Pelvic floor/pregnancy

Question 1

pulmonary changes in pregnancy

Answer 1

• edema and tissue congestion
• rib position: subcostal angle progressively increases
• diaphragm is elevated
• tidal volume & minute volume increases
• increased work of breathing

Question 2

cardiovascular changes in pregnancy

Answer 2

-blood volume increases 35-50%
-HR elevated 10-20 BPM
increased CO
increased venous volume in LEs

Question 3

MSK changes in pregnancy

Answer 3

• weak abdominal muscles
• pelvic floor drop
• stress incontinence
• COG up and forward

Question 4

superficial perineal layer muscles (innervated by pudendal N)

Answer 4

bulbocavernosus, ischiocavernosus, superficial transverse perineal, external anal sphincter

Question 5

Second layer of pelvic floor (innervated by pudendal N)

Answer 5

conpressor urethera, uretrovaginal sphincter, deep transverse perineal

Question 6

deep pelvic floor (innervated by sacral N)

Answer 6

levator ani (pubococcygeus, pubovaginalis, puborectalis), iliococcygeus, coccygeus/ischiococcugeus, piriformis, obturator internus

Question 7

Diastasis recti management

Answer 7

-hook-lying head lift
-hook-lying leg slide
NO CRUNCHES

Question 8

Pregnancy exercise dosage

Answer 8

• intensity: 12-14 RPE
• Submaximal HR 40-60%
• duration: 15-30 mins
  avoid: high altitude, contact sports, scuba diving, biking

Question 9

preeclampsia

Answer 9

pregnancy induced HTN