OAT OB Lect Flashcards
What percentage of women report Low Back Pain (LBP)?
60%
3 factors influencing SD in pregnant pts
Change in maternal structure and biomechanics
Body fluid circulation
Hormonal changes
What effect does pregnancy have on scoliosis?
Curvatures do not increase
May develop more pain
Possible increased risk of premature birth
What effect does pregnancy have on rheumatoid arthritis?
Improved sx (conception => 6 weeks postpartum)
What effect does ankylosing spondylitis have on pregnancy?
Aggravated sx (increased stress on SI joints)
Pregnancy sx that warrant further referral/evaluation
Severe pain interfering with fxn (persistent non-positional pain at night)
Increased pain w/ cough, sneeze, valsalva
Hx: bowel/bladder dysfxn, failure to urinate, paresis
Exam: Weakness, sensory defects, abnormal reflexes
Pregnant patients rely on ____ for posture balance, as opposed to ____ in non-pregnant pts
Pregnant patients rely on muscle control for posture balance, as opposed to ligamentous/disc-oriented control in non-pregnant pts
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What is the etiology of radicular pain?
Bulging disc (40%)
Herniated disc (10%)
How does radicular pain typically present?
Paresthesias in ilioinguinal and genitofemoral nerve distribution “lightning pain”
LBP resolves in _____ of cases postpartum
80-95%
Risk factors of LBP during pregnancy
Previous hx of LBP
Multiparity
High BMI
Smoking
Age
Strenuous work
Pain during menstruation
How much does interstitial fluid demand increase during pregnancy?
6.5L
Increased demand to pelvic organs due to metabolic demands of fetus
Increase in estrogen, progesterone, adrenal hormones during pregnancy promotes what physiological response?
Fluid retention (tissue edema)
What hemodynamic changes occur during pregnancy?
Increase: CO, blood volume, Plasma volume
Decrease: SVR, BP, hematocrit
![](https://s3.amazonaws.com/brainscape-prod/system/cm/294/105/945/a_image_thumb.png?1574271045)
What recommendation would you give to a pregnant pt with vulvar varicosities?
LLR position and apply pressure to area
![](https://s3.amazonaws.com/brainscape-prod/system/cm/294/107/263/a_image_thumb.png?1574271127)
Supine compression of IVC by the uterus causes most pronounced effects after what weeks?
20 weeks
Lymphatic stress in pregnancy caused by fascial torsion, organ hypertrophy, diaphragm restriction have what effect on the pressure gradient?
Makes it less effective