7: OB/GYN Flashcards
What happens to the spine during pregnancy?
Exaggerated AP curves
Inc. lordosis in cervicals and lumbars and kyphosis in thoracics
What happens to the organs in pregnancy?
Hypertrophy
What happens to the ligaments?
Ligamentous laxity
What % are energy requirements increased to overcome somatic dysfucntions?
Up to 300%
What happens to the venous system?
Venous congestion and possible reversal of venous blood flow in the CNS
What amplifies the effects of pregnancy ?
Age
Increased blood supply with a decreased removal by the venous system leads to what type of congestion?
Lymphatic
What are the relative contraindications to OMT during pregnancy?
Toxemia (could cause Seizures)
Premature labor/membrane rupture
Placental abruption
Ectopic pregnancy
Which Tx is relatively contraindicated in pregnancy?
HVLA
When is the structural stage of pregnancy?
0-28 weeks
What happens during the structural stage
Inc. fat stores, growth of uterus, hypertrophy of breast tissue, inc. blood volume, pelvis rocks FORWARD, inc AP curves, ligamentous laxity
When is the congestive stage of pregnancy?
28-36 weeks
What happens to the uterus at this time?
Grows very large and can act as a “ball valve” between LE veins and vena cava; limiting chest volume and putting more stress on the diaphragm
What is the Ball Valve effect?
HYPOtensive while supine
What Tx could you use during the congestive phase?
Tx CCP, work on freeing up lymphatics and diaphragm
When does the preparatory phase of pregnancy begin?
36 weeks
What should you evaluate during the preparatory phase?
Craniosacral motion
What Tx can you use during the preparatory phase?
Lymphatics + emotional support
What Tx can induce labor?
CV4
What Tx can be used for pain control during labor?
Sacral pressure
What is the most common postpartum dysfunction?
ABducted pubes
HVLA is more easily performed on a postpartum women why?
Ligamentous laxity
At what week should you follow up with the postpartum pt?
6 weeks
