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

Back pain experienced in lumbosacral region.

Stationary kneading is applied slowly & deeply to the painful area.

Effleurage from sacrococcygeal area up & over the iliac creast

Longitudinal stocking from occiput to coccyx.

Kneading with clenched fist directly over the SI joint for severe pain.

• ABDOMINAL MASSAGE

• Pain experienced over the lower half of the abdomen in the suprapubic region.

• light finger stroking over the site of pain.

• LEG MASSAGE

• Occasionally labour pain may be perceived in the thighs & cramps in the calf or foot.

• effleurage or kneading relieve pain.

• PERINEAL MASSAGE

• 1. It is done in 2nd stage of labour to encourage stretching of skin & muscle to prevent tearing/ episiotomy.