Effects of Childbirth PFPT - Class 5 Flashcards
effects of childbirth on pelvic floor
neurological compromise
vascular compromise
muscular impairment
episiotomy
neurological compromise
stretch and compression of nerves
stretch and compression of nerves
pudendal nerve
levator ani nerve
when does neurological compromise occur
during second stage of labor
pushing
stretch can be as much as
20% length of nerve
neurological compromise is in up to
80% of vaginal deliveries
vascular compromise
as the fetus grows –> uterus begins to move closer to the inferior vena cava
what is it essential to avoid
supine positions
esp during 3rd trimester
supine position causes
compression via uterus
muscular impairment
vaginal deliveries diminish the maximal closure pressure of the pelvic floor complex
vaginal deliveries diminish the maximal closure pressure of the pelvic floor complex
vulnerable to increased intra-abdominal pressure
can lead to prolapse
when can pelvic floor mm be torn
during birthing process
episiotomy
incision made in the perineal body
what is this incision automatically considered
second degree laceration
how many women have episiotomy during vaginal delivery
33-54%
episiotomy can be a possible cause of
pain w/ intercourse
sphincter defects that can be linked with fecal incontinence
is exercise safe when you’re pregnant
yes
some precautions that require discussion with an OB
some precautions that require discussion with an OB
certain heart and lung dz
cerclage
multiple pregnancies (2+)
placenta previa after 26 wks
preterm labor/ruptured membranes
preeclampsia
severe anemia
benefits of exercise during pregnancy
reduce back pain
easy constipation
may decrease risk of…
improve overall fitness/strengthens heart and vasculature
helps in weight loss post partum
may decrease risk of…
gestational diabetes
preeclampsia
cesarean birth
how much should someone pregnant exercise
150 min
moderate intensity
aerobic activity
weekly
habitual exercise prior to pregnancy
consult OB for approval
weight loss may require
upping caloric intake
precautions during exercise
increase hydration
support
avoiding…
support
breast
belly during late stage
avoiding…
overheating esp during first trimester
avoid lying flat
standing still for extended periods
tips and tricks
avoid supine positions
observe for abdominal coning/doning
monitor BP
educate
utilization of SI belt
avoid supine positions
esp 2nd and 3rd trimesters
only elevate the trunk 20-30 degrees
observe abdominal coning/doning
diastasis recti
results from poor pressure management + likely decreased core activation/decreased core strength
monitor BP
assess for significant increase in edema from visit to visit
educate
proper breathing patterns
avoid valsalva
utilization of SI belt
discomfort in back can be recommended
can pts continue doing any activities or exercise they were doing prior to pregnancy
yes
may need to modify activity/exercise for comfort
