Pregnancy and Physiotherapy

8/19/2019 Pregnancy and Physiotherapy

1/40

BY- DR. CHARUSMITA GEMINI (PT)


2/40

PREGNANCYPregnancy is the period from conception to the birth of a child during which the body ofa women undergoes numerous complex physiological changes in following systems-

!. Respiratory system

2. Musculoskeletal system

3. Endocrine system

4. Gastrointestinal system

5. Renal system

6. Reproductive system

7. Integumentary system


3/40


4/40

COMMON PROBLEMS

1. Back pain

2.

Leg cramps3. Numbness in leg

4. Postural changes

5. Wrist pain (carpal tunnel syndrome)

6. Swelling in legs and foot

7.

Weight gain


5/40

EXERCISES AND PREGNANCYExercise plays an important role in promoting health and well

being for a pregnant woman. Women who exercise during

pregnancy avail the following benefits-

1.

Optimal weight gain

2. More rapid weight loss after delivery

3. Improved sleep patterns

4. Normal and easier labours

5. Strengthened and toned muscles

6.

Better shape post delivery


6/40

7. Improved breathing pattern

8. Increased endurance/ stamina

9. Reduced risk of posture problems

10. Reinforced relaxation

11. Reduced stress and anxiety


7/40

CONTRAINDICATIONS OF EXERCISES-

1. Women with cardiovascular, respiratory or kidney problems

2. Diabetic women

3. Women with thyroid disease

4. Women with history of miscarriage, premature labour, cervical

incompetence in multiple pregnancies

5. Vaginal bleeding (spotting) or discharge


8/40

6. Women with high BP

7. Problems with Placenta

8.

Decreased foetal movements9. Breech baby in third trimester

10. Women with anaemia or other bleeding disorders


9/40

Red flags during exercise

WHEN TO STOP EXERCISES & REPORT TO DOCTOR IMMEDIATELY-

1. Bleeding pv2. Unusual twisting pain in the abdomen

3. Fainting episodes

4. High blood pressure

5. Dizziness

6. Severe joint pain


10/40

SESSIONS OF EXERCISES

Sessions of physiotherapeutical exercise are divided in two parts-

1. Antenatal exercises

2. Postnatal exercises


11/40

ANTENATAL EXERCISESExercises which are conducted during the nine months of pregnancy areantenatal classes. These are preferred from the second trimester ofpregnancy.

MOTIVES OF ANTENATAL EXERCISES-

1. Strengthen pelvic floor muscles to facilitate vaginal delivery and avoidvaginal muscles tear.

2. Strengthen abdominal muscles

3. Strengthen back muscles

4. Strengthen arm and leg muscles

5. Avoid postural defects


12/40

ANTENATAL EXERCISES-

Antenatal exercises are divided in 4 sessions as follows-

FIRST SESSION- In this session guidance about significance of exercises

and knowledge of pregnancy care is provided.

SECOND SESSION- 1. Breathing exercises

2. Relaxation techniques

3. Stretching and strengthening exercises


13/40

THIRD SESSION- 1. Kegel exercises for pelvic floor strengthening

2. Abdominal exercises

3. Spinal extension exercises

4. Postural care

5. Leg and arm exercises

FOURTH SESSION- 1. Exercises for stages of labour

2. Coping strategies for labour

3. Baby care tips


14/40

POSTNATAL EXERCISES

Postnatal period is the period after delivery of baby through the

phase of labour. In this period ,the lady is advised to undergo

exercises after she is comfortably adjusted with the baby and post

delivery conditions.However now a days mild physiotherapy exercises are given

from the third day of delivery to treat her postnatal pains and

discomforts. Some therapeutic modalities are also given to cope

up with aches after delivery.


15/40

Benefits of postnatal exercises

1. Faster return to pre-pregnancy shape and level of fitness.

2. Increased strength of the arm, leg ,abdomen ,back and pelvic

floor muscle to cope with the demands of new motherhood.

3. Prevention of backache.

4. Training of handling yourself while baby care.

5. Prevention of urinary incontinence.


16/40

Precautions during postnatalexercises

1. Wear loose clothes.

2. Wear an appropriate interwar for good support .

3.

Should not do any exercise that hurt the breasts.4. Try to do exercises after breastfeeding.

5. If there is any change in postnatal vaginal discharge

immediately stop exercises and report to doctor.


17/40

Postnatal exercises1. Ankle toe pumps

2. Quadriceps isometrics

3. Abdominal isometric and crunch (front and oblique)

4. Kegels exercises

5.

Pelvic tilt and pelvic bridging

6. Air squats

7. Hip abduction exercises

8. Arm ROM exercises

9. Biceps and triceps strengthening exercises

10. Spinal extension exercises


18/40


19/40

Sleeping Postures


20/40


21/40


22/40

Breathing Exercises


23/40

Relaxation Techniques


24/40

Let us understand Kegel’s


25/40


26/40


27/40


28/40

Kegel Exercises


29/40


30/40


31/40

Abdominal Isometrics Pelvic Bridging


32/40

Pelvic Tilt


33/40


34/40

Leg Exercises

Ankle and toe pump


35/40

Strengthening Exercises


36/40

Arm Strengthening


37/40

Stretching Exercises

Tailor Sitting


38/40

X

Wall pressing


39/40

Back Arching Air squatting


40/40

Date post:	08-Jul-2018
Category:	Documents
Upload:	motherbee-support
View:	215 times
Download:	0 times

Pregnancy and Physiotherapy

Documents