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15 Cards in this Set
- Front
- Back
Focus on Pregnancy
how is the endocrine system impacted with pregnancy? |
The maternal endocrine system drive the changes in the soft tissue and smooth muscle. Levels of relaxin, estrogen and progesterone will vary and cause fluid retention, growth of uterine and breast tissue, greater extensibility and pliability of ligaments and joints and a reduction in smooth muscle.
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Symptoms related to Endocrine Changes in pregnancy are...
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Thyroid enlargement
Basal metabolic rate increases Ligament laxity (Relaxin hormone) Swelling Forward posturing due to breast enlargement Gestational Diabetes Mellitus |
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Focus on Pregnancy
how is the cardiovascular system impacted with pregnancy? |
Changes in the cardiovascular system account for increases in blood volume, increases in kidney blood flow.
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Symptoms related to changes in the cardiovascular system with pregnancy are...
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Anemia
Supine Hyptensive Syndrome : See table 14-1 Calf cramping Swelling Fingers can tingle or become numb |
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Focus on Pregnancy
how is the respiratory system impacted with pregnancy? |
Changes in the respiratory system occur as a result of the enlarged uterus and its position in regards to the diaphragm.
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Symptoms related to changes in the respiratory system with pregnancy are...
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Hyperventilation
Decreased oxygen reserve and therfore a decrease in oxygen capacity Coughing and sneezing Stress urinary incontinence Pressure on the bladder |
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Focus on Preganancy
how is the musculoskeletal system impacted with pregnancy? |
Musculoskeletal System changes are a result of the growing fetus, endocrine changes and the rapid change in body mechanics. Most of these morphologic and physiologic changes are normal, but place the musculoskeletal system in abnormal positions, thus the woman is more prone to injury and pain.
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Symptoms associated with changes in the musculoskeletal system with pregnancy are:
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Sway or Hollow low back
Fatigue Low Back pain Decreased flexibility of hamstrings, heel cord, hip flexors, pecs. Round ligament spasms in groin Weight gain |
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Common Musculoskeletal Disorders with Pregnancy and Postpartum include...
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Rib dysfunction
Sacroiliac Dysfunction/low back pain Neck pain Pelvic/pubic pain Carpal/Tarsal Tunnel Syndrome Hip pain “Core” muscle weakness Rectus Diastasis |
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Interventions during Pregnancy
examples of appropriate interventions? |
Myofascial release
Muscle energy techniques Body mechanics, posturing and positioning education Therapeutic Exercise |
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Interventions during Pregnancy
what modalities are not contraindicated? |
The majority of modalities are contra-indicated except heat and cold
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benefits of exercise and pregnancy...
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Length of labor contractions is on average 30% shorter in exercising women
There is reduced need for forceps or cesarean delivery in exercising women Exercising women are less likely to have diabetes or high blood pressure during pregnancy Pregnant patients who exercise may feel better and have more energy Patients are less likely to have prenatal or postpartum incontinence Exercising women will be strong enough to labor in various positions Pregnant exercising women are less likely to have back pain |
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Absolute Contraindications in pregnancy and Ther Ex...
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Pregnancy induced hypertension
Diagnosed cardia disease Premature rupture of membranes Placental abruption History of Pre-term labor Fetal distress Persistent Vaginal Bleeding History of recurrent miscarriage Intrauterine growth reta |
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Signs and Symptoms to Stop Exercise while pregnant
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Pain of any kind
Vaginal bleeding Uterine contractions that persist at 15 min intervals Persistent dizziness, numbness, tingling, vomiting SOB |
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General TE Guidelines with Pregnancy
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According to ACOG exercise 3-5 x per week
Avoid ballistic movements Keep to 20-30 minutes for duration Avoid high heat and humidity Changes positions of exercise often, but not rapidly Drink fluids Adapt to gestational progression |