Physiotherapy in Obstetrics & Gynaecology By mohd. Javed mpt(ortho)-1st yr. Apollo college, durg c. G

Breath hold for only 6-7sec. To minimize any adverse effect on the fetus due to a prolonged pushing maneuver.

several pushes may be necessary during contraction. b/w contraction sigh out, rest & relax.

MASSAGE DURING LABOUR

• It is helpful in pain relief during labour.

• soothing effect of massage activates “gate closing” mechanism at spinal level.

• tissue manipulation stimulates the release of endogeneous opiates.

• massage is applied over-

• 1. BACK MASSAGE

• 2. ABDOMINAL MASSAGE

• 3. LEG MASSAGE

• 4. PERINEAL MASSAGE

• BACK MASSAGE

• It is helpful in prolong 1st stage of labour or when the fetus is in the occipito post. Position.

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