precautions during pregnancy

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Precautions during Pregnancy
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Pregnancy

• Pregnancy is really a natural procedure
  including modifications in the females entire
  body and in addition within their actions and
  also lifestyle. Despite the fact that Pregnancy
  is not an ailment, it requires a unique
  attention. As an illustration, pregnant women
  should abide by a healthy diet plan and never
  within the last few locations they must retain
  his or her health and a nice body shape by simply
  carrying out daily workouts. In addition to this,
  workouts through Pregnancy certainly are a new
  breakthrough discovery and several pregnant women
  often embrace the idea in order to keep a nice
  amount and to include health. Specialists can see
  which workouts will make pregnant women to help
  experience much better and also confident with
  her entire body, they are able to help the
  muscles to be strong muscular tissues, control
  the tension and to maintain a well balanced
  weight.

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Pregnancy

• We can't lie down in listing of sign of Pregnancy
  for every girl, because Pregnancy signs and
  symptoms experienced by every lady. On the whole,
  you can place down a number of common signs of
  Pregnancy which will or perhaps is probably not
  knowledgeable by simple ladies. Comprehending
  your sign of Pregnancy is very important because
  these types of signs can also be in connection
  with additional incidences when compared with
  Pregnancy. They had missed period of time can be
  one of the many very first sign of Pregnancy. In
  addition, immediately after pregnancy, once the
  embryo implants itself around the uterine
  retaining wall, you will have implantation
  hemorrhage and you will encounter cramping of
  muscular tissues and also recognizing. They may
  be the first sign of Pregnancy and may end up
  being commonly misinterpreted due to changed
  menstruation, infection or perhaps modifications
  in birth control product and the like.

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Signs prevailing Pregnancy

• As I have said, a new detained menstruation may
  be the start with sign of Pregnancy. You'll skip
  the following period of time which confirms which
  fact you are pregnant. Hemorrhaging has been
  incredibly very much standard through a Pregnancy
  period of time yet it'll be commonly brighter
  when compared with standard stream. Usually a new
  had missed period of time is often assigned to
  hormonal problems, anxiety, tension and also
  weakness and the like. The sore teat can be a
  symptom of Pregnancy and may even start off
  immediately after anyone to days of conceiving.
  However hormonal imbalances or perhaps detained
  period may cause this particular pain, yet
  commonly it is just a persistent trouble that is
  caused specifically through Pregnancy. As your
  body is supported and also feeding another
  lifetime system, people usually tend to obtain
  more exhausted and also consumed with stress
  through Pregnancy.

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Pregnancy

• Fatigue or perhaps low energy can be early to
  sign of Pregnancy and may begin as early as very
  first few days immediately after pregnancy. The
  Pregnancy examination will probably commonly
  ensure your current Pregnancy due to the fact
  this particular weariness or perhaps weakness may
  arise from depression, anxiety, typical chilly or
  perhaps flu and also. So to save your precious
  time and money as well when anyone at home is
  pregnant, please help that lady and surf the
  online sites like Medooc, 20search, Dogpile, etc.
  which will help you to search tips regarding the
  problems faced by the lady at your home.

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The First Trimester

• Lasts from conception to the twelfth week of
  pregnancy
• 3 periods during the first trimester
• The Germinal Period
• Fertilized egg travels and implants in wall of
  uterus
• Implantation occurs 10-14 days after conception
• The Period of the Embryo
• Lasts from third through eighth week of pregnancy
• Major organs and anatomical structures begin to
  form
• The Period of the Fetus
• Lasts from ninth week of pregnancy until birth
• All major organs continue rapid growth and become
  interconnected

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The Second Trimester

• Fetus assumes distinct human appearance
• The nails harden and skin thickens, as well as
  the eye lashes, eye brows, and scalp hair appear
  during fifth and sixth months
• Fetuss visual and auditory senses are functional
  

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The Third Trimester

• All organ systems mature rapidly
• Fetus prepares for birth
• Fetus reaches age of viability, the point at
  which the fetus can survive outside of the uterus
• Fetus shows better-organized gross motor
  activity, and sleepiness/ waking activity
• Towards end of ninth month, fetus is positioned
  head-down with limbs curled up in fetal position

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Teratogens

• External agents such as viruses, drugs, chemicals
  and radiation that can harm a developing embryo
  or fetus.
• Time when organ system or body part is at highest
  risk of effects from teratogens is known as
  sensitive period.
• Effects of teratogens on a body part or organ
  system are worst during the period when that
  structure is forming and growing most rapidly.

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Teratogens

• The same defect can be caused by different
  teratogens.
• A variety of defects can be caused by a single
  teratogen.
• The longer the exposure or the higher the dose
  of the teratogen, the more likely it is that
  serious harm will be done.
• The long-term effects of a teratogen often depend
  on the quality of the postnatal environment.

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Subjective Assessment

• When pregnant female comes to you, the
  kinesiologist, you should ask
• Name
• Age
• Medical history
• Genetic history
• Previous surgeries
• Current/past medications
• If they have ever or are using street drugs or
  smoking
• Alcohol/caffeine use
• Occupation and current working status
• Marital status and children

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Objective Assessment

• When observing the client, evaluate
• Height
• Weight
• BMI
• Blood Pressure
• General alignment
• Range painful movement

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Conditions During Pregnancy

• Constipation
• Affects half of pregnant women
• Causes
• increase in progesterone
• the colon absorbing more water
• worse in first 13-14 weeks
• Treatment
• Drink plenty of fluids
• Eat high fiber foods
• Take fiber supplements psylium husks,
  Metamucil, Ex-Lax
• EXERCISE!

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Conditions During Pregnancy

• Fatigue
• Almost all women report increased fatigue in the
  1st trimester.
• Causes
• Body is working harder
• More levels of progesterone,
• Treatment
• Take naps
• Drink plenty of fluids, but avoid fluids 2-3hr
  before bed. Lac
• Exercise
• Gentle stretches before bedtime can help prevent
  nighttime cramping
• Eat foods rich in protein

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Conditions During Pregnancy

• Back Ache
• Many women experience back aches during 2nd and
  3rd trimesters
• Causes
• Poor posture
• Extra weight
• Change in centre of gravity
• Hormones
• Treatment
• Pay attention to posture
• Exercise
• Swimming
• Pillow support in bed
• Ask for assistance when lifting heavy objects
• Heat/cold
• Massage
• Support belt
• Wear supportive low heel shoes

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Benefits of Exercise During Pregnancy

• Maintenance/improvement of maternal fitness
• Control of excess weight gain
• Improved posture and appearance
• Increased energy
• Improved sleep
• Decreased incidence of back pain
• Improved self-esteem
• Decreased incidence of varicose veins
• Decreased water retention
• Decreased level of tension
• Possible decrease in complications during labour
• Shortened labour
• More rapid postpartum recovery

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Disadvantages of Not Exercising

• Studies have shown that women who exercise do not
  experience an increase in
• Premature Rupture of Membranes (PROM)
• When the membranes that hold the amniotic fluid
  break too early.
• Congenital Abnormalities

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Risk Reduction

• Pre-Eclampsia (Toxemia)
• Occurs only during pregnancy and the postpartum
  period
• Affects 5-8 of all pregnancies
• Causes blood vessels to constrict resulting in
  high blood pressure and a decrease in blood flow
  to organs and uterus.
• Having high blood pressure before pregnancy puts
  you at risk, also having a BMI of 30 or more
• Characterized by high blood pressure and presence
  of protein in the urine
• Symptoms excess swelling of hands and feet,
  headaches, changes in visions, vomiting blood,
  ringing in the ears
• Occurs in the 2nd or 3rd trimesters

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Exercises During Pregnancy

• Low impact aerobics
• Water aerobics
• Walking
• Kegels
• Pilates
• Yoga
• Cycling
• Swimming

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Kegels

• Help prepare body for labour
• Kegel exercises are easy to do - can be done
  anywhere
• Kegels help strengthen the pelvic floor muscles
• Many women do kegel exercises to prevent
  incontinence

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Yoga (prenatal)

• Help with breathing and relaxation
• Promote feelings of well-being
• Energizing
• Stress relief
• Improve posture
• Meet others who are facing the same challenges
• Note Avoid positions lying on the back

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Walking

• Vary the intensity
• Less impact on the knees and ankles
• Easy way to start exercising
• Supportive shoes
• Water bottle
• Spray bottle
• Maintain good posture

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Exercises to Avoid During Pregnancy

• Ball sports
• Contact sports ultimate fighting, wrestling,
  football
• Sports that involve bouncing, leaping, a sudden
  change of direction (increased joint laxity from
  hormones make joints susceptible to sprains)
• Exercises that put you at risk for falls
  rollerblading, horseback ridding, skiing
• After 1st trimester avoid exercise in the supine
  position
• Lying in the prone position
• Lifting heavy free weights

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Contraindications to Exercise

• Pregnancy induced hypertension
• Premature rupture of membranes
• Preterm labor during the prior or current
  pregnancy
• Persistent 2nd or 3rd trimester bleeding
• There should be an evaluation to determine
  whether an exercise program is appropriate if the
  woman has conditions such as
• Cardiac disease, constrictive lung disease
• Chronic hypertension
• Severe anemia
• Chronic bronchitis
• Extreme obesity
• Extreme underweight
• History of an extremely sedentary lifestyle
• Orthopedic limitations
• Heavy smoker

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Recommendations for Exercise

• Beginners
• non weight bearing activities pose the least risk
  of injury
• 20 30 minutes of activity a day at a
  comfortable pace
• Previously active women
• participation in aerobic activities are generally
  safe
• Exercise in high altitudes is not recommended
• Running
• can be continued late into pregnancy to maintain
  fitness, less than 45 min
• Weight training
• light weights and moderate reps will maintain
  flexibility and muscle tone and reduce the risk
  of joint/ligament injury
• Should be able to converse while exercising
  vigorous exercise offers no benefits during
  pregnancy, only more complications
• Listen to your body stop if you feel
  breathless, nausea, dizzy, tired
• Pulse should NEVER exceed 140 beats per minute!

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Recommendations for Exercise

• Positions/Posture
• Avoid lying on your back after 12th week of
  pregnancy
• Abdominal exercises
• Avoid standing for long periods
• Avoid back swaying (lordosis) cat back stretch,
  strengthen abdominals
• Rounded upper back (kyphosis) chest stretches,
  upper back strengthening
• Avoid valsalva maneuver increase blood and
  intra-abdominal pressure
• Avoid lying in the prone position after the 1st
  trimester