Pregnancy Flashcards
What is increases when there is an increase in size of reproduction structures/relaxing
Increased estrogen
What increases with there is inhibition of contractions/softening of cervix/relaxing
increased relaxin
What increases when there is decreased GI mobility/core temperature
Increased progesterone
What increases when there is supression of the immune system?
increase of adrenal hormone cortisol
eWhat inscreases when there is lactation/oxygocin release?
Increased prolactin
What is the following a defintion of?
- usually occurs after 24 weeks
- uterus can press down on vena cava when lying on back
Supine hypotension syndrome
What happens in the renal system during pregancy?
Increased urination & UTI’s
What happens in the GI system during pregnancy?
- hypermesis gravidarum
- gastric rhythm disruptions
What happens in the musculoskeletal system durng pregnancy?
- weight gain
- posture
What happens to gait during pregancy?
- lateral shift over wider BOS “waddle”
- accentuated transverse pelvic rotation
What happens do the pelvic floor during pregancy?
- overstretched
- possible trauma during L&D
What happnes to rectus abdominus during pregancy?
- stretch of linea alba
- sepatation-diastasis recti
What neurvascular changes happen during pregnancy?
- TOS (thoracic outlet syndrome)
- Compression neuropathies
What skeletal changes happen during pregnancy?
- Rib cage angle increases (costochondritis)
- bone mineral density decreases
What posture changes occur during pregnancy?
- reduced lumbar lordosis
- increased lumbar lordosis & thoracic kyphosis
- flattening of thoracolmbar curve
What happens to COG during pregnancy?
shift posteriorly
What are the following symptoms of?
- pelvic pressure
- low, dull backache
- menstural-like cramps
- change or increase in vaginal discharge
- uterine contractions every 10 min or more often with or without pain
- intestinal cramping with or without diarrhea
Preterm labor symptoms
What neural tests would you do with pregnant indivdiual?
- slump
- SLR test
- femoral nerve stretch test
What MSK dysfunction is the following?
- pain/pressure/stiffness at sternocostal joints anteriorly & costotransverse and costovertebral joints posteriorly
- Interventions: STM, joint mobilizations, breath work, core stability
Rib Cage Dysfunction
What MSK dysfunction is the following?
- Risk Factors: multiple births, higher BMI, previous hx of back pain
- Lowered risk if other is more physically active/fit prior to pregnancy
Low Back Pain
What type of dysfunction is the following?
- sarcoiliac jont dysfunction (can include pubic symphysis)
- Motion testing, position testing, & palpation around SI to help classify
Pelvic Girdle Pain