Flashcards in Postpartum Massage Therapy Deck (16)
List the 8 postpartum massage indications.
1. STRESS REDUCTION/ BABY CONNECTION
2. BREASTFEEDING POSTURE
3. LB PAIN
4. RE-ALIGN PELVIS
5. ASSESS DIASTISIS RECTI
6. HELPS NEW BODY
7. DISCUSSING PELVIC FLOOR CHANGES (referral when necessary)
8. BREAST MASSAGE
No deep pelvic work should be done due to DVTs and psoas until when?
VAG - 6 WEEKS POSTPARTUM
CAES - 8 WEEKS POSTPARTUM
Postpartum haemorrhages are possible within how many days postpartum?
1 - 3
How should you treat a haemorrhage?
NO DEEP CIRCULATORY MASSAGE
ENERGETIC WORK, FOCUSED TO AREA OF TENSION
CONSIDER LACK OF ENERGY/ LOSS OF BLOOD
When is it safe to massage the abdomen?
VAG - 2 - 4 WEEKS POSTPARTUM
CAES - 6 - 8 WEEKS POSTPARTUM
You can begin caesarean scar tissue work once incision is healed, but must wait a minimum of how long?
12 WEEKS POSTPARTUM
(start off slow, with heat hydrotherapy)
If tearing of the perineum, episiotomies, and caesarean incision is present, what needs to be avoided?
TECH WHICH STRETCH STRUCTURES
JJ MOBES OF PELVIS
GLUTEAL and HIP WORK
Can there be increased edema in mom after birth?
For what 3 reasons is pelvic misalignment common in the postpartum period?
LABOUR and DELIVERY
BREASTFEEDING and CARRYING BABY
Is it within our scope to assess the pelvic floor?
NO - refer to pelvic floor physiotherapist
How is a Diastasis Recti diagnosed?
PALPATING A 2 FINGER WIDTH BETWEEN THE RECTUS ABDOMINIS FIBRES
What can a DR lead to if not corrected?
How would yo assess the diastisis recti?
HOOK LINE POSITION
1 FINGER ABOVE AND BELOW UMBILICUS IN LINEA ALBA
FEEL PULSE OF ABDOMINAL AORTA
HAVE PATIENT EXHALE AND LIFT HEAD OFF TABLE
ASSESS DEGREE OF SEPARATION
What can you suggest to patients to help strengthen and support the abdomen during pregnancy, and provide added strength for pushing the baby out?
TRANSVERSE ABDOMINAL CONTRACTIONS
How would a patient perform a pelvic tilt in supine?
ON EXHALE, FLATTEN LUMBAR TO TABLE, DRAWING COCCYX TO CEILING
ON INHALE, LIFT LUMBAR OFF, DRAWING COCCYX TO FLOOR