What are the four important pelvic floor muscles?
Iliococcygeus - these three are the levator ani group
Coccygeus - separate to the other three, not hugely important to know
Which hormones encourage joint, ligament, fascia and muscle laxity in pregnant women?
Which structures become looser in pregnant women?
What are four common MSK problems seen in pregnancy?
Pelvic girdle pain (esp. pubic symphysis)
Carpal tunnel syndrome
What is diastasis recti?
Widening of the gap between the rectus abdominus muscles
What causes carpal tunnel syndrome in pregnant women?
Fluid accumulation compressing median nerve
Which delivery position is used to assist in the birth of babies with shoulder dystocia?
Which obstruction does Mcroberts position remove to help in the birth of babies with shoulder dystocia?
Which liver disease, resulting in itch and jaundice, occurs in some pregnant women?
Intrahepatic cholestasis of pregnancy
Which bony landmarks are felt for on examination of a woman's pelvis?
Which muscles make up the pelvic floor?
What are some symptoms caused by pelvic floor dysfunction?
Pain (including on intercourse)
What is an increasingly common risk factor for pelvic floor dysfunction among young people?
Gymgoers - lifting heavy weights
What lifestyle advice should you give to someone with pelvic floor dysfunction?
Weight - lose weight
Drink less caffeine - irritates detrusor muscle
Avoid activities which trigger incontinence
During their training phase, how many times per day should a patient perform pelvic floor exercises?
6x / day
If the pelvic floor muscles don't respond to training, which other muscle group can you target instead?
What is vulvodynia?
Chronic vulval pain