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01031 2200133 4500245010300000020001400103100003300117005001900150260004000169041001200209084000800221300001400229500065400243 aJURNAL INTERNASIONAL JOURNAL OF MIDWIFERY AND NURSING PRACTICEcDaniya Rabab and Sudha KuruphText a2663-0427 aDaniya Rabab and Sudha Kurup a20250819130250 aINDIAbPEER REVIW NDEXED JORNc2023 aEnglish a610 a15X30CM : abefore actually giving birth, I think is the hardest part of the entire scenario of childbearing. This amazing experience is something that can make the individual who are involved in the process change in so many ways [1].The gestation period is characterized as a time of alteration in women's lives, because, beyond the physical and physiological change, changes are also observed in emotional state. Thus, there are several alterations that occur in the pregnant organ systems [2] pregnant woman undergoes many physiologic alterations which are entirely normal, including cardiovascular, hematologic, metabolic, and renal and respiratory system.