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EXERCISES IN HIGH RISK
PREGNANCY
KARISHMA MOHAMMAD
MPT (OBGYN)
Problems That Included in High-Risk
Pregnancy
Decreased independence with: Decreased:
• Bed mobility
• Transfers
• Toileting
• Gait
• Grooming/showering
• Balance
• Strength
• Activity tolerance
• Range of movement
• Endurance
• Gait
• Sensation
At risk for:
• Deep vein thrombosis
• Musculoskeletal dysfunction due to prolonged bed rest
• Muscle pain
• Decreased joint mobility
• Difficulty completing activities of daily living
• Muscle atrophy (quad circumference or other muscles)
• Inappropriate posture and positioning
• Swelling
• Decreased access to prenatal education
• Improper body mechanics when performing activities of daily
living or mobility tasks
• Muscle spasm
• Diastasis recti
Goals Recommended for High-Risk Pregnancy
• Adherence to bed rest precautions
• Safe activities of daily living
• Safe bed mobility
• Safe transfers
Interventions for High-Risk Pregnancy Based on
Levels of Bed Rest
Strict bed rest in Trendelenburg position
• Positioning
• Bed pan transfer
• Thermal modalities
• Energy conservation
• Body mechanics
• Therapeutic exercise to maintain strength
Strict bed rest with no bathroom privileges
• Bed mobility
• Positioning
• Bed pan transfer
• Caregiver education
• Exercises to reduce or prevent edema
• Relaxation techniques
• Breathing techniques
• Therapeutic exercise to maintain range of motion
• Education on precautions of exercise
• Education on monitoring contractions
• Thermal modalities
• Stress management
• Energy conservation
• Posture
• Education on pelvic floor bowel and bladder
• Therapeutic exercise to maintain strength
• Manual therapy
• Support hose fitting
Bed rest with bathroom privileges
• Bed mobility
• Transfers
• Positioning
• Energy conservation
• Relaxation techniques
• Therapeutic exercise to maintain range of motion
• Exercises to reduce or prevent edema
• Posture
• Breathing techniques
• Therapeutic exercise to maintain strength
• Activities of daily living education
• Manual therapy
• Therapeutic exercise to maintain aerobic capacity
Educational Resources for Spouses of Women
With High-Risk Pregnancies
• Pain management of musculoskeletal disorders secondary to
prolonged bed rest
• Massage
• Home or in-bed exercise program
• Transfers
• Precautions related to medical diagnoses
• Traditional pre delivery education
• Premature infants and general infant care
THANK YOU

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Exercises in high risk pregnancy

  • 1. EXERCISES IN HIGH RISK PREGNANCY KARISHMA MOHAMMAD MPT (OBGYN)
  • 2. Problems That Included in High-Risk Pregnancy Decreased independence with: Decreased: • Bed mobility • Transfers • Toileting • Gait • Grooming/showering • Balance • Strength • Activity tolerance • Range of movement • Endurance • Gait • Sensation
  • 3. At risk for: • Deep vein thrombosis • Musculoskeletal dysfunction due to prolonged bed rest • Muscle pain • Decreased joint mobility • Difficulty completing activities of daily living • Muscle atrophy (quad circumference or other muscles)
  • 4. • Inappropriate posture and positioning • Swelling • Decreased access to prenatal education • Improper body mechanics when performing activities of daily living or mobility tasks • Muscle spasm • Diastasis recti
  • 5. Goals Recommended for High-Risk Pregnancy • Adherence to bed rest precautions • Safe activities of daily living • Safe bed mobility • Safe transfers
  • 6. Interventions for High-Risk Pregnancy Based on Levels of Bed Rest
  • 7. Strict bed rest in Trendelenburg position • Positioning • Bed pan transfer • Thermal modalities • Energy conservation • Body mechanics • Therapeutic exercise to maintain strength
  • 8. Strict bed rest with no bathroom privileges • Bed mobility • Positioning • Bed pan transfer • Caregiver education • Exercises to reduce or prevent edema • Relaxation techniques • Breathing techniques • Therapeutic exercise to maintain range of motion • Education on precautions of exercise
  • 9. • Education on monitoring contractions • Thermal modalities • Stress management • Energy conservation • Posture • Education on pelvic floor bowel and bladder • Therapeutic exercise to maintain strength • Manual therapy • Support hose fitting
  • 10. Bed rest with bathroom privileges • Bed mobility • Transfers • Positioning • Energy conservation • Relaxation techniques • Therapeutic exercise to maintain range of motion • Exercises to reduce or prevent edema
  • 11. • Posture • Breathing techniques • Therapeutic exercise to maintain strength • Activities of daily living education • Manual therapy • Therapeutic exercise to maintain aerobic capacity
  • 12. Educational Resources for Spouses of Women With High-Risk Pregnancies • Pain management of musculoskeletal disorders secondary to prolonged bed rest • Massage • Home or in-bed exercise program • Transfers • Precautions related to medical diagnoses • Traditional pre delivery education • Premature infants and general infant care