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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.
Symptoms related to Endocrine Changes in pregnancy are...
Thyroid enlargement
Basal metabolic rate increases
Ligament laxity (Relaxin hormone)
Swelling
Forward posturing due to breast enlargement
Gestational Diabetes Mellitus
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.
Symptoms related to changes in the cardiovascular system with pregnancy are...
Anemia
Supine Hyptensive Syndrome : See table 14-1
Calf cramping
Swelling
Fingers can tingle or become numb
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.
Symptoms related to changes in the respiratory system with pregnancy are...
Hyperventilation
Decreased oxygen reserve and therfore a decrease in oxygen capacity
Coughing and sneezing
Stress urinary incontinence
Pressure on the bladder
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.
Symptoms associated with changes in the musculoskeletal system with pregnancy are:
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
Common Musculoskeletal Disorders with Pregnancy and Postpartum include...
Rib dysfunction
Sacroiliac Dysfunction/low back pain
Neck pain
Pelvic/pubic pain
Carpal/Tarsal Tunnel Syndrome
Hip pain
“Core” muscle weakness
Rectus Diastasis
Interventions during Pregnancy

examples of appropriate interventions?
Myofascial release
Muscle energy techniques
Body mechanics, posturing and positioning education
Therapeutic Exercise
Interventions during Pregnancy

what modalities are not contraindicated?
The majority of modalities are contra-indicated except heat and cold
benefits of exercise and pregnancy...
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
Absolute Contraindications in pregnancy and Ther Ex...
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
Signs and Symptoms to Stop Exercise while pregnant
Pain of any kind
Vaginal bleeding
Uterine contractions that persist at 15 min intervals
Persistent dizziness, numbness, tingling, vomiting
SOB
General TE Guidelines with Pregnancy
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