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OBSTETRICS
Preventative measures
Activities to Avoid
Horseback riding
Snow and water
skiing
Snow boarding
Ice skating
Diving
Bungee jumping
Heavy weight lifting
High-resistance
activities
Adjunctive Interventions
Hot packs Safe for back, neck,and
extremities.
Ultrasound Sites away from uterus.
Exercise Examples
Supine hip and knee flexion with hip
abduction and lateral rotation.
Progressive heel slides.
Diastasis Recti
Corrective Exercise
1. Patient manually
approximates recti
muscles toward
midline.
2. Performs a posterior
pelvic tilt.
3. Slowly exhale while
lifting head.
Impaired Posture
Biomechanical Element
Restore ideal alignment
1.
2.
3.
Pain
Causes Include:
Fluid retention
Edema
Intercostal Neuralgia
Described as intermittent pain in the
rib cage or chest from flaring of the rib
cage.
Intervention includes spinal
elongation with arms overhead in
supine, sitting, or standing postions,
and trunk sidebending away from the
pain.
Copyright 2005 Lippincott Williams & Wilkins
Other Impairments
Temporomandibular dysfunction
Patellofemoral dysfunction
Joint discomfort or dysfunction
Varicosis
Summary
Many physiologic changes that occur during
pregnancy affect a womans ability and
motivation to exercise.
Adherence to precautions, contraindications,
guidelines, and a safe exercise program can be
established for pregnant women.
Exercise during pregnancy has many benefits
including prevention or assistance in treatment
of impairments.
Summary (cont.)
Therapeutic exercise focuses on key postural
muscles affected by changes during pregnancy.
High risk pregnancy may require bedrest.
Specific exercises may be performed and are
beneficial for high-risk patients.
Therapeutic exercise is beneficial postpartum,
even after cesarean section.