ANTENATAL AND POSTNATAL PHYSIOTHERAPHY

Women’s health gets affected due to various musculoskeletal changes that occur in the child bearing year. Basic antenatal & postnatal exercises program are designed for women.

Antenatal


  • Low & mid back pain
  • Sciatica
  • Pain c movement
  • Bladder control problems
  • Carpal tunnel syndrome

Postnatal


  • Back, shoulder, neck pain
  • Abdominal building during movement
  • Post cesarean pain (after healing)

These conditions are often greatly relieved c various strategies including-

  • Pain relieving modalities
  • Deep massage & other manual therapies
  • Muscle strengthening
  • Postural Stretches
  • Muscle balancing(specific)
  • Co-ordination techniques

Physiotherapy in Postnatal Education

  • Moving correctly in post-delivery will reduce pain & other complications in post-natal women, both other cesarean & vaginal delivery.
  • Women can be educated automatically regarding movement patterns that reduce strain & intra-abdominal pressure (important for cesarean wounds)
  • Need modifications on each time of increase trimester as they start to mobilise after birth.

Physiotherapy in Antenatal Education

Changing body, life skills & labor

  • Awareness of movement
  • Awareness of posture
  • Awareness of exercises
  • Breathing & physical relaxation
  • Basic techniques for moving, stretching & finding comfortable working & resting positions during & after pregnancy.

Prepare Your Pregnancy With Physiotherapist

Physiotherapy can effectively relieve the pain & discomfort you might be experiencing.

Physiotherapist can help you relieve symptoms of :-

  • General back pain
  • Poor blood circulation
  • Heavy legs
  • Shortness of breath
  • Abdominal muscle pain

 Exercises Which Physiotherapist Will Teach-

  • Pelvic Floor Exercise
  • Breathing Exercise

Which will help you to prepare for a smoother & less painful delivery.

Awareness of Pelvic floor muscles & learn to control them & relax them in an efficient manner.

Antenatal Exercise

  • Warm up
  • Stretches
  • Postural correction
  • Strengthening exercises
  • Aerobic exercises
  • Back & abdominal exercises
  • Ankle exercises
  • Relaxation exercises
  • Breathing exercises
  • Pelvic Floor exercises

Postnatal Exercise (It refers to the time from termination of pregnancy till 42 days)

  • Pelvic floor Kegel exercises
  • Head & shoulder raising
  • Foot & ankle exercises
  • Pelvic tilting
  • Leg raising
  • Deep breathing exercises

 Contraindication for exercising during pregnancy

Relative  


Severe anemia


Maternal cardiac dysrhythmia


Chronic bronchitis


Poorly controlled type-1 diabetes mellitus

Extreme morbid obesity

Extreme underweight

Amniotic fluid leakage, Dyspnea

Cay pain & swelling, vaginal bleeding


Heavy smoker


Poorly controlled hyperthyroidism


Poorly controlled seizure disorder


Orthopaedic limitations


Poorly controlled hypertension


Absolute


Heart disease


Restrictive lung disease


Incompetent cervix


Multiple gestation at risk for premature labor


Persistent second or third trimester bleeding


Placenta previa after 26weeks of gestation


Premature labor during the current pregnancy


Ruptured membranes


Pregnancy- included hypertension


Contraindication for exercising in postnatal period

  • Severe anemia
  • Dizziness of faintness
  • Headache or visual disturbance
  • Unexplained abdominal pain
  • Vaginal bleeding