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Women's health (Prevalence (Risk (Given birth (Complex vaginal birth,…

- - - - Complex vaginal birth
        
        Forceps
      - Perineal /PF tears
      - Pudental Neuropraxia
      - Levator avulsion
    - - Jumping
      - Athletic running
- - - - 2nd stage
  - - - incomplete rupture
        
        swelling within jt
    - - immobilise 48hrs with legs tgt
        
        after 48 hrs
        
        mobilisation with WF / crutches
        
        belt to support jt
        
        minimise movement at jt
        
        abdominal bracing prior to movement
      - Strict bed rest
- - - - Repetitive lifting movements required looking after a baby
  - - - Pain increased with radial deviation with thumb in hand
      - Pain reproduced with passive Ulnar deviation
  - - - Decrease inflammation
    - - Poor compliance
        
        women have difficulty to wearing splint and caring for baby
    - - Lifting baby
        
        Single hand only
- - - - Weak, sagging/ hypotinic pelvic floor
- - - - Impossible to immobilise
        
        craw in and out of bed instead of sitting up and lying down
    - - Ccyx cushion
        
        avoid pressure at the ccyx
- - - - 70 to 100% incidence
      - Discomfort due to sudden streching / tearing of the linea alba through out pregnancy
  - - - tubigrip
      - Pregnancy recovery shorts
    - - facilitate closure of the Rectus diastasis
      - Minimise herniation
      - TA exercises are prescribed
        
        Crunches may be effective
- - - - Endo pelvic fascia
        
        Uterosacral Ligaments
        
        Pubocervical fascia
        
        Supported by the deep pelvic floor muscles
        
        Minimal support from PF with large pressure form pelvis can damage fascia
        
        Heavy Repeatitive coughing
        
        Minimise abdominal pressure during coughing
        
        Teach functional bracing of PFM during both ex
        
        Heavy lifting
        
        High impact exercise
        
        Heavy resistance exercise
        
        Chronic constipation
        
        Women still can have weak PFM post natal
        
        Exercise can be a risk
        
        PF first campaign
        
        Continence foundation Australia
        
        3 more items...
        
        Rectovaginal Fascia