including a growing belly, breast enlargement, and swelling in the hands and feet^[4].
• Stretch marks: The development of stretch marks on the abdomen, breasts, thighs, or buttocks can cause body image concerns^[5].
• Skin changes: Hormonal changes during pregnancy can lead to changes in skin pigmentation, acne, or the appearance of spider veins^[6].
• Edema: Swelling in the hands, feet, and ankles can contribute to body image concerns^[7].

Causes

• Societal pressure: Women may feel pressure to conform to societal ideals of beauty, which can be exacerbated during pregnancy^[8].
• Media influence: Images of pregnant celebrities or models may create unrealistic expectations for pregnant women^[9].
• Personal history: Women with a history of body image concerns or eating disorders may be more susceptible to body image concerns during pregnancy^[10].
• Hormonal changes: Fluctuations in hormones during pregnancy can affect mood and body perception^[1].

Diagnostic Steps

Medical History

• Gather information about the patient’s previous body image concerns, history of eating disorders, or mental health conditions.
• Assess the patient’s perception of their body image and any specific concerns related to pregnancy.
• Inquire about the patient’s support system and available resources for addressing body image concerns^[2].

Physical Examination

• Perform a thorough physical examination, including measurements of weight, height, and body mass index (BMI).
• Assess the patient’s overall physical health and any physical changes related to pregnancy.
• Look for signs of edema or skin changes that may contribute to body image concerns^[3].

Laboratory Tests

• No specific laboratory tests are required for diagnosing body image concerns in pregnancy.

Diagnostic Imaging

• No diagnostic imaging is necessary for diagnosing body image concerns in pregnancy.

Other Tests

• No other specific tests are necessary for diagnosing body image concerns in pregnancy.

Follow-up and Patient Education

• Schedule regular follow-up appointments to monitor the patient’s body image concerns throughout the pregnancy.
• Provide education on the normal physical changes that occur during pregnancy and reassure the patient that these changes are temporary^[4].
• Offer resources for support groups, counseling, or therapy to address body image concerns^[5].

Possible Interventions

Traditional Interventions

Medications:

There are no specific medications for addressing body image concerns in pregnancy. However, healthcare professionals can consider the following medications for managing associated symptoms:

• Topical creams: Moisturizing creams or oils can help reduce the appearance of stretch marks and improve skin elasticity. Cost: Varies depending on the brand.
• Antihistamines: Antihistamines can help alleviate itching associated with skin changes during pregnancy. Cost: Varies depending on the brand.
• Acne treatments: In cases of severe acne, topical or oral acne treatments may be considered. Cost: Varies depending on the brand.

Surgical Procedures:

There are no surgical procedures specifically for addressing body image concerns in pregnancy.

Alternative Interventions

• Counseling or therapy: Individual or group counseling sessions can help pregnant women address body image concerns and develop coping strategies. Cost: Varies depending on the provider and location.
• Support groups: Joining support groups specifically for pregnant women can provide a sense of community and support. Cost: Varies depending on the group.
• Yoga or meditation: Engaging in yoga or meditation practices can help pregnant women connect with their bodies and promote a positive body image. Cost: Varies depending on the class or instructor.
• Body-positive literature or resources: Recommending books or online resources that promote body positivity during pregnancy can be beneficial. Cost: Varies depending on the resource.

Lifestyle Interventions

• Exercise: Encourage pregnant women to engage in regular physical activity, such as walking or prenatal exercise classes, to improve body image and overall well-being. Cost: Varies depending on the chosen activity.
• Healthy eating: Promote a balanced and nutritious diet to support a healthy pregnancy and positive body image. Cost: Varies depending on food choices.
• Self-care practices: Encourage pregnant women to engage in self-care activities, such as taking baths, getting massages, or practicing relaxation techniques, to promote body positivity. Cost: Varies depending on the chosen activities.
• Positive affirmations: Encourage pregnant women to practice positive self-talk and affirmations to improve body image. Cost: Free.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions. Healthcare professionals should consider the individual needs and preferences of each pregnant woman when recommending interventions for addressing body image concerns.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – W21 Concern breast appearance female (ICD-10:N64.9)

Localized (0) Sacrum (1) Prostate & Uterus (2) Kidney, Liver & Spleen (3) Heart, Bile & Pancreas (4) Lungs (5) Throat, Lymphatic & Thyroid (6) Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Concern body image in pregnancy effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Concern body image in pregnancy. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. Silveira ML, Ertel KA, Dole N, Chasan-Taber L. The role of body image in prenatal and postpartum depression: a critical review of the literature. Arch Womens Ment Health. 2015;18(3):409-421.
2. Watson B, Fuller-Tyszkiewicz M, Broadbent J, Skouteris H. The meaning of body image experiences during the perinatal period: A systematic review of the qualitative literature. Body Image. 2015;14:102-113.
3. Rauff EL, Downs DS. Mediating effects of body image satisfaction on exercise behavior, depressive symptoms, and gestational weight gain in pregnancy. Ann Behav Med. 2011;42(3):381-390.
4. Hodgkinson EL, Smith DM, Wittkowski A. Women’s experiences of their pregnancy and postpartum body image: a systematic review and meta-synthesis. BMC Pregnancy Childbirth. 2014;14:330.
5. Meireles JFF, Neves CM, Carvalho PHB, Ferreira MEC. Body dissatisfaction among pregnant women: an integrative review of the literature. Cien Saude Colet. 2015;20(7):2091-2103.
6. Uçar T, Güney E, Cesur B, Yurtsal ZB. The scale of body image concern during pregnancy: development and validation. Perspect Psychiatr Care. 2018;54(3):416-421.
7. Skouteris H, Carr R, Wertheim EH, Paxton SJ, Duncombe D. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image. 2005;2(4):347-361.
8. Fuller-Tyszkiewicz M, Skouteris H, Watson B, Hill B. Body image during pregnancy: an evaluation of the suitability of the body attitudes questionnaire. BMC Pregnancy Childbirth. 2012;12:91.
9. Roomruangwong C, Kanchanatawan B, Sirivichayakul S, Maes M. High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sex Reprod Healthc. 2017;13:103-109.
10. Coker E, Abraham S. Body weight dissatisfaction before, during and after pregnancy: a comparison of women with and without eating disorders. Eat Weight Disord. 2015;20(1):71-79.