Obstetric complications and their treatment

Postpartum complications, and their treatment-Muscular changes during pregnancy: 1. Postural changes: As pregnancy progresses, the overall balance of the spine and pelvis changes. Obstetric complications and their treatment






With weight gain, increased blood volume, and ventral growth of the fetus, the center of gravity no longer falls on the feet and the woman may have to lean backward to achieve balance.






2. Articular and connective tissue changes:

As previously mentioned, altered levels of relaxin, estrogen, and progesterone during pregnancy lead to changes in collagen metabolism and increased flexibility and extensibility of connective tissue.

Therefore, the ligamentous tissues are prone to laxity resulting in loss of joint stability.






3. Neuromuscular changes:

Abdominal and pelvic muscles contribute to spinal and pelvic stability through active tension on passive ligamentous and fascial stabilizing structures.

Muscle spindle control may be altered, resulting in decreased muscle stiffness (tension) around a joint and, therefore, decreased active stability.






Section of Caesarean section:

It is a surgical procedure performed as an alternative or emergency before or during delivery.

Many times it is seen that it is not possible to deliver a baby in normal delivery.

When the baby is a past term, an alternative procedure is to remove the baby through the abdominal wall through an oblique incision through the lower uterine segment (LSCS).






Indications for cesarean section:

1. Fetal or maternal distress. 2. Prolonged or interrupted labor. 3. Misrepresentation of fetus or placenta.






Physiotherapy management during pregnancy:

The role of a Women’s Health Worker/Physiotherapist is to 1. Educate the pregnant woman during pregnancy, delivery, and beyond.





2. Safe and Appropriate Exercise Advice:

Potential benefits of exercise include •Maintenance of cardiovascular fitness •Maintenance of a healthy weight range. • Improve body awareness, posture, coordination, and balance.

•Improving circulation. Moving should be improve. • Possible reduction of complications during labor and delivery. • Minor complications of pregnancy should be explaine.

• Can give birth more quickly or give birth without any problems.

3. Musculoskeletal problems should be identified. It should be properly evaluated so that there is no problem. Then treatment should be taken. Obstetric complications and their treatment






Type of exercise:

General category: Walking and swimming: The pace taken should be sufficient to cause aerobic changes If pelvic pain is a problem, avoid the kicking motion of the legs during breaststroke swimming.

2. Low-impact aerobics (or equivalent class): Emphasis is placed on maintaining fitness levels.

3. Pilates or yoga (modified for pregnancy): These characteristics are important for the non-aerobic components of fitness flexibility, breath control, and relaxation.

4. Back Care Class: Basic stability exercises can be taught, sometimes using a Swiss ball.






5. Gym work:

Pregnant women may have access to a stationary bicycle, treadmill, or cross trainer, all of which encourage aerobic activity. The technique is especially important during strength training.

Women should use lighter weights, with sub-maximal lifts, aiming to use both upper and lower body muscle groups between exercises.

Weight, sets, and repetitions should be further reduced as pregnancy progresses.






Antenatal treatment that:

Subsequent antenatal classes will include physiotherapy input on: pregnancy changes, and good posture for standing, sitting, and sleeping.

These should be follow properly. So that there is no problem.

2. Practice transversus abdominis and pelvic floor exercises, which are related to functional activities.






Complications during childbirth, and its treatment-

3. Follow up on back care and prevention of long-term problems as advised.

4. Exercise for circulation.

5. Be aware of breath awareness and alignment, relaxation, and comfort positions.

Advice on sports and leisure activities Postnatal enhancement and advice.

Postpartum PT Treatment: Introduction The health worker or physiotherapist will include advice on how to restore the new mother in the days, weeks, and sometimes even months after birth.

1. Improve his previous fitness level through appropriate exercise and education.

2. Also includes evaluation and treatment of specific physical problems.

3. Emotional support should be given to boost the morale of the patient. 4. Health should be taught. So that there is no mistake later.







Preoperative Care by Physiotherapist:

This may include 1. Assessment of risk factors (eg respiratory status). 2. Detection of urogenital or anorectal dysfunction. 3. Muscular problems should be identify.

4. Exercises and Techniques Postoperative planning and techniques for comfortable recovery should be taught.

5. Be inform about the measures to be taken before and after discharge from the hospital.

6. Relaxation should be taken care of.






Complications during childbirth, and its treatment-

Post-operative Care by Physiotherapist:
The presence of an intravenous infusion, a urinary catheter (suprapubic or urethral), patient-controlled analgesia, and a vaginal pack should be noted.






The physiotherapist must be aware of the results of the surgery and they’re potential physical and psychological impact on the patient. There may be concerns about resuming relationships or sexual activity. Therefore, measures should be taken as per the doctor’s advice. Complications during childbirth, and its treatment. 






Complications after delivery:

1. Be aware that there may be a risk of pneumonia. 2. Pain and discomfort may be experience after surgery. 3. Risk of vascular complications.

4. Development of adhesions at the incisional site. 5. Defective posture can change behavior. 6. Pelvic floor dysfunction may decrease and the body may feel weak.

7. Abdominal weakness may occur. The common problems that occur before or after childbirth should be properly evaluate. We often neglect and do not take care of it properly.






Due to this negligence, serious danger can occur. Therefore, the problems that arise before or after the delivery of the baby should be solve properly.

If necessary, take the right steps by taking the treatment according to the doctor’s advice. Then it is possible to get rid of these problems. Obstetric complications and their treatment

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