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PT in Obstetrics
PT in Obstetrics
17
Health Care
Graduate
04/29/2013

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Cards

Term
Postural changes
Definition
COG moves fwd/up >> incr lordosis
wt shift bkwd >> ER LEs, waddling gait
Term
Reduce ant tilt by...
Definition
strengthening hip ext, abdominals
Term
ant tilt >>
Definition
incr stress on ilipsoas m >> irritation of sensory nn from lumbar plexus
Term
cause of UE aching/numbness/weakness
Definition
postural changes
Term
physiological changes 2º to pregnancy
Definition
RHR incr 10-15 bpm
seated dyspnea
gestational diabetes (45%)
incr urinary frequency/decr bladder control
incr LE swelling
Term
Øinds for PT (7)
Definition
abdominal compression (mid to late pregnancy)
supine >3min
positions that strain pelvic floor/abs
vigorous stretching of hip adds
uncontrolled bouncing/swinging mvmts
deep heat modalities
e-stim
Term
Manips in pregnancy
Definition
NO. don't. and not immediately post-partum, either.
Term
Preferred position between supine tests
Definition
left sidelying
Term
Diastasis Recti: timeframe for reverse
Definition
typically by 4 wks post-partum
Term
Diastasis Recti: positive test
Definition
>2 finger width
Term
LBP: prevalence
Definition
48-90% experience LBP during pregnancy
Term
LBP: Rx
Definition
ther ex
jt mob
massage for spasm
activity modification
heat/ice
Term
SIJ: prevalence
Definition
6-23% incidence (often within first 3 mos)
Term
MET self-correction HEP for SIJ (4)
Definition
1. squeeze ball btwn knees
2. push out against hands
3. press one knee into hand, other foot into floor
4. follow by squeezing buttocks

repeat x3
Term
Symphysis Pubis separation: Rx
Definition
low abdominal support
avoid hip abd
heat/cold
adduction isometric correction
Term
Pregnancy exercise recommendations (5)
Definition
30 min, mod intensity, 3x/wk
stretching, cycling, swimming, walking
5 min warmup/cooldown
HR<140bpm
Sedentary - begin low intensity, short duration
Term
Yoga precautions after first trimester (4)
Definition
avoid supine/prone
avoid head lower than heart
use wall or chair for support c balance poses
avoid backbends, severe twist poses
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