Postnatal Period
Top Contributors - Safiya Naz, Audrey Brown, Nabeela Wali, Khloud Shreif, Kim Jackson and Rosie Swift
Introduction[edit | edit source]
The period where new mother body go about its recovery phase is known as postnatal period. mother body that has undergone the process of pregnancy and birth and gradually changed into body shape and function.
The period capriciously distribute into three phase
- first acute phase follows 24 hour from delivery
- second sab-acute phase follows 7 days from delivery
- third late phase follows 6 weeks upto 6 month from delivery[1]
The third phase which is late phase related to major muscles tone and connective tissue recovery the phase is gradually slower than acute and subacute phase from the pregnancy state[2]
Postnatal Clinical Presentation[edit | edit source]
- More elastisity in ligament compare to pregnancy period which last 4 to 5 months from labour.
- Elongated abdomina muscle and separation between the two recti abdominis muscles known as Diastasis recti abdominis[3]
- Pelvic floor muscle decreses more strenth than during pregnancy
- Abnormalities in the levator ani muscle[4]
- urinary incontinence
- genital prolaps and protrude into the vagina or press against the wall of the vagina.
- Weaker perineal muscle [5]
- Pelvic floor neuropathy
- Incontinence of stool and flatus
- Swollen extremities hands ,feet and ankles[6]
- excessive weight gain[7][8]
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Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Resources[edit | edit source]
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References[edit | edit source]
- ↑ Chauhan G, Tadi P. Physiology, Postpartum Changes. StatPearls Publishing. 2020 Mar 15.
- ↑ Romano M, Cacciatore A, Giordano R, La Rosa B. Postpartum period: three distinct but continuous phases. Journal of prenatal medicine. 2010 Apr;4(2):22.
- ↑ da Mota PG, Pascoal AG, Carita AI, Bø K. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual therapy. 2015 Feb 1;20(1):200-5.
- ↑ DeLancey JO, Kearney R, Chou Q, Speights S, Binno S. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstetrics & Gynecology. 2003 Jan 1;101(1):46-53.
- ↑ Fonti Y, Giordano R, Cacciatore A, Romano M, La Rosa B. Post partum pelvic floor changes. Journal of prenatal medicine. 2009 Oct;3(4):57.
- ↑ Cho HL, Lee DK, Seung JH, Kim DI, Lee TK. The clinical study of Postpartum Edema. The Journal of Korean Obstetrics and Gynecology. 2002;15(3):151-.
- ↑ Christenson A, Johansson E, Reynisdottir S, Torgerson J, Hemmingsson E. Women's perceived reasons for their excessive postpartum weight retention: a qualitative interview study. PLoS One. 2016 Dec 9;11(12):e0167731.
- ↑ Farpour-Lambert NJ, Ells LJ, Martinez de Tejada B, Scott C. Obesity and weight gain in pregnancy and postpartum: an evidence review of lifestyle interventions to inform maternal and child health policies. Frontiers in endocrinology. 2018 Sep 26;9:546.
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