Obstetric 6 Flashcards
1
Q
What is diastasis recti? (DR)
A
separation of greater than 2 fingertip widths of the 2 bellies of the RA at the linea alba
2
Q
linea alba = this during pregnancy
A
linea nigra
3
Q
In addition to pregnant women, who else gets DR?
A
people with
- chronic pulmonary conditions
- children younger than 2
- men with beer bellies
4
Q
DR: painful?
A
no
5
Q
DR linked to:
A
- LBP
- UI
- may be correlated to altered intra-abdominal pressure gradients
6
Q
DR resolution
A
can spontaneously resolve
7
Q
DR assessment
A
- have pt perform curlup while PT palpates between 2 sides of contracted recti
- note number of fingertips able to place within separation
8
Q
DR tx
A
- TrA work or other exercises that don’t result in increased intraabdominal pressure
- should work to eliminate DR prior to beginning more intense abdominal work
- may need to refer to WCS
9
Q
cesarean delivery =
A
delivery through abdominal wall
10
Q
% births done by c-section
A
~30%
11
Q
reasons for c-section
A
- prior c-section
- labor dystocia
- fetal distress
- breech presentation
12
Q
risk of vaginal birth after a c-section birth
A
associated with small but significant risk of uterine rupture
13
Q
Where is surgical approach for c-section made?
A
- transversely through lower uterine segment
- above pubic bone
14
Q
teen pregnancy: at increased risk for
A
- preterm labor
- psychological problems
15
Q
teen pregnancy: complicated by
A
- incomplete pelvic growth
- lack of psychological maturity
- lack of prenatal care
- inadequate weight gain
