Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a newborn.
This document provides information on the role of physiotherapy for antenatal and postnatal women. It discusses the importance of antenatal classes and earlybird classes in educating women about back care, pelvic floor exercises, and safe exercises during pregnancy. The postnatal period focuses on physiotherapy assessment, exercises to aid recovery like pelvic floor muscle training, and early postnatal classes to guide safe return to activity. Exercises are progressed from static to dynamic based on muscle re-education principles. Physiotherapists play a key role in supporting women's physical and emotional health during pregnancy and postpartum recovery.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal physiotherapy can help with common issues like pelvic floor dysfunction and back pain, as well as educate mothers on recovering from birth and resuming normal activities.
This document discusses women's health issues related to menopause, osteoporosis, incontinence, and prolapse. It covers the stages of menopause and common symptoms. Treatment options discussed include hormone replacement therapy, lifestyle changes, pelvic floor exercises, pessaries, and medications. The document also discusses osteoporosis risk factors, diagnosis, and management including calcium/vitamin D, bisphosphonates, and PTH. Incontinence types and treatments including bladder retraining, physiotherapy, and surgery are outlined. Prolapse causes, types, surgeries, and postoperative physiotherapy are summarized as well.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. Physiotherapy focuses on preventing and treating musculoskeletal issues, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Exercises are described as beneficial if done in moderation, and contraindications are provided. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
1. Physiotherapy is an effective therapeutic and supportive management for PCOS by helping to restore hormonal balance and reduce infertility risk through exercise.
2. Exercise for PCOS decreases insulin resistance, aids weight loss, reduces stress, and helps combat metabolic syndrome and infertility.
3. Recommended exercises include aerobic activities 5 days a week, resistance training 2-3 days a week, and cardio exercises like walking, swimming, and cycling.
This document discusses fitness during pregnancy and the postpartum period. It covers the physiological, biomechanical, and emotional changes that occur during each trimester of pregnancy, labor, and the postnatal period. It provides goals and guidelines for exercise during each stage to promote health and wellness. Exercise recommendations include walking, swimming, and stationary cycling. The document also discusses managing common discomforts like back pain, pelvic pain, varicose veins and hemorrhoids. Relaxation techniques to reduce stress are also covered.
Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing postural and ergonomic advice, preparing women for labor, and teaching relaxation techniques. During antenatal care, physiotherapists help prevent and treat issues like back/pelvic pain, nerve compressions, pelvic floor dysfunction, and more. They provide advice on exercise, nutrition, posture, and birth options. Postnatal care involves addressing common issues like diastasis recti and pelvic floor dysfunction. Overall, physiotherapy aims to help women have a healthy pregnancy and recovery.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care, and the physiotherapy role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, physiotherapy aims to help the mother's physical recovery through exercises and treatment of issues while educating on ergonomics of caring for a baby.
3) Physiotherapy techniques like relaxation, breathing exercises, and advice on posture are provided to mothers during both antenatal and postnatal periods.
This document provides information on the role of physiotherapy for antenatal and postnatal women. It discusses the importance of antenatal classes and earlybird classes in educating women about back care, pelvic floor exercises, and safe exercises during pregnancy. The postnatal period focuses on physiotherapy assessment, exercises to aid recovery like pelvic floor muscle training, and early postnatal classes to guide safe return to activity. Exercises are progressed from static to dynamic based on muscle re-education principles. Physiotherapists play a key role in supporting women's physical and emotional health during pregnancy and postpartum recovery.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal physiotherapy can help with common issues like pelvic floor dysfunction and back pain, as well as educate mothers on recovering from birth and resuming normal activities.
This document discusses women's health issues related to menopause, osteoporosis, incontinence, and prolapse. It covers the stages of menopause and common symptoms. Treatment options discussed include hormone replacement therapy, lifestyle changes, pelvic floor exercises, pessaries, and medications. The document also discusses osteoporosis risk factors, diagnosis, and management including calcium/vitamin D, bisphosphonates, and PTH. Incontinence types and treatments including bladder retraining, physiotherapy, and surgery are outlined. Prolapse causes, types, surgeries, and postoperative physiotherapy are summarized as well.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. Physiotherapy focuses on preventing and treating musculoskeletal issues, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Exercises are described as beneficial if done in moderation, and contraindications are provided. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
1. Physiotherapy is an effective therapeutic and supportive management for PCOS by helping to restore hormonal balance and reduce infertility risk through exercise.
2. Exercise for PCOS decreases insulin resistance, aids weight loss, reduces stress, and helps combat metabolic syndrome and infertility.
3. Recommended exercises include aerobic activities 5 days a week, resistance training 2-3 days a week, and cardio exercises like walking, swimming, and cycling.
This document discusses fitness during pregnancy and the postpartum period. It covers the physiological, biomechanical, and emotional changes that occur during each trimester of pregnancy, labor, and the postnatal period. It provides goals and guidelines for exercise during each stage to promote health and wellness. Exercise recommendations include walking, swimming, and stationary cycling. The document also discusses managing common discomforts like back pain, pelvic pain, varicose veins and hemorrhoids. Relaxation techniques to reduce stress are also covered.
Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing postural and ergonomic advice, preparing women for labor, and teaching relaxation techniques. During antenatal care, physiotherapists help prevent and treat issues like back/pelvic pain, nerve compressions, pelvic floor dysfunction, and more. They provide advice on exercise, nutrition, posture, and birth options. Postnatal care involves addressing common issues like diastasis recti and pelvic floor dysfunction. Overall, physiotherapy aims to help women have a healthy pregnancy and recovery.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care, and the physiotherapy role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, physiotherapy aims to help the mother's physical recovery through exercises and treatment of issues while educating on ergonomics of caring for a baby.
3) Physiotherapy techniques like relaxation, breathing exercises, and advice on posture are provided to mothers during both antenatal and postnatal periods.
This document provides information on women's health physical therapy. It discusses pelvic floor muscle disorders including normal, underactive, overactive and non-functioning muscles. It also covers pelvic floor muscle anatomy, associated muscles, organs, support structures and innervation. Types of urinary incontinence and their incidence, neurological control, and physical therapy treatments are summarized. Musculoskeletal dysfunctions in pregnant patients, pelvic pain origins and musculoskeletal causes are also outlined.
During pregnancy, exercise can help you stay fit and prepare for childbirth. From WTE we show a set of guidelines to perform any training most appropriate way.
This document discusses the many health benefits of exercise for older adults. It summarizes that exercise can help reduce the risks and effects of diseases like diabetes, hypertension, stroke, heart disease, osteoporosis, arthritis, and some cancers. It recommends both aerobic exercise like walking or dancing for 30 minutes a day, as well as strength training two times a week, to improve health, mobility, and quality of life as people age. The document emphasizes that exercise is the best way for older adults to stay healthy and independent.
1. The document provides information on exercise prescription in the post-natal period, including detailing the post-partum phases, common musculoskeletal and neurological impairments, and appropriate physical therapy interventions.
2. Recommendations include encouraging early mobility to reduce risks, pelvic floor muscle exercises for pain relief and strengthening, and stabilization exercises progressed cautiously based on impairments. Modalities like ice, ultrasound, and electrical stimulation may assist with pain and dysfunction.
3. Physical therapy can effectively treat common post-natal issues like low back pain, pelvic girdle pain, and urinary incontinence when appropriate exercises and modalities are implemented safely based on each woman's individual presentation.
Diastasis Recti - How to Overcome the After-Baby Body at Any Age
What is a Diastasis and how do you fix/prevent it? What do you do if you have a diastasis?
Post Natal Return to exercise and activity: Sundeep Watkins Gerard Greene
This document discusses postnatal physiotherapy. It notes that 45% of women experience urinary incontinence, 45% experience pelvic pain during pregnancy which can persist after birth for 20-25%, and 50% experience some degree of pelvic organ prolapse. A postnatal physiotherapy assessment within 1 hour or years after birth can check pelvic floor strength, assess any physical issues from pregnancy/birth, and provide an individualized exercise program to improve stability, posture, and core strength. Returning to exercise is important but needs to be done at a low impact initially while engaging the pelvic floor and with consideration that full postpartum recovery can take 1 year or more. Websites are also provided as additional resources on these
Physiotherapy in antenatal & post natal careVenus Pagare
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
This document discusses polycystic ovary syndrome (PCOS) and exercise. It provides information on how exercise can help manage PCOS symptoms like lowering blood pressure and cholesterol. Common barriers to exercise are discussed such as lack of time, motivation, or enjoyment. Strategies are then presented to overcome each barrier, such as splitting workouts into 10 minute sessions or treating exercise like an important appointment. The document recommends referring patients to a family wellness trainer who can help design programs and provide support to reach fitness goals.
This document provides guidance on exercises for pregnant women. It recommends avoiding wrong postures and doing regular, non-strenuous exercises like yoga, pranayama, and swimming. Specific exercises shown in later slides involve warming up, then holding poses for 10 counts while breathing deeply before relaxing. Women should exercise under guidance at first and consult their obstetrician if they have certain medical conditions.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal physiotherapy can help with common issues like pelvic floor dysfunction and back pain, as well as educate new mothers on recovering from birth.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal care involves addressing common issues like diastasis recti, pelvic floor dysfunction, and back pain, as well as ensuring a smooth recovery through continued education and guidance on exercises.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal care involves addressing common issues like diastasis recti, urinary incontinence, muscle cramps and back pain through techniques like exercises, electrical stimulation and manual therapy.
Physiotherapy plays an important role in both antenatal and postnatal care. During pregnancy, physiotherapists provide education on posture, exercise, and injury prevention. They also teach relaxation techniques to prepare women for labor. Postnatally, physiotherapists help mothers recover physically through an exercise program and treat any musculoskeletal issues. The overall goal is to help women maintain a healthy pregnancy and support their physical recovery after giving birth.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. It describes physiotherapy's role in preventing and treating musculoskeletal issues during pregnancy, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Guidelines are provided for safe exercise during pregnancy and contraindications. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. It describes physiotherapy's role in preventing and treating musculoskeletal issues during pregnancy, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Guidelines are provided for safe exercise during pregnancy and contraindications. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. Physiotherapy focuses on preventing and treating musculoskeletal issues, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Exercises are described as beneficial unless contraindicated by certain high risk conditions. Postnatal physiotherapy addresses problems like pelvic floor dysfunction.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care, and the physiotherapy role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, physiotherapy aims to help the mother's physical recovery through exercises and treatment of issues while educating on ergonomics of caring for a baby.
3) Specific conditions that may require special considerations during pregnancy and appropriate exercises in each trimester are also covered.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and preparing mothers for labor. It also discusses postnatal physiotherapy focusing on treating musculoskeletal issues like perineal pain and preventing problems like varicose veins. Exercises are outlined for each trimester and postpartum recovery.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including a multidisciplinary team, and the physiotherapist's role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, the physiotherapist focuses on exercises and education to aid the mother's physical recovery, treat any issues, and provide guidance on proper posture and ergonomics for childcare activities.
3) Advice is also given for special needs, including exercise guidelines tailored to each trimester of pregnancy and considerations for conditions like gestational diabetes.
Women’s Health & Physical Rehabilitation..pptxSalmaAzeem3
This document discusses the history and role of physiotherapists in women's health, with a focus on obstetrics and gynecology. It provides an overview of how physiotherapists became involved in these areas in the late 19th/early 20th centuries. It then covers various techniques and areas of expertise used by obstetric physiotherapists, including exercises for pregnancy, postpartum recovery, pelvic floor issues, and other women's health concerns. Guidelines for safe exercise during pregnancy are also discussed.
This document provides information on women's health physical therapy. It discusses pelvic floor muscle disorders including normal, underactive, overactive and non-functioning muscles. It also covers pelvic floor muscle anatomy, associated muscles, organs, support structures and innervation. Types of urinary incontinence and their incidence, neurological control, and physical therapy treatments are summarized. Musculoskeletal dysfunctions in pregnant patients, pelvic pain origins and musculoskeletal causes are also outlined.
During pregnancy, exercise can help you stay fit and prepare for childbirth. From WTE we show a set of guidelines to perform any training most appropriate way.
This document discusses the many health benefits of exercise for older adults. It summarizes that exercise can help reduce the risks and effects of diseases like diabetes, hypertension, stroke, heart disease, osteoporosis, arthritis, and some cancers. It recommends both aerobic exercise like walking or dancing for 30 minutes a day, as well as strength training two times a week, to improve health, mobility, and quality of life as people age. The document emphasizes that exercise is the best way for older adults to stay healthy and independent.
1. The document provides information on exercise prescription in the post-natal period, including detailing the post-partum phases, common musculoskeletal and neurological impairments, and appropriate physical therapy interventions.
2. Recommendations include encouraging early mobility to reduce risks, pelvic floor muscle exercises for pain relief and strengthening, and stabilization exercises progressed cautiously based on impairments. Modalities like ice, ultrasound, and electrical stimulation may assist with pain and dysfunction.
3. Physical therapy can effectively treat common post-natal issues like low back pain, pelvic girdle pain, and urinary incontinence when appropriate exercises and modalities are implemented safely based on each woman's individual presentation.
Diastasis Recti - How to Overcome the After-Baby Body at Any Age
What is a Diastasis and how do you fix/prevent it? What do you do if you have a diastasis?
Post Natal Return to exercise and activity: Sundeep Watkins Gerard Greene
This document discusses postnatal physiotherapy. It notes that 45% of women experience urinary incontinence, 45% experience pelvic pain during pregnancy which can persist after birth for 20-25%, and 50% experience some degree of pelvic organ prolapse. A postnatal physiotherapy assessment within 1 hour or years after birth can check pelvic floor strength, assess any physical issues from pregnancy/birth, and provide an individualized exercise program to improve stability, posture, and core strength. Returning to exercise is important but needs to be done at a low impact initially while engaging the pelvic floor and with consideration that full postpartum recovery can take 1 year or more. Websites are also provided as additional resources on these
Physiotherapy in antenatal & post natal careVenus Pagare
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
This document discusses polycystic ovary syndrome (PCOS) and exercise. It provides information on how exercise can help manage PCOS symptoms like lowering blood pressure and cholesterol. Common barriers to exercise are discussed such as lack of time, motivation, or enjoyment. Strategies are then presented to overcome each barrier, such as splitting workouts into 10 minute sessions or treating exercise like an important appointment. The document recommends referring patients to a family wellness trainer who can help design programs and provide support to reach fitness goals.
This document provides guidance on exercises for pregnant women. It recommends avoiding wrong postures and doing regular, non-strenuous exercises like yoga, pranayama, and swimming. Specific exercises shown in later slides involve warming up, then holding poses for 10 counts while breathing deeply before relaxing. Women should exercise under guidance at first and consult their obstetrician if they have certain medical conditions.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal physiotherapy can help with common issues like pelvic floor dysfunction and back pain, as well as educate new mothers on recovering from birth.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal care involves addressing common issues like diastasis recti, pelvic floor dysfunction, and back pain, as well as ensuring a smooth recovery through continued education and guidance on exercises.
1. Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing education on posture, exercise and preparing for labor.
2. During antenatal care, physiotherapists help prevent and treat back pain and pelvic girdle pain, teach exercises to strengthen the pelvic floor, and provide relaxation techniques and advice for maintaining mobility.
3. Postnatal care involves addressing common issues like diastasis recti, urinary incontinence, muscle cramps and back pain through techniques like exercises, electrical stimulation and manual therapy.
Physiotherapy plays an important role in both antenatal and postnatal care. During pregnancy, physiotherapists provide education on posture, exercise, and injury prevention. They also teach relaxation techniques to prepare women for labor. Postnatally, physiotherapists help mothers recover physically through an exercise program and treat any musculoskeletal issues. The overall goal is to help women maintain a healthy pregnancy and support their physical recovery after giving birth.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. It describes physiotherapy's role in preventing and treating musculoskeletal issues during pregnancy, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Guidelines are provided for safe exercise during pregnancy and contraindications. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. It describes physiotherapy's role in preventing and treating musculoskeletal issues during pregnancy, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Guidelines are provided for safe exercise during pregnancy and contraindications. Postnatal physiotherapy aids with problems like pelvic floor dysfunction.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and educating on nutrition, and the roles of various healthcare professionals on the antenatal care team. Physiotherapy focuses on preventing and treating musculoskeletal issues, promoting healthy lifestyle, providing postural advice, preparing for labor, and teaching relaxation techniques. Exercises are described as beneficial unless contraindicated by certain high risk conditions. Postnatal physiotherapy addresses problems like pelvic floor dysfunction.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care, and the physiotherapy role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, physiotherapy aims to help the mother's physical recovery through exercises and treatment of issues while educating on ergonomics of caring for a baby.
3) Specific conditions that may require special considerations during pregnancy and appropriate exercises in each trimester are also covered.
This document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including screening for abnormalities and preparing mothers for labor. It also discusses postnatal physiotherapy focusing on treating musculoskeletal issues like perineal pain and preventing problems like varicose veins. Exercises are outlined for each trimester and postpartum recovery.
1) The document discusses the role of physiotherapy in antenatal and postnatal care. It covers maternal physiology changes during pregnancy, objectives of antenatal care including a multidisciplinary team, and the physiotherapist's role in addressing musculoskeletal issues and promoting healthy lifestyle.
2) During postnatal care, the physiotherapist focuses on exercises and education to aid the mother's physical recovery, treat any issues, and provide guidance on proper posture and ergonomics for childcare activities.
3) Advice is also given for special needs, including exercise guidelines tailored to each trimester of pregnancy and considerations for conditions like gestational diabetes.
Women’s Health & Physical Rehabilitation..pptxSalmaAzeem3
This document discusses the history and role of physiotherapists in women's health, with a focus on obstetrics and gynecology. It provides an overview of how physiotherapists became involved in these areas in the late 19th/early 20th centuries. It then covers various techniques and areas of expertise used by obstetric physiotherapists, including exercises for pregnancy, postpartum recovery, pelvic floor issues, and other women's health concerns. Guidelines for safe exercise during pregnancy are also discussed.
The document discusses women's health and exercise during pregnancy. It provides guidelines for exercise during each trimester, including frequency, intensity, time and type of exercise recommended. It also discusses potential complications during pregnancy, labor, and the postnatal period. Exercise is recommended to reduce health risks during pregnancy, but should avoid high impact activities and the supine position after the first trimester. Guidelines are given for safe exercise during and after pregnancy.
Pregnancy can induce several pathological conditions involving the back, joints, and veins. Posture-related back pain is common in pregnancy due to postural and hormonal changes, affecting 50-80% of women. Sacroiliac joint pain causes localized pain in the pelvis and posterior thigh. Varicose veins are aggravated by increased weight and venous stasis. Joint laxity increases injury risk requiring exercise modification. Nerve compression syndromes like thoracic outlet syndrome and carpal tunnel syndrome can occur. Treatment focuses on activity modification, external support, exercise modification, and splinting/injections.
Physiotherapy plays an important role in women's health from puberty through postpartum. It treats conditions like back pain, pregnancy issues, pelvic floor dysfunction, and more. Physiotherapists help with pain management, exercises, and techniques to enhance vaginal childbirth. During pregnancy, they focus on exercises, pain relief, and positions to facilitate labor and delivery. Postpartum care includes exercises to address issues like diastasis recti and incontinence. Physiotherapy thus encompasses women's health from conception through all life stages.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
Moderate exercise during pregnancy provides health benefits such as maintaining fitness, managing weight gain, and improving mood. Regular exercise can help prevent excessive weight gain, back pain, gestational diabetes, and preeclampsia. While vigorous exercise has greater risks, moderate exercise does not increase risks of preterm birth or low birthweight. Guidelines recommend 30 minutes per day of moderate exercise on most days for healthy pregnant women. Exercise should be tailored based on a woman's medical history and condition and stopped if concerning symptoms arise.
Many women experience some minor disorders during pregnancy.
Every system of the body may be affected during pregnancy. These disorders, however , are not minor to the pregnant woman.
This document discusses minor disorders that can occur during pregnancy and their management. Some common disorders mentioned include nausea and vomiting, constipation, heartburn, backache, leg cramps, frequent urination, and edema. Causes of these disorders include hormonal changes, pressure of the growing uterus, and other anatomical changes during pregnancy. Management strategies provided for the various disorders include dietary modifications, lifestyle changes, exercises, medication, and when needed, medical referral.
Breast feeding support in the perinatal period.pdfAhmed Nasef
This presentation is my presentation for the GP, lactation specialists in the Benha University lactation diploma
it includes steps of support for the pregnant women and how to counsel patients about breast feeding to prepare pregnant women for breast feeding after delivery
it includes the following objectives:
Breast feeding promotion during antenatal care
Point of care ultrasound during pregnancy
Breast feeding support during child birth
Breast feeding promotion during antenatal care includes
Health education
1st trimester topics of interest
2nd trimester topics of interest
3rd trimester topics of interest
Antenatal counselling in preparation for delivery
Point of care ultrasound during pregnancy
Breast feeding support during child birth includes advice and counselling about breast feeding benefits prior to labor
and discussion about impact of different practices done during labor on breast feeding acceptance by the mother
Similar to Physiotherapyinantenatalpostnatalcare 170916144302 (20)
This document outlines the goals and procedures of antenatal care (ANC). ANC involves regular checkups during pregnancy to monitor the health of the mother and baby. It aims to screen for high-risk cases, prevent or treat any complications, ensure ongoing risk assessment, and educate mothers. Checkups include medical history, physical exam measuring vitals and fetal growth, and lab tests. Women are advised to attend 4 ANC visits - at 16, 24-28, 32 and 36 weeks - where the above procedures and health education are provided to monitor pregnancy and ensure normal delivery of a healthy baby.
This document provides information on first aid planning and emergency situations in school settings. It discusses (1) recognizing emergencies through unusual sights, behaviors, odors or noises; (2) deciding to act by overcoming fears of doing something wrong or being sued, which Good Samaritan laws protect against; (3) activating emergency services by calling 9-1-1 when signs of airway, breathing or circulation problems are present; and (4) providing first aid like CPR until help arrives. Key steps include evaluating school resources, common injuries, ensuring confidentiality, and properly stocking first aid kits.
This document provides information on first aid and emergency situations in school settings. It discusses the importance of first aid planning in schools and evaluating available resources. Common injuries, medical conditions, and scenarios seen in schools are outlined. Detailed information is provided on diabetes, including the different types, symptoms of high and low blood sugar, and how staff can support students with diabetes. The roles and responsibilities of staff in emergency situations and when to call 911 are also reviewed.
This case study describes a 74-year-old man, JS, who presents with shortness of breath and fever. JS has a history of COPD, heart failure, hypertension, and a 30 pack-year smoking history. On examination, he is wheezing and hypoxic. Chest x-ray shows pneumonia and hyperinflation. JS is treated with antibiotics, steroids, oxygen, and bronchodilators. His complex medication regimen is simplified prior to discharge to improve compliance.
Mr. Cohen, a 75-year-old male with COPD and emphysema, was admitted to the hospital for an exacerbation of his COPD. He requires oxygen and respiratory treatments. He complains of lower back pain from keeping his bed elevated and is prescribed Percocet. After receiving Percocet, his pain decreases but his oxygen levels drop when walking. Respiratory therapy is called to administer an albuterol treatment, after which his breathing improves. As his nurse, you must monitor his respiratory status, pain levels, and implement interventions to improve his breathing and mobility.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a baby.
This document outlines the goals and procedures of antenatal care (ANC). ANC involves regular checkups during pregnancy to monitor the health of the mother and baby. It aims to screen for high-risk cases, prevent or treat any complications, ensure ongoing risk assessment, and educate mothers. Checkups include medical history, physical exam measuring vitals and fetal growth, and lab tests. Women are advised to attend 4 ANC visits - at 16, 24-28, 32 and 36 weeks - where the above procedures and health education are provided to monitor pregnancy and promote wellbeing.
This document provides information on first aid planning and emergency situations in school settings. It discusses (1) recognizing emergencies through unusual sights, behaviors, odors or noises; (2) deciding to act by overcoming fears of doing something wrong or being sued, which Good Samaritan laws protect against; (3) activating emergency services by calling 9-1-1 when signs of airway, breathing or circulation problems are present; and (4) providing first aid like CPR until help arrives. Key aspects of first aid planning include evaluating school resources, legal responsibilities to students, and common medical conditions and injuries seen in schools.
This document provides information on first aid and emergency situations in school settings. It discusses the importance of first aid planning in schools and evaluating available resources. Common injuries, medical conditions, and scenarios seen in schools are outlined. Detailed information is provided on diabetes, including the different types, symptoms of high and low blood sugar, and how staff can support students with diabetes. The roles and responsibilities of staff in emergency situations and calling 911 are also reviewed.
Physiotherapy plays an important role in both antenatal and postnatal care. During antenatal care, physiotherapists provide exercises to prevent or treat musculoskeletal issues, educate on proper posture and lifestyle, and prepare women for labor through relaxation techniques. Postnatally, physiotherapists focus on restoring muscle strength through an exercise program, treating issues like perineal pain, and educating on proper posture while caring for a newborn.
This case study describes a 74-year-old man, JS, who presents with shortness of breath and fever. JS has a history of COPD, heart failure, hypertension, and a 30 pack-year smoking history. On examination, he is wheezing and hypoxic. Chest x-ray shows pneumonia and hyperinflation. JS is treated with antibiotics, steroids, oxygen, and bronchodilators. His complex medication regimen is simplified prior to discharge to improve compliance.
This document outlines the goals and procedures of antenatal care (ANC). ANC involves regular checkups during pregnancy to monitor the health of the mother and baby. It aims to screen for high-risk cases, prevent or treat any complications, ensure ongoing risk assessment, and educate mothers. Checkups include medical history, physical exam measuring vitals and fetal growth, and lab tests. Women are advised to attend 4 ANC visits - at 16, 24-28, 32 and 36 weeks. The physical exam evaluates for issues like anemia, hypertension, fetal positioning and more. Lifestyle advice addresses diet, hygiene, exercise and rest.
Mr. Cohen, a 75-year-old male with COPD and emphysema, was admitted to the hospital for an exacerbation of his COPD. He requires oxygen and respiratory treatments. He complains of lower back pain from keeping his bed elevated and is prescribed Percocet. After receiving Percocet, his oxygen levels decline with activity and he receives an albuterol treatment. His breathing improves but oxygen levels remain low-normal for a COPD patient. Non-pharmacological interventions and monitoring are needed to manage his pain, breathing difficulties, and oxygen levels.
The document provides guidance on first aid planning and emergency situations in school settings. It discusses recognizing emergencies through sights, sounds, appearances or odors. The four basic steps of an emergency response are outlined as: 1) recognize an emergency exists, 2) decide to act, 3) call for help, and 4) care for the victim. Common injuries and medical conditions seen in schools are reviewed. Legal responsibilities to provide student accommodations and ensure confidentiality are also covered.
This document provides information on first aid and emergency situations in school settings. It discusses the importance of first aid planning in schools and evaluating available resources. Common injuries, medical conditions, and scenarios seen in schools are outlined. Detailed information is provided on diabetes, including the different types, symptoms of high and low blood sugar, and how staff can support students with diabetes. The roles and responsibilities of staff in emergency situations and calling 911 are also reviewed.
This case study describes a 74-year-old man, JS, who presents with shortness of breath and fever. JS has a history of COPD, heart failure, hypertension, and smoking. On examination, he is wheezing and hypoxic. Chest x-ray shows pneumonia and hyperinflation. JS is treated with oxygen, nebulized albuterol, antibiotics, and corticosteroids. Due to his severe COPD, medical comorbidities, and marked symptoms, he requires hospitalization and intensive treatment for a COPD exacerbation complicated by pneumonia.
Mr. Cohen, a 75-year-old male with COPD and emphysema, was admitted to the hospital for an exacerbation of his COPD. He requires oxygen and respiratory treatments. He complains of lower back pain from keeping his bed elevated and is prescribed Percocet. After receiving Percocet, his pain decreases but his oxygen levels drop when walking. Respiratory therapy is called to administer an albuterol treatment, after which his breathing improves. As his nurse, you must monitor his respiratory status, pain levels, and implement interventions to improve his breathing and mobility.
This case study describes a 74-year-old man, JS, who presents with shortness of breath and fever. JS has a history of COPD, heart failure, hypertension, and smoking. On examination, he is wheezing and hypoxic. Chest x-ray shows pneumonia and hyperinflation. JS is treated with oxygen, nebulized albuterol, antibiotics, and corticosteroids. Due to his severe COPD, medical comorbidities, and marked symptoms, he requires hospitalization and intensive treatment for a COPD exacerbation complicated by pneumonia.
Mr. Cohen, a 75-year-old male with COPD and emphysema, was admitted to the hospital for an exacerbation of his COPD. He requires oxygen and respiratory treatments. He complains of lower back pain from keeping his bed elevated and is prescribed Percocet. After receiving Percocet, his pain decreases but his oxygen levels drop when walking. Respiratory therapy is called to administer an albuterol treatment, after which his breathing improves. As his nurse, you must monitor his respiratory status, pain levels, and implement interventions to improve his breathing and mobility.
This document outlines the goals and procedures of antenatal care (ANC). It discusses that ANC involves regular checkups during pregnancy to screen for risks, detect and treat any complications early, educate the mother, and ensure a healthy pregnancy. The goals are to have a normal delivery of a healthy baby from a healthy mother. ANC includes registration, history and physical exams, investigations, and health education. The document provides details on the timing of visits, components of exams, common risks to watch for, diet and lifestyle advice, and warning signs that require medical attention.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. Role of Physiotherapy in
Antenatal and Post-natal care
Dr. Venus Pagare (PT)
MPT, KMC Mangalore
SEHA Emirates Hospital
Abu Dhabi, UAE
2. CONTENTS
Introduction
Maternal Physiology
Antenatal care:
Objectives
Members
Role of physiotherapy
Women with special needs
Post-natal care:
Role of physiotherapy
Physiotherapy and post-natal problems
References
3. INTRODUCTION
• Pregnancy is one of the most important period in the life of
a woman, a family and a society. Therefore, great attention
is given to antenatal care by the health care systems of
most countries.
8. POSTURAL CHANGES
•
Increase in the
abdominal size
COG shifts
anteriorly
Counter-
balanced by:
* Increase of lumbosacral angle
* Increase of lumbar lordosis and
thoracic kyphosis
* Bending forward over the enlarging
uterus
Protraction of the
shoulders
&
Hyperextension
of the knee
12. • It is care of the woman during pregnancy
• Primary aim is to achieve at the end of the
pregnancy, a healthy mother and a healthy baby
• Starts immediately from the time of conception
ANTENATAL CARE
13. • Prenatal care started in Edinburgh at the turn of the
20th century
• During the 1920s a few midwifery departments of
hospitals and interested general practitioners saw
women at intervals to check their urine for protein and
some palpated abdomen.
• Most pregnant women had only a medical or midwifery
consultation once before labour
• Doctors were concerned with antenatal care only “if
any of the complications of pregnancy should be
noticed”
HISTORY OF ANTENATAL CARE
14. • During the late 1920s a wider recognition emerged of the
maternal problems of pregnancy as well as those of labour
• The medical profession and the then Ministry of Health
woke up to realise that events of labour had their
precursors in pregnancy
15. • Janet Campbell, one of the most farsighted and clear
thinking women in medicine, started a national system of
antenatal clinics with a uniform pattern of visits and
procedures
Dame Janet Campbell
16. • Based on her work in India in the 1930s, Vaughan
instituted antenatal exercise classes in England. She
wrote that “flexible hips and spine are conducive to
ease of labor,” and women were encouraged to
squat
• During the mid-1950s, “keep fit” exercises
introduced by obstetric physiotherapist Helen
Heardman in Britain were included with relaxation
and breathing skills in Grantly Dick-Read's book on
pain management for labor.
17. • Screening for foetal abnormalities
• Early identification of complications and their
treatment
• Promote muscle tone, strength and endurance
• Enhance relaxation
• Prepare for post-natal program
• Providing education on nutrition, personal hygiene,
birthing process
Objectives
19. Prevention/Treatment of musculoskeletal problems
Promoting healthy lifestyles
Postural and Ergonomic advice
Preparing for labour
Teaching relaxation techniques
Optimal physical fitness
ROLE OF PHYSIOTHERAPY IN
ANTENATAL CARE
20. 1. Back and pelvic girdle pain
• Prevention
• Activities that reproduce
the symptoms should be
avoided
• Proper postural education
• For relief of pain:
Gentle massage,
Hot pack
TENS
Prevention/Treatment of musculoskeletal problems
21. 2. Sacroiliac joint dysfunction
• Support belt
• Various self-help maneuvers can be taught to
relieve sacroiliac joint pain
22. 3. Symphysis pubis dysfunction
• Diastesis Pubis
• Rest and reduction of non essential chores
• Keeping the leg adducted
• Avoiding single-leg stance.
• Avoid long strides when walking, walking on uneven
surfaces and excessive use of steps
• Gentle isometrics of hip adductors
• Pelvic support belts
• Ice pack
23. 4. Coccydynia
• A cushion can be placed while sitting
• Gentle mobilisations
• Ice packs/heat, US and TENS
24. 5. Pelvic floor dysfunction
Stress incontinence
Increased risk of pelvic organ prolapse
• Kegel’s exercise
• Kegel balls or weights, vaginal cones, electronic
kegel exerciser
• Electrical stimulation
• Electromyography can be used to train control
• Interferential therapy
• Bladder retraining programs
25. 6. Nerve compression syndromes
a. Carpal tunnel syndrome
• Ice packs
• Resting with the hands in elevation
• Ultrasound
• Splinting limiting wrist flexion
b. Posterior tibial nerve compression
c. Meralgia paraesthetica
26. 7. Varicose veins
• Avoid standing or sitting for long periods, with the
legs dependent
• Frequent and vigorous ankle dorsiflexion and
plantar flexion may be performed
• Brisk walking
• Elevate feet when sitting or lying.
• Elastic stockings may be worn
27. 8. Sciatica
• Reducing the activity levels; within pain-free range.
• Advice on positioning, back care and posture
correction.
9. Muscle cramps
• Calf stretches
• Massage – deep kneading,
• Vigorous foot exercises
• A pre-bedtime brisk walk, vigorous foot exercises,
and a warm bath may be prophylactic.
28. 10. Chondromalacia patellae
• Ice packs 2-3 times per day,
• Strengthening of quadriceps
11. Restless Leg Syndrome
• Bed rest
• A period of reduced activity, e.g. giving up work
may give some relief
12. Uterine ligament pain
• Warmth or cold, massaging or stroking, over the
site of the pain
29. Prenatal advice and education regarding :
• Diet
• Personal hygiene
• Use of drug
• Alcohol and Smoking
• Air travel- can fly safely up to 36 weeks
ACOG Committee Opinion 2001 #264
Promoting healthy lifestyle
30. Seat belt
• Above and below the bump, not over it
• Three-point seat belts should be worn throughout
(Why mothers die: a report on confidential enquiries into
maternal deaths in the UK 1997-1999)
31. 1. Lying:
2. Rolling:
• Effective, safe and efficient (ESE) roll
Posture and Ergonomic advice
41. 6. Optimal physical fitness by exercising
• Exercise is safe for both mother and fetus during
pregnancy.
42. • Reduces common complaints of pregnancy such as
fatigue, varicosities and swelling of extremities
• Reduces insomnia, stress, anxiety and depression.
• Weight-bearing exercises reduce the length of
labour and prepares the woman for physical
demands of labour
• Improves core stability and pelvic floor muscle
strength
Benefits of exercise in pregnancy
43. • Improves glycaemic control
• Protective effect on coronary heart disease,
osteoporosis and hypertension
• Improves posture, strengthens muscles, and maintains
muscle length and flexibility
• Decreased birth weight and less maternal weight gain
• Improves the feeling of wellbeing
• Helps in achieving the pre-pregnancy fitness levels
46. Chronic hypertension
Extreme morbid obesity
Poorly controlled seizure disorder
Mild to moderate cardiac disease
Severe anaemia
Twin pregnancy after 28th week
Exercise induced asthma
Relative Contraindications
47. Signs to terminate Physiotherapy Exercise
1. Excessive
shortness
of breath
2. Chest
pain or
palpitations
3. Painful
uterine
contraction
4.
Presyncope
or dizziness
9. Leakage
of amniotic
fluid
5. Vaginal
bleeding
6.
Excessive
fatigue
7.
Abdominal
pain
8. Reduced
fetal
movement
48. Exercise Risks During Pregnancy
Maternal Risks
Musculo-
skeletal trauma
Supine
hypotension
syndrome
Fall
Hypoglycaemia
Foetal Risks
Foetal Distress
Preterm labour
Abnormal rise in
the temperature
49. • Assessment of fitness status and individual goals
Exercise Prescription in pregnancy
Type of exercise
Aerobic exercises eg:
walking, swimming
Resistive and
flexibility exercises
Intensity
Maximal heart rate of
60–70% for women who
were sedentary
60–90% for women
wishing to maintain
fitness during pregnancy.
Borg scale of
perceived exertion.
50.
51. Duration
Starting from 15
mins and
progressing to 30
mins
Proper warm up
and cool down
periods of 5 – 10
mins each
Frequency
Minimum of 3
times a week
Progressing to 4-5
times a week
52. General Guidelines for Exercise in Pregnancy
Physical examination is a must
Jerky, bouncing, ballistic
movements/activities should be avoided
Warm up should precede ex. session
followed by a cool down or gradual decline
in activity
Maternal HR should not exceed 140 bpm
Do not overextend, overstretch joint or rapidly
change directions
53. Avoid valsalva maneuver and avoid contact sports
No prone position after 1st trimester
Avoid exercises in supine after 4th month
“No pain, no gain” does not apply
Fluid must be taken before, during, & after exercise
to avoid dehydration
54. Empty bladder before exercise and avoid GI
discomfort by eating atleast 1 hr prior to exercise
Strenous exercise must be avoided in hot, humid
weather or when pregnant woman is pyrexial
Horseback riding, gymnastics and cycling during
pregnancy are not allowed
55. Pregnancy is often divided into ‘trimesters’ each
equating to approximately three months. The
exercises permitted in each trimester differ.
• Exercises in the 1st Trimester.docx
• Exercises in the 2nd Trimester.docx
• Exercises in the 3rd Trimester.docx
Exercises according to the trimesters
56. 1. Gestational diabetes
• Walking, stationary bicycling, low-impact aerobics, and
swimming
• 5- to 10-minutes of warm-up and cool down period
involving some flexibility exercises
• Precautions including monitoring blood glucose, scheduling
rest periods and carefully tracking fetal activity and uterine
contractions.
Women with special needs
57. 2. Pregnancy-induced hypertension (PIH) /pre-
eclampsia and eclampsia
• Bed rest is advised
• Left side lying position so that there is no
compromise of the venous return
58. 3. Competitive athletes
The major concerns are:
• The effects of pregnancy on competitive ability;
• The effects of strenuous training on pregnancy
• Constant supervision by an obstetric care provider
• Additional evaluation to assess fetal growth and wellbeing
59. 4. Women in the workplace
• Special consideration should be given
• Ergonomic analysis so as to reduce work-related stress,
injuries, disease or discomfort.
• Control of the risk factors by making modifications in the
task or the working technique.
• Ergonomic advice and postural correction
60. Post-natal period is the period following delivery,
during which the new mother’s body begins to
recover and returns to normal.
POST-NATAL CARE
61. The main aims of physiotherapy during this period
are:
• Introducing an exercise and relaxation program,
thereby assisting the new mother’s in physical
recovery
• Restoration of the muscle strength and tone
• Treatment of musculoskeletal problems
• Teaching correct ergonomics for breast-feeding,
handling the baby and house-hold chores
Role Of Physiotherapy In Post-natal Care
62. • Using this opportunity to educate the mother
regarding the various family planning methods and
its importance.
• Providing support and counselling and helping to
cope with the stress
• Education regarding importance of post-natal
exercises and breastfeeding
63. Exercise program
• Active movements of the limbs eg: ATMs and Heel
slides
• Deep beathing exercises
• Pelvic floor exercises
Physiotherapy following a normal vaginal delivery
67. Teaching Posture and Ergonomic principles
• Correct posture in standing, sitting, lying and
kneeling should be taught
• Special emphasis on:
feeding,
nappy changing,
baby bathing,
carrying/lifting
70. • TENS for pain
• Diaphragmatic breathing and
segmental expansion exercises
• Splinted coughing
• Knee rolling
Physiotherapy following a cesarean delivery
71. • Movements of the limbs
• Pelvic floor exercises
• Pelvic tilts
• Bridging exercises
72. • Posture correction
• Ambulation should be initiated as early as possible
• Core stability exercises
• Vigorous exercises should be done after 6-8 weeks
73. MUSCULOSKELETAL PROBLEMS
1. Perineal pain
• Rest and apply ice for 10 to 15 mins, every 2-4 hours
• Pelvic floor exercises using contract-relax technique
improves circulation and reduces swelling
• Use of cushion when sitting
• Electrotherapy: ultrasound, Pulsed electromagnetic energy
(PEME), low level laser therapy, infrared or surface heat
Post-natal Problems and Physiotherapy
74. 2. Diastasis of recti abdomini muscles (DRAM)
• A gap between the recti abdomini muscles of greater than
25 mm, palpated just superior to the umbilicus
75. The corrective exercises include:
• Isometric abdominal exercise
• Head lifts
• Head lifts with pelvic tilts
• Leg sliding with pelvic tilts
• Pelvic tilts in quadraped position
• If the diastasis is large, its recommended to use a
temporary abdominal support like abdominal binder
76. 3. Back pain
• Strengthening of the weak muscles by low load, endurance
exercises.
• Mobilization for the sacro-iliac, lumbar or lumbo-acral
regions in case of low back pain
• Teaching to maintain correct postures and correct
ergonomics
• Hot pack
4. Thoracic pain
• Postural correction
• Gentle exercises
• Hot or ice packs
77. 5. Symphysis pubis
In addition to treatments used antenatally, other methods
that can be used are:
• Trochanter belts or a full pelvic binder
• Drawing the abdomen in is encouraged before moving
around the bed.
• TENS, US
• Orthopaedic aids
78. 6. After pains
• TENS over T10-L1 and S2-S4 that innervates the uterus and
perineum may relieve pain
• Exercises
7. Abdominal induration
• Moist pack or SWD can be given to resolve the
intramuscular haematoma
79. CIRCULATORY PROBLEMS
9. Varicose veins
• Vigorous and frequent, dorsiflexion and plantarflexion
• Pressure stockings
• Sitting or lying with the legs raised
10. Oedema
• Vigorous ankle-toe movements
• Resting with legs elevated
• Pressure stockings
80. 11. Deep vein thrombosis
If the DVT is in calf:
• Vigorous ankle-toe movements and legs elevated
• Avoid pressure on the back of the calf while carrying out
any activities
If the DVT is in iliofemoral region:
• Bed rest may be advised till the swelling subsides
• Legs in elevation
• Foot exercises, quadriceps and gluteal muscle contractions,
hip and knee flexion and extension can aid in circulation.
81. BLADDER AND BOWEL PROBLEMS
12. Stress incontinence
• Kegels exercise
• Kegel balls or weights, vaginal cones, electronic kegel
exerciser can be used to strengthen the pelvic floor
muscles.
• Electrical stimulation and interferential therapy
• Electromyography can be used to train control
• Bladder Retraining
13. Bowel incontinence
14. Constipation
82. PSYCHOLOGICAL PROBLEMS
15. The three common manifestations of Post-natal
depressive illness are:
• The ‘maternity’, ‘baby’, ‘third day’ blues
• Puerperal psychosis
• Postnatal depression
16. Breast engorgement, mastitis, tender and cracked nipples
83.
84. 1. Mantle J, Haslam J, Barton S. Physiotherapy in obstetrics
and gynaecology. 2nd ed. Edinburgh: Butterworth-
Heinemann, Elsevier; 2005
2. Sapsford R, Bullock J, Markwell S. Women’s Health: A
textbook for Physiotherapist. 13th ed. WB Saunders;1998
3. Stephenson R, J. Linda. Obstetric and Gynaecologic care in
Physical Therapy. 2nd ed. USA: SLACK incorporated; 2000
4. Park K. Textbook of Preventive and Social Medicine. 20th
ed. Jabalpur: M/s Banarsidas Bhanot;2009
References
85. 5. Desai P, Malhotra N, Shah D. Principles and practice of
Obstetrics & Gynaecology for postgraduates. 3rd ed.
JAYPEE Brothers;2008
6. Dutta DC. Textbook of Obstetric including Perinatology
and contraception. 6th ed. Calcutta: Central book
agency; 2004
7. Sports Medicine Australia. SMA statement: the benefits
and risks of exercise during pregnancy. J Sci Med Sport
2002; 5:11–19
8. ACOG Committee. Opinion no. 267: exercise during
pregnancy and the postpartum period. Obstet Gynecol
2002; 99: 171–3
86. 9. Royal college of obstetrics and gynaecology. statement no
4. 2006. Available from:
http://www.rcog.org.uk/womens-health/clinical guidance/exercise-pregnancy
10. George D. Harris, Russell D. White. Diabetes management
and exercise in pregnant patients with diabetes. CLINICAL
DIABETES.2005;23( 4):165-168
11. Carriere B. Fitness for the Pelvic Floor. Thieme; April 15,
2002
12. Chamberlain G, Morgan M. ABC of antenatal care. 4th ed.
London: BMJ Books; 2002