Cautions, Indications and Contraindications Flashcards Preview

SCT3 Pregnancy > Cautions, Indications and Contraindications > Flashcards

Flashcards in Cautions, Indications and Contraindications Deck (33)
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1

When is abdominal massage contraindicated? (6)

FIRST TRIMESTER
+
HIGH RISK
+
CERVIX/PLACENTA PROBLEMS
+
PRE-TERM LABOUR OR THREAT
+
VAGINAL/UTERINE BLEEDING
+
WHEN HEALTH OF FETUS IN QUESTION

2

What are the two great benefits to massage when indicated in the 2nd, 3rd trimesters?

ENHANCE BIRTH PARENT'S CONNECTION
+
INCREASES TISSUE STRATCH

3

You should always massage the abdomen lateral to medial so you are not increasing the ___________ _________.

DIASTASIS RECTI

4

Name the contraindications to breast massage? (6)

HIGH RISK PREGNANCY
+
MASTITIS
+
BREAST CANCER/ UNDIAGNOSED LUMP
+
POST-SURGICAL INFECTION
+
CURRENT ACTIVE INFECTION
+
ABSCESS

5

Name the indications to breast massage during pregnancy? (5)

HIGH LEVEL OF CHANGE IN BREAST TISSUE
+
PAIN
+
CONGESTION
+
MSK STRUCTURAL IMBALANCES (POSTURE, PECS)
+
TOS DUE TO PREGNANCY POSTURE

6

Name the indications to breast massage during breastfeeding? (4)

PAIN
+
CONGESTION
+
MSK STRUCTURAL IMBALANCES (feeding positions)
+
TOS DUE TO BREASTFEEDING POSITIONS

7

What may appear for the first time in pregnancy, and when severe, serve as a warning sign to possible clots in deeper veins?

VARICOSITIES

8

Name the symptoms of blood clots? (5)

SUDDEN, SEVERE PAIN
+
LEFT LEG/ILIOFEMORAL VEIN (80-90% occurrences)
(NO deep pressure to adductor/inguinal region - contr)
+
DECREASED CIRCULATION TO AFFECTED LIMB
+
PAIN ON PALP
+
NOTE ~ CLOTS CAN BE ASYMPTOMATIC

9

What increases the likelihood of clots?

BEDREST, SURGERY
leg injury, smoking, age 40+, obesity, history of DVTs

10

DVTs are _____x_ more likely to occur in pregnant patients.

6 x

11

DVTs are _____x_ more likely to occur in the postpartum period, and the patient has a _____x_ greater risk for developing a pulmonary emboli (in comparison to pregnancy).

5 x
and
15 x

12

If there are known blood clots in the leg, or serious varicosities, what should you treat?

NOT THE LEGS. CONTRAINDICATED.

13

Any technique that may slow or stop ________ _______ is contraindicated.

BLOOD FLOW
(stripping, specific comp, deep tapotement)

14

In considering general ligament movement, pregnant patients have MORE difficulty with ___________ than ___________.

more difficulty with
STABILITY
than
MOBILITY

15

Although we want to decrease MRT, it may be there to support structures compromised due to amount of __________. Therefore we need to carefully balance decreasing tension and maintaining stability.

RELAXIN
(compromises ligaments (and stability))

16

Name the two hormones which soften connective tissue in the body?

RELAXIN
and
PROGESTERONE

17

When are ligaments considered lax/soft during pregnancy? (from relaxin)

10 WEEKS GESTATION
to
6 MONTHS POSTPARTUM

18

Name the structures most affected by lax ligaments?

PELVIS
+
LUMBAR SPINE

19

Because joints may feel "wobbly", use low grade jj mo applications and no _____________.

OVERPRESSURE

20

Name the contraindicated jj mo which may induce pre-term labour, especially in high risk pregnancies?

PELVIC/SACRAL JOINT MOBILIZATION
(contraindicated)

21

Along with prescribing the butterfly stretch for self care, how might you instruct they do it?

MID-RANGE
+
SLOWLY
+
BREATHING

22

In high risk pregnancies, any stretch that has the potential to destabilize the __________ is completely CI'd, as it may induce pre-term labour.

PELVIS

23

If pubic symphesis dysfunction is present, which muscles would you be certain NOT to stretch?

PSOAS
other HIP FLEXORS

24

What is the false rumor about foot massage during pregnancy?

INDUCES PRE-TERM LABOUR - TOTALLY FALSE
FOOT MX IS GREAT!

25

Where should the therapist avoid acupressure? (7)

LARGE INTESTINE
SPLEEN
KIDNEY
URINARY BLADDER
LIVER
GALL BLADDER
BLADDER

26

Name the only time sacral work is completely CI'd in pregnancy?

HIGH RISK PREGNANCY
otherwise broad techniques are great

27

Name the two high risk sacral contraindications which may induce pre-term labour?

DEEP/ PROLONGED/ POINTED PRESSURE
+
SACRAL JJ MOBES

28

Name the temperature which a pregnant body cannot exceed, and therefore contraindicates full body heat treatments?

102.6 DEGREES F
or
39.2 C

29

List some indications of heat hydrotherapy in pregnancy?

GT Flip

localized examples:
THERMOPHORE low back/ gluteals
PARRAFIN WAX to the IT band
HYDROCOLLATOR to posterior trunk

30

Name the max bath temp, and how deep the pregnant lady can get in?

36.7 - 37.2 DEGREES C
+
TORSO and ARMS out of water
+
COMPLETELY CI'd FOR HIGH RISK