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Rachel, 38 y.o (Exercise During pregnancy (Warnings (Contraindications…

- - - - Underweight
      - Bleeding
      - Hypertension
      - Smoker
      - Diabetes
  - - - 0-3 weeks
        
        15mins walking
        
        Pelvic floor exercises
      - 6 weeks
        
        10-15mins walk
        
        low impact aeorobics
        
        Cylcling
      - 8-12 weeks
        
        Increase intensity and weights
      - 12-16 weeks
        
        See physio
        
        Start going back into high impact exercises
- - - - sister had gestational diabetes & post natal depresss
- - - - Causes anterior displacement of C.O.G
        
        Increased stress on joints
        
        get ligamentlaxity from hormonal changes
        
        Pain
    - - rib cage expansion
      - Cx & Tx Kyphosis
      - Lx Lordosis
    - - occurs during 3rd trimester
        
        Due to
        
        weaknesss
        
        Hormonal changes
    - - due to
        
        Lx lordosis
        
        Anterior pelvic tilt
      - widening of pubic symphysis & SIJ
        
        Kinetic chain
    - - Baby taking Calcium from your body
  - - - Altered lung mechanics due to hormones
  - - - Increase Renal plasma flow
- - - - Age >25
      - Family Hx of type 2 diabetes
      - Overweight
    - - Take glucose drink
        
        Get blood test
    - - Hormones tend to block insulin in mother
        
        Mother needs more insulin
        
        Results in Gestational Diabetes
    - - Manage blood glucose levels
        
        Eat small meals
      - Maintain healthy lifestle
      - Physical Activity
    - - C-section delviery
      - Pre-term birth
      - Produce large baby
  - - - Common in all mothers (80%)
      - Mild
      - Will pass within a week with support
    - - Serious
      - Cause harm to mother as well as baby
        
        Mother can have suicidal thoughts
        
        Mother can become aggressive
        
        Dangerous for baby
    - - Very common
      - Can develop in any culture
      - Occurs at any ages
      - Mild, moderate & severe pregnancy
      - Can begin at 24week preganancy
      - More common in first time mothers
      - Risk Factors
        
        Traumatic child birth
        
        Unrealistic expecataions
        
        Grief & loss issues
        
        Lack of support
        
        sister had post natal depression
      - Symptoms
        
        Anxiety
        
        Crying
        
        Fear of being alone
        
        Feeling guilty and inaedequte
        
        Memory loss
      - Mx
        
        Resolves by itself
        
        Support from other mothers
        
        Talk to other mothers
        
        Cognitive behavioural therapy
        
        Helps identify the problem
        
        Anti-depressants
        
        Electroconvlsive therapy
        
        Bad side affects
        
        Memory loss
  - - - Relaxin is released during pregnancy
        
        Helps to soften ligaments
        
        Softens ligaments around the whole body
        
        Increased mobility in pelvis
        
        Pain
        
        Swelling
      - "Gap" 7-11cm
        
        Gap size not to do with pain
      - Can occur at anytime during preganancy
      - Risk factors
        
        Occurred in previous pregnancies
        
        Multiple pregananies
        
        Poor posture
        
        Large baby
        
        Excessive weight gain
        
        Hx of fractures to pelvis
      - Symptoms
        
        Back pain
        
        Pelvic girdle pain
        
        Increased pain at night
        
        Decreased ROM
      - Can cause urinary incontinence
      - Mx
        
        Avoid discomforting activities
        
        Rest
        
        Moderate exercise
        
        Abdominal wall
        
        Pelvic floor
        
        Avoid squatting
        
        Avoid bending
        
        Avoid Breastroke
        
        Take pain meds
        
        Ice packs to reduce inflammation