Background: Pregnant women undergoes myriad of changes largely modulated by hormonal, immunologic, vascular and metabolic factors thus making them susceptible to various physiological and pathological changes. Aim: Due to lack of detailed literature, especially from our region, this study was conducted to examine both physiological changes and specific dermatoses of pregnancy. Material and Methods: 100 consecutive pregnant females attending the out-patient department between August 2018 to April 2019 for routine obstetric checkup irrespective of gestational age and parity were enrolled. General physical examination, cutaneous examination including mucosa, hair and nails was done. Cutaneous changes during pregnancy were divided into three categories, namely, physiological changes, Pregnancy Specific Dermatoses (PSD), and skin diseases affected by pregnancy. Results: In this study, the mean age was 25 years (range: 18-33 years), of which primigravida were 32% and multigravida constituted 68% of the sample, maximum patients (48%) were in 3rd trimester. 100% cases presented with physiological skin changes of pregnancy, 2% had specific dermatoses of pregnancy, whereas 14% presented with other dermatosis associated with pregnancy. Among the physiological changes, hyperpigmentation was the most common cutaneous finding with linea nigra the commonest pattern in 82% followed by connective tissue changes of pregnancy that is striae gravidarum in 68% of cases. Among the specific dermatosis of pregnancy, 2 (2%) cases of Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP) were documented. The most common infectious dermatosis affected by pregnancy in this study group was vulvovaginal candidiasis (5 cases). Conclusion:This study brings focus on pregnancy-specific and non-specific dermatoses.

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Background: Breast engorgement is a painful tenderness during early postpartum period that adversely affects breastfeeding .It occurs because of increase milk volume, vascular congestion, and improper breastfeeding. It's very painful condition to the post partum Mothers which affects breast feeding and activity of daily leaving of post natal women's. Methods: A Quasi experimental non Randomized control group Research design utilized for This study, Sample consisted of 60 postpartum women's who Satisfied the inclusion and exclusion Criteria of the study. Of 60 postpartum women's 30 assigned to experimental group with chilled cabbage leaf application and 30 to control group with warm water compression. Post test data collected after the Intervention. Result and Conclusion: Findings reveal that both chilled cabbage leaf application and hot compression over breast is equally effective reliving pain and engorgement.

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