Shared Flashcard Set

Details

OB/GYN
PT role in women's health
18
Other
Graduate
11/25/2013

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Cards

Term
Women's Health section for APTA founded in ?
Definition
1977 - name changed in 1995 to reflect a broader scope of practice
Term
Why is women's health important to me?
Definition
-Women seek health care more often then men
-will treat someone who is or was prego
-Crucial to know effects of preg. on body
Term
How many women become pregant each year?
Definition
6.7 million
Term
What is included in the hormone cascade that initiates pregnancy (prior to fertilization)?
Definition
(GnRH)Gonadotropin-releasing hormone
(FSH) Folicle stimulating hormone
(LH) Luteinizing Hormone
Hypothalamus/pituitary
Term
After fertilization, what hormones come into play to maintain pregnancy?
Definition
Estrogen, progesterone, relaxin
Term
What does estrogen do?
Definition
-Increased 30 times above baseline during pregnancy
-contributes to joint laxity
Term
Progesterone?
Definition
-small quantities initiate to iitiate pregancy
-Primary role - early nutrition for embryo
Term
Relaxin?
Definition
-Produced by ovary (during preg/period)
-Increase during preganacy changes delivery: a. softens cartilage, with proliferation of synovium b. results in ligamentous laxity
Other effects debatable
Term
Relaxin levels over time
Definition
-increases soon after conception
-Highest in 1st trimester
-Decreases/levels off in 2nd trimester
-Can see still see effect in peripheral joint up to 5 months postpartum
-Levels increase w/ multiple pregancies
-Remains high postpartum when breastfeeding
Term
hCG - human chorionic gonadotropin hormone
Definition
-only produced during pregnancy
-increases dramatically in 1st trimester
-may contribute ot nausea and vomiting
Term
hPL (human placental lactogen)
Definition
-produced by placenta
-ensures proper fetal development
-stimulates milk glands in breast in anticipation of breastfeeding
Term
Musculoskeletal concerns
Definition
-Posture
-Pelvic floor
-Abdominal muscles (DRA)
Term
Joint concerns
Definition
Sacroiliac
Pubic symphysis dysfunctions
Term
Nerve impingements
Definition
Sciatic, brachial (thoracic outlet syndrome), median nerve (carpal tunnel syndrome)
Term
Proper standing position during pregnancy matters because...
Definition
Comfort: helps w/fatigue, pain
Allows more space for internal organs
Term
How to check for correct pelvic position wile standing...
Definition
Heel of hand: on ASIS
Finger tips: on pubic symphysis
Hand should be straight - perpendicular to floor
Term
Correct standing posture
Definition
1. Ear lines up with shoulder
2. Lift thru rib cage, lower shoulders
3. Contract abs to align spine
4. Neutral pelvic tilt
5. Bend knees to ease weight over feet
6. distribute weight evenly over feet
Term
Pelvic floor function
Definition
Support pelvic floor contents
Sphincter control
Sexual function
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