Special Topics in Pregnancy Flashcards
Women’s health physical therapy is used in what circumstances?
- To help address dysfunction that occurs pre/post childbirth
- To treat pelvic floor dysfunction
- To manage complications of cancers common to women
- To prevent and treat injury to female athletes
- To care and prevent osteoporosis
- Many more, issues unique to women
Pelvic Floor Dysfunction
- What are the 2 sub types of disorders in this category?
- What are the risk factors for each?
- What are some symptoms associated?
- Underactive pelvic floor disorder
- Nulliparous athletes, women exposed to extraordinary physical stress (military women)
- Fecal incontinence, pelvic organ prolapse, stress incontinence
- Overactive pelvic floor disorder
- Unclear about risk factors
- MSK involvement seems to be present in most cases
Why is it important to offer physical therapy to women with pre-existing back and/or pelvic pain before they become pregnant?
What is manual pelvic physical therapy and when is it useful?
This can be used to treat pelvic floor pain and improve fertility in those with abdominopelvic adhesions and the PT would use internal and external techniques to release pressure, fibroids and scar tissue from the muscles and organs of the pelvis.
Why are anatomic and postural changes seen during pregnancy?
What postural changes are seen during pregnancy?
What are some common MSK dysfunctions seen during pregnancy?
The most common symptom seen with pelvic floor dysfunction is urinary incontinence. Why is it so critical to catch this and take it seriously?
B/c with a 12 week pelvic floor muscle training program women can achieve significantly lower incontinence both during and after pregnancy.
Diastasis Recti
- Prevalence?
- Due to what factors?
- Correlated with what?
- Why is proper rehabilitation crucial?
Even if a woman is considered to have a high risk pregnancy and is on bedrest, what are some PT interventions that can be done to help her have a better delivery and better recovery postpartum?
What are some important postpartum PT interventions that can be done?
How much folate is needed during pregnancy?
What about if woman has had child already with NTD?
0.4 mg daily
4 mg daily
What are the recommendations with regards to extra caloric intake during each trimester and expected weight gain in each trimester?
The benefits of breastfeeding are akin to the benefits of breathing. Numerous and should not need to be proven. This card is not meant to memorize all the benefits, but review this slide (flip) to see some of them.
What are the recommendations on how long to breast feed for?
At least 6 months, continue for up to 1 - 2 years
What are the recommendations on how to breast feed?
