你懂的网址-It’s not just about shedding weight; a return to wellness also involves your pelvic health
Having a child guarantees your life will change. But some ofthose changes don’t have to be permanent.
As a woman progresses through pregnancy, her body shifts toaccommodate a growing baby. Once she delivers, either vaginally or via Cesareansection, the body doesn’t always automatically re-shift and she may experiencephysical symptoms that could indicate potential health issues.
Standard postpartum care in the United States allows a newmom to see her gynecologist six weeks after the birth. About 40% of women missthis appointment, according to Justina Perry, PT, DPT, PRCP, a Certified PelvicRehabilitation Physical Therapist with PelvicHealth Rehabilitation Services at Southcoast Health in Dartmouth.
你懂的电影-The Fourth Trimester
This important time in a woman’s recovery from childbirth issometimes referred to as the fourth trimester and is endorsed by both theAmerican College of Obstetricians and Gynecologists (ACOG) and the AmericanPhysical Therapy Association (APTA) as vital to postpartum care.
Without seeing a physician for follow-up care afterdelivery, many potential health conditions can go unresolved. They includepelvic health issues such as incontinence, diastasis recti (a separation of theabdominal muscles), painful intercourse, painful scarring from an episiotomy orC-section, or pelvic organ prolapse (a descent of the bladder, uterus or rectum),which can feel like a heaviness or pressure for some women.
“Prolapse can feel like something is falling out of you;some people say it feels like sitting on a tennis ball,” Perry says. Otherpostpartum issues include back pain, pubic bone pain and/or hip pain. “Whilethese issues are common, they are not normal and should be addressed,” sheadds. “As physical therapists trained in pelvic rehabilitation, we are theexperts to address these problems.”
Many women don’t realize such health issues can be treatedwith physical therapy in their early stages. “A lot of women who come in forpelvic physical therapy in their menopausal years will say the problems firststarted after childbirth, but that they notice the problem more now,” Perrysays.
Perry praises the concept of the fourth trimester, whichencourages women to see their medical providers for comprehensive care at leasttwice — at three weeks and again before 12 weeks after giving birth.Ongoing medical care during the 12 weeks after birth gives new moms theopportunity to discuss any pelvic health issues (as well as other conditionssuch as postpartum depression). “If a woman is experiencing troublesomesymptoms, her physician can refer her to a physical therapist who can treat thepelvic problems as the musculoskeletal injuries they are,” Perry says.
日本一本道高清码v免费视频-What Is PelvicRehabilitation?
The pelvic floor muscles sit at the base of the pelvis andsupport the bladder, bowel and uterus, controlling sexual function, orgasm,urine and bowel function. At a standard six-week postpartum visit, where awoman is typically cleared to resume sexual intercourse, it may be too early toknow whether she will experience painful sex. Some women may not speak up atall about any pelvic pain at the six-week checkup, focusing instead on the newbaby.
Pelvic rehabilitation is physical therapy for the pelvicmuscles, says Janet Gillis, PT, WCS, a board-certified specialist in women’shealth physical therapy at Southcoast Health’s Pelvic Health RehabilitationServices. Treatments focus on a mix of exercise, manual therapy and teaching.“At an initial evaluation, a physical therapist will look for impairments ofthe pelvic floor muscles through a vaginal exam,” Gillis says. Such impairmentscan include pain, weakness or tight muscles. The exam also seeks to determinewhat is causing the issue.
“Above all, we are always teaching the patient toself-manage the condition, which is the essence of physical therapy — teachingpatients to be independent and manage their conditions,” Gillis says. InEurope, such care is covered automatically by insurance; in the United States,patients need to ask their physicians for a referral to a pelvic physicaltherapist and be more proactive about getting care for the problem early on.
Above all, new moms should not accept pelvic pain orincontinence as a natural result of having a baby. “It is not normal,” Gillissays. “Addressing these conditions early on will help later in life as well,”in terms of avoiding future surgeries for advanced problems and improvingquality of life.
“After the birth of a baby, you want to be active in yourlifestyle and have a women’s health physical therapist help you address yourgoals and get your body back so you can keep being healthy,” Perry says. “Thisis important, and we want to help women achieve those goals.”
Find more information about pelvichealth rehabilitation, including instructional videos, testimonials andother resources.
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