Other systems - Obstetrics

Question 1

Guideline for pregnancy Exercise

Answer 1

50-60% of max HR 30 min/session

Question 2

Pelvic floor Exercise guidelines

Answer 2

80-100 contractionsday

Quick to withstand increased pressure

Long contractions for endurance

Question 3

Relative contraindications to exercise

Answer 3

Severe anemia

Unevaluated maternal cardiac dysrhythmia

Chronic Bronchitis

poorly controlled type I DM

Extreme morbid obesity

BMI < 12

History of sedentary lifestyle

Intrauterine growth restriction in current pregnancy

poorly controlled HTN

Orthopedic limitations

poorly controlled seizure disorder

poorly controlled hyperthyroidsm

Heavy smother

Question 4

Absolute contraindications for exercise

Answer 4

Hemodynamically significant heart disease

Restrictive lung disease

Incompetent cervix/cerclage

Mutliple gestation at risk for premature labor

Prersistent second or 3rd trimester bleeding

Placenta previa after 26 weeks of gestation

Premature labor during the current pregnancy

Ruptured membranes

Preeclampsia/pregnancy-induced HTN

Question 5

type of exercise for pregnancy

Answer 5

mild to mod, regular exercise 3x/week

Avoid ex in supine after first trimester

Decreased oxygen awareness

Contra: morphologic exercise

Need 300 kcal/day to maintain metabolic homeostasis