REACTION PAPER Healthy & Safe Pregnancy Kegels during Pregnancy The benefits of kegel exercises while expecting By April

Underwood It's impossible to speak about exercise during and after pregnancy without placing some focus on Kegels and the pelvic floor muscles. In pregnancy recovery, the pelvic floor muscles should receive top priority. The strength of the pelvic floor is important in maintaining the integrity of the inside passages and the position of the organs they support. The pelvic floor muscles control the flow of urine, the voluntary contraction of the vagina and the anal sphincter as well. The pelvic floor is composed of several layers of muscle suspended like a hammock at two points: the front and the back of the pelvis. The pressure of pregnancy increases the likelihood that the pelvic floor will sag just as a hammock does. Healthy Pelvic Floor A healthy pelvic floor has tone and elasticity. However, if after childbirth these muscles are neglected, they sag below the horizontal line and with the help of gravity, continue to sag downward. Excessive sagging over a long period of time can result in serious structural changes and possible impairment of function, namely the bladder, uterus, bowel and their contents. Common problems associated with pelvic floor weakness include:

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You or your partner may feel nothing during intercourse. You may have difficulty retaining a tampon.

involve contracting this unit as a whole.• Prolapse of the uterus. as they are slung in loops around the vaginal and urethral sphincter in front and the anal sphincter at the rear. Pelvic Floor Exercises The pelvic floor muscles form a figure eight. • Urinary incontinence. The pelvic floor works as a coordinated whole. sneeze. Exercise throughout your pregnancy and after is always an excellent course of action. our main focus is on the frontal aspect of the two sphincters: the sphincter which controls the flow of urine and the voluntary contractions of the vagina. Draw up the pelvic floor. Hold for two or three seconds and then completely relax. Not all problems with the pelvic floor are related to childbirth. 2: The elevator . You should feel the sides of the sphincters become tight and the inside passages become tense. lift or run. the uterus can begin to herniate through the vaginal opening. cough. Over time. However. special efforts must be made to give it a workout. or the involuntary escape of urine when you laugh. similar to the way upholstery padding protrudes through a chair when its supportive base is defective. Exercise No. side or front with legs apart and chest relaxed. Kegels. so I discourage self-diagnosis and urge you to visit your doctor if any unusual symptoms persist. Place one hand over the pubic bone and think about tightening the birth canal as high as the level of your hand. Exercise No. or pelvic floor exercises. Concentrate on the frontal sphincter surrounding the urethra and the vagina. These exercises involve lifting up and drawing in the muscles. 1: Basic contract and release Lay on your back. However. because the pelvic floor is not exercised intentionally during sports or basic physical activity.

Kegels can be done during virtually any Insight We are not concern only to the client’s pregnancy but also with the client’s well being after pregnancy. Imagine that you are riding in an elevator. releasing completely at the end. Kegel’s exercise is really an important health teaching point that we have to give to our clients. The best part is. Reference:http://www.Place yourself in any comfortable position. Quality is more important than quantity.pregnancytoday. . This really helps to prevent complications like uterine prolapse. As you ascend to each floor. no one has to know you're doing them. Make it a smooth ride up and a smooth ride down. try to draw up the sphincter muscles a little more without losing any of the tension that you have been progressively accumulating. Always end your pelvic floor exercises with a contraction to return the pelvic floor to its supportive resting state. Do at least 50 a day during pregnancy and postpartum and 50 a day for the rest of your life.

I am thankful that she is one of my clinical instructors in RLE because of her positive attitude towards us. There. That is why. I also felt the same way for them. not all of the patients’ needs can be given to them. Some of them also were being treated like an animal before being admitted. I had my duty before in Mariveles. Clinical Instructor Dra. They can really give the clients’ needs. we can render care and give love to them. Dator is a kind person. She also reminded us important points in our stay in Metropsyche. I am glad to see them participating in the games we prepared for them in the grand socialization. Institution Metropsyche is one of the hospitals that. There in Mariveles. are such a wonderful place for those people that were mentally ill for treatment. Maybe they have their own family but not all. Here in Metropsyche. the patients are really different from the patients we have here in Metropsyche. Most of them were abandoned by their own family because of DENIAL that one of their family member is somewhat mentally ill. That’s why. our clinical instructor showed us how to treat these clients as our extended family. This way. .EVALUATION My Experience This is my second rotation in a psychiatric facility. She treats us very well. Emiliana M. for me.

PHYSICAL ASSESSMENT Client: Mr. symmetric nasolabial folds Symmetric facial movements Rounded smooth contour Absence of nodules and masses Eyes and Vision Eyebrows • • Hair evenly distributed. skin intact Symmetrically aligned Eyelashes • Equally distributed Eyelids • • skin intact close symmetrical . Robert De Guzman. 41 years old BP 120/80 mmHg Head Skull • • Face • • Symmetric facial features.

client can see objects in the periphery Ears and Hearing Auricles • • • • Color same as facial skin Symmetrical Mobile.Conjunctiva • Pupils • shiny. smooth and pink Black in color. iris flat and round • Peripheral visual fields • When looking straight ahead. firm and not tender Pinna recoils after it is folded Hearing • Nose External nose • • Symmetric and straight Air moves freely as client breathes through the nares Normal voice tones audible . equal in size Round smooth border.

head centered Coordinated. smooth texture Tongue • • Neck Neck muscles • • Equal in size.Mouth Lips • • Teeth • Missing teeth Uniform pink in color Soft. smooth movements Central position Moves freely Lymph nodes • Not palpable .