Pelvic health and pregnancy Flashcards
(14 cards)
Cardiovascular Changes in Pregnancy
Increased:
Heart rate
Blood volume
Cardiac output
Stroke volume
Renal and uterine blood flow
Coagulation factors (including fibrinogen)
Total body water, blood volume, and capillary hydrostatic pressure
Increased risk of:
DVT (Deep Vein Thrombosis) due to hypercoagulability and venous stasis
Cardiovascular Changes in Pregnancy
Decreased:
Peripheral vascular resistance (due to hormonal vasodilation)
Serum albumin protein concentrations (can contribute to edema)
In the absence of contraindications, physical activity is:
safe and recommended during pregnancy/postpartum
Tailor exercise to trimester, symptoms, and function
Relaxin increases →
joint laxity (esp. 3rd trimester)
weight gained during pregnancy is caused by
the enlarging uterus, fetus, and breasts, and the increased blood volume, extravasation of extracellular fluid, and water retention
increased laxity may cause pain in:
the sacroiliac joint or at the pubic symphysis in some women
Possible condition: Transient osteoporosis of the hip
most commonly in third trimester
The typical presentation in these patients is of severe hip pain without a history of trauma
greatest pain = groin and greater trochanter - radiating into anterior thigh
Approximately ___ of people experience bladder control problems during pregnancy.
40% to over half
Bladder Control
Risk factors
Obesity
Age
Number of vaginal deliveries
Episiotomy
> 9# babies
Vaginoplasty
Gender affirming surgery can be used to create a vulva and vagina
It involves removing the penis, testicles and scrotum
Forpenile inversion vaginoplasty
surgeons create the vaginal canal using a combination of the skin surrounding the existing penis along with the scrotal skin.
Depending on how much skin is available in the genital area, the surgeon may need to use a skin graft from the abdomen or thigh to construct a full vaginal canal.
Robotic-assisted peritoneal flap vaginoplasty
also called a robotic Davydov peritoneal vaginoplasty or a roboticperitonealgender affirmingvaginoplasty
newer approach that creates the vaginal canal with the help of a single port robotic surgical system.
EFFECTS OF ESTROGEN
Breast development
Loss of erection
Shrinkage of testicles
Decreased acne
Decreased facial and body hair
Decreased muscle mass and strength
Softer and smoother skin
Slowing of balding
Redistribution of fat from abdomen to the hips, thighs, and buttocks
