Ex. Can be started as soon as after delivery as the women feels able to ex.
All prenatal ex. Can be performed safely in postpartum period.
Before starting ex. Proper assessment of position & consistency of the fundus of the uterus should be done.
Assessment of perineum & lochia.
Monitoring of lower limb edema, varicosities.
Care & advise on breast feeding & baby care.
Initial postnatal exercises.
Early postnatal ex. - Include proper positioning.
INITIAL POSTNATAL EX.
EARLY POSTNATAL EX.
It is an operative procedure whereby the fetuses after the end of 28th wk. are delivered through an incision on the abdominal &uterine wall.
Impairments /Problem Due To Cs
Risk of pneumonia
Risk of adhesion.
Formation at incisional site.
Risk of vascular complication.
Pelvic floor dysfunction.
SUGGESTED ACTIVITIES FOR THE PT. WITH A CS.
All prenatal ex. Should be done.
The women should be instructed to begin preventive ex. As soon as possible during recovery period.
Ankle pumping activities &early ambulation to prevent venous stasis.
Pelvic floor ex. Kegals ex. &pelvic tilting ex.
Abdominal ex. Should be progressed more slowly.
Deep diaphragmatic breathing
Women should wait at least 6 to 8 wk before resuming vigrous ex.
2. COUGHING & HUFFING
huffing is a forceful outward breath using the diaphragm rather then abdominal to push air out of lungs.
The abdominals are pulled up &in rather then pushed out causing decreased abdominal pressure & less strain on the incision.
Support the incision with pillows or hands during cuffing or huffing.& say “HA” forcefully while pulling in abdominal muscle.
3. EX TO RELIEVE INTESTINAL GES PAINS
Abd. Massage or kneading while lying on the left side.
Pelvic tilting ex.
HIGH RISK PREGNANCY
A pregnancy that is complicated by disease or problem that put the mother or fetus at risk for illness or death . Condition may be preexisting be induced by pregnancy or an abnormal physiological reaction during preg.
The goal of medical intervention is to prevent preterm delivery, usually through use of bed rest, restriction of activity &medications when appropriate.