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Childbirth
Preparation
Physiotherapists play an important role in the
antenatal care of pregnant women and their preparation for labour,
birth and parenting. They are trained in educating women about the
principles of back care, the need for good posture, appropriate
lifting skills sitting and standing postures during pregnancy. They
also educate women about the role of the abdominal muscles in
supporting the back and pelvic floor and teach exercises to maintain
fitness and strength in these muscles.
Role of
physiotherapy
The role of physiotherapists in antenatal
education is to prepare couples for labour and birth in the early
days in hospital and the first weeks at home with the new baby. The
importance of daily rest is emphasised in conjunction with gentle
exercise to help mothers return to optimal fitness and physical well
being.
Couples are taught correct lifting techniques and how
correct posture can be maintained when breastfeeding or attending to
the needs of the baby. They may also be educated about baby massage
and the importance of the prone position in the child's development.
Physiotherapists play a further role in educating women
about pelvic floor function, correct exercise techniques and the
benefits of regular exercise. They provide information about general
exercise during pregnancy, as well as teaching specific exercise
techniques to maintain flexibility and strength, what can be done
safely and what should be avoided.
They are skilled in
helping prepare pregnant women and their partners or support people
for the physical work of labour. Physiotherapists will teach
physical relaxation skills in conjunction with breathing awareness,
encouraging women to remain active in labour. Expectant mothers are
taught a variety of labouring positions to allow gravity to assist
while remaining relaxed and comfortable.
Physiotherapists
provide information about the use of transcutaneous nerve
stimulation (TENS) during labour, giving women the opportunity to
use effective analgesia without the risk of side effects from drugs.
Hot and cold massage is also employed to offer pain relief.
Other conditions related to pregnancy can also be
successfully treated by a physiotherapist e.g. varicose veins can be
treated using compression stockings and specific exercises. Carpel
tunnel compression is treated using ultrasound, icing and splinting.
Benefits of physiotherapy
Physiotherapy skills
are an integral part of childbirth preparation, particularly in
providing information and, where appropriate, treatment for:
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back care and lifting techniques;
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postural awareness and physical changes throughout
pregnancy;
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functional spinal stability using prescribed
exercises and garment supports;
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prevention of pelvic floor, bladder and bowel
dysfunction; | |
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promotion of appropriate regular exercise and
fitness;
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skills for labour;
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relaxation training;
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musculoskeletal disorders such as spinal, pelvic
and joint pain. | |
| Finding a
Physiotherapist
Would you like
the names of physiotherapists who have a special interest in
Childbirth? Childbirth falls under the categories of Women's
Health, Continence and Incontinence in our online search
- [Find
a Physiotherapist online
now!]
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| © By courtesy of the Australian Physiotherapy Association
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