Obstetric 5 Flashcards
What can cardio problems during pregnancy be a result of?
- preexisting dz
- disorders
- physiologic changes during pregnancy
blood volume increase during pregnancy
increases by 40%
If you are the PT caring for the obstetric pt with cardiovascular issues, what must you do before designing POC?
get guidelines from cardiologist, obstetrician, or midwife
Indicators of heart disease during pregnancy: symptoms
- progressive dyspnea
- nocturnal cough
- hemoptysis
- syncope
- chest pain
Indicators of heart disease during pregnancy: clinical findings
- cyanosis
- clubbing of fingers
- persistent neck vein distention
- etc (be familiar with cardiac sx)
most common cardio issue with pregnancy
HTN: 140/90 or higher
common pregnancy cardio issues: dyspnea
increases as pregnancy progresses
What are common pregnancy/post-partum complications?
- HTN
- venous thromboembolism
- dyspnea
- decreased GI motility and constipation
- nausea, vomiting, hyperemesis
- GERD
- gallstones
- UTI and other renal issues
- fecal incontinence
- organ prolapse postpartum
What are common pregnancy/post-partum complications?
urinary
- UTI
- cystitis
- acute kidney infection
- urinary incontinence from pressure on urigenital structures
cystocele
bladder prolapse
psychosocial transitions can cause great emotional distress: influenced by
- hormonal and other bodily changes
- culture and ethnicity
- expectations and belief systems surrounding the woman
psychosocial: be observant for signs of
- emotional distress
- low coping
- perinatal depression
est. rate of domestic violence
10%
look for these signs for domestic violence
- partner doesn’t allow woman to speak for herself
- refuses to let PT interview alone
- won’t leave area
- controls access
- physical exam: bruising, hygiene, vaginal spotting
OP in pregnancy
- typically transient
- affects lumbar spine, hip, wrist most commonly
