MUSCULOSKELETAL DISORDER

AND PREGNANCY
 MUSCULOSKELETAL DISORDER AND
PREGNANCY

• Musculoskeletal disorders (MSD) are injuries or disorders of the

muscles, nerves, tendons, joints, cartilage, and spinal discs.
• Pregnancy-induced hormonal and physical changes increase the
risk of musculoskeletal problems. Stress on the axial skeleton,
pelvic girdle, and genital tract may lead to acute disorders,
including nonspecific pain, neurologic compression, joint
disruption, and septic arthritis.
• A chronic musculoskeletal disorder that is first identified during
adolescence and so many play a role in childbearing is scoliosis.
 A WOMAN WITH SCOLIOSIS

• A woman with scoliosis begins to be noticed first in

girls between 12 and 14 years of age. If it is
uncorrected at this time, the curvature progresses until
it can interfere with respiration and heart action
because of chest compression.
• Pelvic distortion can interfere with child birth,
especially at the pelvic inlet.
 CAUSES

Common causes of musculoskeletal pain include:

• Bone fractures.
• Joint dislocation (when something forces a joint out of its proper
position).
• Direct blows to muscles, bones or joints.
• Overuse injuries.
• Poor posture.
• Sprains.
 SIGN AND SYMPTOMS

• Aching and stiffness.

• Burning sensations in the muscles.
• Fatigue.
• Muscle twitches.
• Pain that worsens with movement.
• Sleep disturbances.
 NURSING DIAGNOSIS

• Pain related to chronic inflsmmstion of joints

• Impaired physical mobility related to a cast on the leg
• Deficient diversional activities related to a need for imposed activity
restriction for 4 weeks
• Situational low self-esteem related to the continues use of a body brace
 NURSING INTERVENTION

• Girls with scoliosis may wear a BODY BRACE during their adolescent
years to maintain an erect posture.
• Although these braces are not as bulky as they once were, unless they
are modified, they cannot be worn during the last half of pregnancy.
• For surgical correction, girls have STAINLESS STEEL RODS
SURGICALLY implanted on both sides of their vertebrae to strengthen
and straighten their spine.
• Such ROD IMPLANTATIONS do not interfere with pregnancy; a
woman may notice more than usual back pain, however, from increased
tension on back muscles.
 HEALTH TEACHINGS

• If a woman’s pelvis is distorted, a cesarean birth may be scheduled to

ensure a safe birth.
• Vaginal birth, if permitted, requires the same management as for any
women.
• With the improved management of scoliosis, the high maternal and
perinatal risks associated with the disorder reported in earlier literature
no longer exist.
• Plot the course of labor on a labor graph so an unusually long first
stage, suggesting cephalopelvic disproportion, can be recognized.