In women’s health, physiotherapy with treatment of neuromuscular-skeletal symptoms, ergonomics, rehabilitation and physiology of exercise has an essential role to play in assessing, advising and treating women in post natal period.
IMMEDIATE POST NATAL PROBLEMS:-
- Perineal dysfunction/pain: This may arise due to edema, labial tears, heamatoma,tight stitches , infection, breakdown of suturing or hemorrhoids.
- Incontinence-There is a close relationship between the pelvic organs therefore an alteration in urinary and fecal control can occur following delivery
- Constipation – This arises due to weak abdominal muscles and relaxed smooth intestinal muscles compounded with fear of increasing perineal pain
- Diastasis Recti- the distance between the two rectus abdominis muscles widens throughout pregnancy and lines alba may even split under strain and this leads to poor mechanical function. It arises due to expulsive function of the abdominal muscles .
- Back pain:-this arises due to muscular imbalance
- Thoracic pain- due to bad postures during functional activity
- Pain in the epidural site- due to haematoma in the dura and epidural space
- Coccydynia- it may occur due to damaged ligaments with or without displacement of coccyx.
- Symphysis pubis pain- it follows traumatic delivery.
- Oedema- the fluid retention taken place during pregnancy takes time to resolve causing oedematous legs postnatal
- Varicose veins- this arises due to weak blood circulation in legs
- Superficial vein thrombosis- due to varicose veins
- Deep vein thrombosis-this may or may not arise
- Pulmonary embolism- dislodgement of deep vein thrombus may lead to pulmonary embolism
- Haemorrhoids- they are distended and sometimes thrombosed, veins in the anal passage and can be a source of acute discomfort
- Breast engorgement – it is painful overfilling of the breast due imbalance between milk supply and infant demand
- Sore and cracked nipples:- due to wrong breast feeding position.
- Post natal depression: – it is a very common phenomenon post natal and requires quick attention
- Sexual problems-the all consuming role of new motherhood and fatigue with which it is accompanied often results in loss of libido
In order to regain your strength and energy and enjoy a pain free motherhood, PHYSIOLINE highly recommends post natal physiotherapy.
- Electrotherapy for perineal pain, musculoskeletal discomfort , pain arising due to circulatory problems and incontinence
- Manual therapy for musculoskeletal dysfunction
- The important ones are pelvic floor exercises, which you may start soon after delivery. These exercises reduce the possibility of lasting stress incontinence and help to alleviate pain in the perineum. Besides they tone up the muscles of the vagina to make sexual intercourse more pleasurable.
- Abdominal exercises to improve muscle tone
- Establishing Breast feeding
- advice with regard to everyday functional activities such as baby bathing, lifting or carrying, cot or pram heights etc.
- posture correction and ergonomic advice
- Relaxation exercises to reduce tension and maternal fatigue
- Psychological counselling