Flashcards in Cautions, Indications and Contraindications Deck (33)
When is abdominal massage contraindicated? (6)
PRE-TERM LABOUR OR THREAT
WHEN HEALTH OF FETUS IN QUESTION
What are the two great benefits to massage when indicated in the 2nd, 3rd trimesters?
ENHANCE BIRTH PARENT'S CONNECTION
INCREASES TISSUE STRATCH
You should always massage the abdomen lateral to medial so you are not increasing the ___________ _________.
Name the contraindications to breast massage? (6)
HIGH RISK PREGNANCY
BREAST CANCER/ UNDIAGNOSED LUMP
CURRENT ACTIVE INFECTION
Name the indications to breast massage during pregnancy? (5)
HIGH LEVEL OF CHANGE IN BREAST TISSUE
MSK STRUCTURAL IMBALANCES (POSTURE, PECS)
TOS DUE TO PREGNANCY POSTURE
Name the indications to breast massage during breastfeeding? (4)
MSK STRUCTURAL IMBALANCES (feeding positions)
TOS DUE TO BREASTFEEDING POSITIONS
What may appear for the first time in pregnancy, and when severe, serve as a warning sign to possible clots in deeper veins?
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
What increases the likelihood of clots?
leg injury, smoking, age 40+, obesity, history of DVTs
DVTs are _____x_ more likely to occur in pregnant patients.
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).
If there are known blood clots in the leg, or serious varicosities, what should you treat?
NOT THE LEGS. CONTRAINDICATED.
Any technique that may slow or stop ________ _______ is contraindicated.
(stripping, specific comp, deep tapotement)
In considering general ligament movement, pregnant patients have MORE difficulty with ___________ than ___________.
more difficulty with
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.
(compromises ligaments (and stability))
Name the two hormones which soften connective tissue in the body?
When are ligaments considered lax/soft during pregnancy? (from relaxin)
10 WEEKS GESTATION
6 MONTHS POSTPARTUM
Name the structures most affected by lax ligaments?
Because joints may feel "wobbly", use low grade jj mo applications and no _____________.
Name the contraindicated jj mo which may induce pre-term labour, especially in high risk pregnancies?
PELVIC/SACRAL JOINT MOBILIZATION
Along with prescribing the butterfly stretch for self care, how might you instruct they do it?
In high risk pregnancies, any stretch that has the potential to destabilize the __________ is completely CI'd, as it may induce pre-term labour.
If pubic symphesis dysfunction is present, which muscles would you be certain NOT to stretch?
other HIP FLEXORS
What is the false rumor about foot massage during pregnancy?
INDUCES PRE-TERM LABOUR - TOTALLY FALSE
FOOT MX IS GREAT!
Where should the therapist avoid acupressure? (7)
Name the only time sacral work is completely CI'd in pregnancy?
HIGH RISK PREGNANCY
otherwise broad techniques are great
Name the two high risk sacral contraindications which may induce pre-term labour?
DEEP/ PROLONGED/ POINTED PRESSURE
SACRAL JJ MOBES
Name the temperature which a pregnant body cannot exceed, and therefore contraindicates full body heat treatments?
102.6 DEGREES F
List some indications of heat hydrotherapy in pregnancy?
THERMOPHORE low back/ gluteals
PARRAFIN WAX to the IT band
HYDROCOLLATOR to posterior trunk