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Specifics of exercises after childbirth and in the puerperium
Ždímalová, Iveta ; Němečková, Michaela (advisor) ; Molnár, Petr (referee)
Author: Iveta Ždímalová Institution: Rehabilitační klinika LF v Hradci Králové Title of bachelor's thesis: Specifika cvičení po porodu a v šestinedělí Supervisor: Mgr. Michaela Němečková Počet stran: 103 Počet příloh: 4 Rok obhajoby: 2012 Key words: childbirth, puerperium, exercises after childbirth, exercises in the puerperium, female reproductive system, hormonal changes, education The bachelor's thesis is focused on woman as expectant mother. It summarizes basic anatomical knowledge about female reproductive system and birth canal. It deals with hormonal changes, impact of pregnancy on female organism and also includes information about parturition and postnatal period. The main part involves information about pelvic floor, deep stabilization system of the spine and postpartum exercises. It includes also theoretical knowledge and practical illustrations. Last part contains casuistry of three women with many photos depicting particular exercises.
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The Importance of Physiotherapy in the Puerperal Period of the Woman
PAVLOVÁ, Lenka
The theme of this thesis is The importance of physiotherapy in the puerperal period in women. As far as pregnancy is concerned, not only is available excellent health care important for women, but there are a large number of organizations that provide advisory services, exercises for pregnant women, and antenatal education for mothers-to-be. Unfortunately, this care usually ends soon after childbirth and women in puerperium, who go through many physical and mental changes, are not given such attention. It is precisely in this period that women deserve some interest in their health status. In the field of physiotherapy, they should be given sufficient information about the changes undergoing in their organisms, about the effects and principles of exercises after childbirth, about the suitability of positioning and about other issues with which women who have just given birth meet. The objective of the thesis was to study the physical changes in women after childbirth, to develop a plan for rehabilitation exercises, and to explore whether individual therapy has a positive impact on the status of the mother. The theoretical part deals with the composition of the birth canal, physiological changes during pregnancy, childbirth problems, childbirth injuries, involutionary changes in the organism during puerperium, and appropriate physiotherapeutic methods. The experimental part is devoted to qualitative research where the following methods were used: history, status praesens, direct monitoring, exit examinations, case studies and a secondary data analysis. The research was conducted in two patients after physiological childbirth and in one patient after Caesarean section. These patients were selected from a basic sample of patients at a gynaecology and obstetrics department. The results of the thesis identified some positive effects of after-childbirth physiotherapy on the carriage of body, breathing stereotype, deep stabilization system and the adjustment of the most prominent muscle imbalances. The objectives of the thesis were met. The new findings, which this work has brought, undoubtedly include pointing out the importance of physiotherapy during this period, impossibility to standardize such care due to personhood of each woman, and the importance attention given to the woman?s body as a whole after childbirth because to care for only its most visibly affected parts is not enough.
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Specific methods of physiotherapy treatment as part of a woman in the puerperium
AL-AHMADOVÁ, Laila
This bachelor's thesis focuses on physiotherapeutic techniques as part of care for women during the postpartum period. Most women actively attend prenatal classes, where they are instructed on how to exercise and perform routine activities to provide relieve to their musculoskeletal system. Unfortunately, the majority of women are not informed of how to continue after having given birth, when they experience considerable weight loss and the burden on the skeleton changes completely within several hours. The objective of my thesis is to provide an overview of the possibilities and utilization of special physiotherapy techniques to accelerate the normalization and stabilization of women's musculoskeletal system. The first part of the thesis focuses on the physiological postpartum period, anatomy and postpartum complications. In addition, I provide an overview of techniques that can be used in clinical practice. The second objective was to discover whether individual exercise during the postpartum period makes it easier for women to cope with postpartum changes, thereby having a positive influence on the course of the postpartum period. This was confirmed by the results of this work. Qualitative research techniques were used, including interviewing and observation techniques. The study group comprised 3 patients aged from 25 to 34 years old. The women were followed up during the entire postpartum period, which was free of any complications. The patients improved their breathing stereotypes and pelvic floor functions. All three women reported gradual improvement of their subjective feelings during treatment. Unfortunately, I learned that many women in the postpartum ward refuse/do not do any exercise. The rooming-in system, although the most beneficial for both mother and child, makes the physiotherapist´s work very difficult. It is very hard to coordinate the mother´s free time and the physiotherapist's time reserved for the postpartum ward. In my opinion, the best solution would be to begin education mothers during pregnancy, preferably during the prenatal courses. The expected practical use of this thesis is for the needs of physiotherapists as well as other healthcare professionals and women in the postpartum period.
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