Obstetric

Conditions
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Definition

Any condition that occurs during the process of being pregnant or delivering
a baby

Anatomy

Epidemiology

Pregnant women

Pregnancy >35 yo

Third trimester

Etiology/Risk factors

Pregnancy

Hormonal changes

Lifts heavy weight incorrectly

Perform excessive & inappropriate abdominal m. exercises

Older maternal age (>35)

Multiple pregnancies

Pathophysiology
Pregnancy Hormonal changes Lifts heavy weight incorrectly Perform
excessive & inappropriate abdominal m. Exercises Older maternal age (>35)
Multiple pregnancies

Clinical Manifestations

LBP that worsens with fatigue

Obvious separation of rectus abdominis

Difficulty in performing supine to sit transition

Heaviness on LE

Edema

Increased pelvic pain with movement

Postural changes

Decreased sensation & radiating pain

Medical and surgical management

Acetaminophen

Abdominoplasty

PT Assessment

Demographics
Age
C/c
Living environment
General Health Status
Functional Status
Employment Status
Social Hx
Social Health Habits
Medications

Systems review

Integumentary System

Musculoskeletal system

Neuromuscular System

Cardiovascular system

Test and measures

Pain scale

LGM

Sensory testing

FIM

Posture

Gait

Balance

Special Test (Diastasis Recti Test)

PT Intervention

Precautions to exercise

Gestational diabetes

Severe anemia

Systemic infection

Extreme fatigue

Musculoskeletal pain

Overheating

Extreme obesity or extreme underweight

Diastasis recti