Female Pelvic Health Flashcards
1
Q
Purpose of pelvic floor anatomy
A
- Spinteric
- supportive
- sexual function
2
Q
Urinary or anal incontinence
- males
- females
A
- Males: Typically Post-prostate and bladder cancer
- females: Post-childbirth, trauma or surgery
3
Q
Pelvic Floor Dysfunction Categories
- hypertone
A
- inadequate sphincter closure
- voiding/ defacation
- pelvic pain: dyspareunia
- impaired PFM coordination and ROM
4
Q
Pelvic Floor Dysfunction Categories
- hypotone
A
- inadequate sphincter closure
- urinary/fecal or flatus incontinence
- pelvic organ prolapse
- poor pelvic floor/core muslce performance- strnegth, endurance and coordination
5
Q
stress urinary incontinence
A
- leakage upon increased load on the pelvic floor accompanied by lack of adequate urethral closure
- coughing,sneezing, laughing, jumping . lifting
6
Q
Urge Urinary Incontinence
A
- overactive detrusor
- behavioral components: bladder irritants, just-in-caase voiding
- behavioral management and PFM coordination training: identify triggers
7
Q
Prolapse problems
A
- sensation of sitting on a ball/grapefruit
- vaginal or rectal heaviness
- palpable bulge/tissue at vaginal opening
8
Q
Pelvic pain and voiding dysfunctions
A
- impairment in PFM coordination: difficulty relaxing PFM
- incomplete emptying of bladder/bowels
- Pain with vaginal penetration, ejaculation, impaired sexual function
- down-training of teh PFM
9
Q
vaginoplasty: gender reassignment
A
- transgender female
- vaginal vault is created between the rectum and the urethra
- Orchiectomy performed, the labia majora are ccreated using scrotal skin,a nd teh clitoris is created from a portion of the glans penis
- vaginal dilation needed to stretch vaginal canal
10
Q
Common error of pelvic floor muslce training
A
- holding breath
- bearing down (valsalva)
- tightening abs
- tightening buttocks
11
Q
Trimesters
A
- Full term 40 wks
- 1st tri: 1-12
- 2nd tri: 13-28
- 3rd tri: 29-40
- 4th tri: post-partum care
12
Q
Physiological changes during pregnancy
A
- Increase in resting HR: incr 10-20 bpm from pre-pregnancy resting HR
- incr stroke volume
- decreased vascular resistance: –BP can decrease in 1st and 2nd trimesters
- 3rd trimesters watch for PRECLAMPSIA
13
Q
Guidelines for safe exercise
A
- avoid supine position >3 min after 1st trimester: 30 degree angle incline recommended if supine
- L side lying preferred position: offload inferior vena cava
- avoid prone position
- avoid srong abdominal compression/ strain during 2nd and 3rd trimester
- avoid rapid bouncing or swinging
- avoid overheating- stay hydrated
14
Q
exercise during pregnancy cam:
A
- significantly lower incidence of gestational diabetes during pregnancy
- significantly shorter 1st stage of labor
- influence neonatal outcomes in exercise group showed significant difference in APGAR scores at 1 min mark
- help with faster recovery post-vaginal and cesarean delivery
15
Q
Exercise intensity guidelines
A
- Borg RPE scale: moderate intense activities, 13-14
- talk test
- 150 min/wk; 30 min, 5 days/week
