Ante-Natal & Post Natal Rehab.

Ante-Natal & Post Natal Rehab.

Natal Rehabilitation is a good way to healthy and secure life of mother and the new born.

Ante-Natal & Post Natal Rehab.

There are Two stages of Natal rehabilitation :

Ante-Natal Rehab.
Post-Natal Rehab.

AnteNatal Rehabilitation

Antenatal rehabilitation aims to improve a pregnant woman's physical and psychological well-being in preparation for labour and to prevent pregnancy-related diseases by a variety of physical measures. Low-impact aerobic activities and stretching exercises are usually included.

Pregnancy causes certain changes in the body during the first trimester, such as morning sickness, weariness or low energy levels, nausea, and increased secretion of the relaxin hormone. Exercise aids in overcoming these changes and enhances the mother's attitude and energy level. Healthy pregnant women should exercise moderately to vigorously for at least 150 minutes per week or 20-30 minutes every day.

Antenatal exercise has the following benefits:

  • It reduces morning sickness.
  • Assists in the reduction of sleeplessness, anxiety, and stress.
  • Relieves various pregnancy-related symptoms such as tiredness, leg cramps, and oedema of the extremities, among others.
  • Helps to keep you from gaining too much weight when you're pregnant.
  • Increases muscle mass and strength.
  • Enhances core stability
  • Muscle length and flexibility are maintained.
  • Glycemic control is improved[2].
  • Helps to improve posture.
  • It aids with relaxation.
  • Gets ready for the physical demands of the job.

Contraindications

  • Premature labour
  • Unexplained PV haemorrhage
  • Placenta previa after 28 weeks
  • Pre-eclampsia
  • Incompetent cervix
  • Intrauterine growth restriction
  • Ruptured membranes
  • Pregnancy with higher-order multiples (e.g., twins, triplets etc.)
  • Other significant cardiovascular, pulmonary, or systemic problems
  • Uncontrolled high blood pressure, type 1 or type 2 diabetes, or thyroid illness.

Precautions

  • Exercises should be done in a supervised environment.
  • After 3 months of pregnancy, avoid supine lying for more than 5 minutes.
  • Breathe normally (Valsalva's maneuver).
  • Don't move about too much.
  • Drink plenty of water at all times (before, during and after workouts).
  • Make sure you warm up and cool down properly.
  • Before working out, make sure your bladder is empty.
  • Avoid exercises that require more balancing and diverse muscular groups.


Post-Natal Rehabilitation

New mothers can benefit from postnatal therapy to help them heal quickly after their pregnancy and delivery. Postnatal therapy, which is provided by therapists that specialise in women's health, allows moms to resume a happy, healthy lifestyle with their children.

The Role of Physical Therapy in the Postnatal Period

Physical therapy can help new moms' health in the postnatal period by combining manual therapies, specific treatments (such as pelvic floor muscle training), and therapeutic exercise. Physical therapy can help with the following issues:

  • Improving mood
  • Improving cardiorespiratory fitness
  • Promoting weight loss
  • Reducing the risk of postpartum depression and anxiety
  • Improving psychological well-being
  • Improving sexual health and sexual dysfunction
  • Resulting in higher quality of life assessments

Why do you need to rehabilitate your body after having a baby?

Targeted postnatal rehabilitation programmes offer the possibility of reversing pregnancy-induced deconditioning. Appropriate exercise prescription can help restore stability and strength in the pelvic floor, abdominal wall, and pelvis, as well as avoid weakness later in life (2). The following are some of the advantages of appropriate postnatal exercise::

  • Improved core and lumbopelvic strength and stability.
  • Improved trunk mobility and flexibility
  • Reduction in upper-back, lower-back, and pelvic pain
  • Improved posture
  • Reduction in diastasis recti (abdominal separation)
  • Reduction in maternal physical discomforts
  • Increased cardiovascular fitness
  • Increased energy
  • Reduction in tiredness and fatigue
  • Improvement in pelvic floor strength and function
  • Reduction in urinary incontinence
  • Improved wellbeing, self-esteem and body image
  • Reduction in depression symptoms


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