Effects of Childbirth PFPT - Class 5

Question 1

effects of childbirth on pelvic floor

Answer 1

neurological compromise

vascular compromise

muscular impairment

episiotomy

Question 2

neurological compromise

Answer 2

stretch and compression of nerves

Question 3

stretch and compression of nerves

Answer 3

pudendal nerve

levator ani nerve

Question 4

when does neurological compromise occur

Answer 4

during second stage of labor

pushing

Question 5

stretch can be as much as

Answer 5

20% length of nerve

Question 6

neurological compromise is in up to

Answer 6

80% of vaginal deliveries

Question 7

vascular compromise

Answer 7

as the fetus grows –> uterus begins to move closer to the inferior vena cava

Question 8

what is it essential to avoid

Answer 8

supine positions

esp during 3rd trimester

Question 9

supine position causes

Answer 9

compression via uterus

Question 10

muscular impairment

Answer 10

vaginal deliveries diminish the maximal closure pressure of the pelvic floor complex

Question 11

vaginal deliveries diminish the maximal closure pressure of the pelvic floor complex

Answer 11

vulnerable to increased intra-abdominal pressure

can lead to prolapse

Question 12

when can pelvic floor mm be torn

Answer 12

during birthing process

Question 13

episiotomy

Answer 13

incision made in the perineal body

Question 14

what is this incision automatically considered

Answer 14

second degree laceration

Question 15

how many women have episiotomy during vaginal delivery

Answer 15

33-54%

Question 16

episiotomy can be a possible cause of

Answer 16

pain w/ intercourse

sphincter defects that can be linked with fecal incontinence

Question 17

is exercise safe when you’re pregnant

Answer 17

yes

some precautions that require discussion with an OB

Question 18

some precautions that require discussion with an OB

Answer 18

certain heart and lung dz

cerclage

multiple pregnancies (2+)

placenta previa after 26 wks

preterm labor/ruptured membranes

preeclampsia

severe anemia

Question 19

benefits of exercise during pregnancy

Answer 19

reduce back pain

easy constipation

may decrease risk of…

improve overall fitness/strengthens heart and vasculature

helps in weight loss post partum

Question 20

may decrease risk of…

Answer 20

gestational diabetes

preeclampsia

cesarean birth

Question 21

how much should someone pregnant exercise

Answer 21

150 min

moderate intensity

aerobic activity

weekly

Question 22

habitual exercise prior to pregnancy

Answer 22

consult OB for approval

Question 23

weight loss may require

Answer 23

upping caloric intake

Question 24

precautions during exercise

Answer 24

increase hydration

support

avoiding…

Question 25

support

Answer 25

breast

belly during late stage

Question 26

avoiding…

Answer 26

overheating esp during first trimester

avoid lying flat

standing still for extended periods

Question 27

tips and tricks

Answer 27

avoid supine positions

observe for abdominal coning/doning

monitor BP

educate

utilization of SI belt

Question 28

avoid supine positions

Answer 28

esp 2nd and 3rd trimesters

only elevate the trunk 20-30 degrees

Question 29

observe abdominal coning/doning

Answer 29

diastasis recti

results from poor pressure management + likely decreased core activation/decreased core strength

Question 30

monitor BP

Answer 30

assess for significant increase in edema from visit to visit

Question 31

educate

Answer 31

proper breathing patterns

avoid valsalva

Question 32

utilization of SI belt

Answer 32

discomfort in back can be recommended

Question 33

can pts continue doing any activities or exercise they were doing prior to pregnancy

Answer 33

yes

may need to modify activity/exercise for comfort