Post-natal Rehabilitation

March 21, 2017 | By | Reply READ MORE...

The post-natal period begins after the delivery of the baby and ends when the mother’s body has nearly returned to its pre-pregnant state. This period usually lasts six to eight weeks. While most attention to pregnancy care focuses on the nine months of pregnancy, post-pregnancy care is important, too. During this period, the mother goes through many physical and emotional changes while learning to care for her new-born.

During pregnancy, there are changes that occur throughout the body, both to accommodate the growing baby and to allow the baby out during labour. As the foetus grows, the changes that takes place in the skeletal system are:

ALTERED POSTURE:

During pregnancy, because of the growing foetus, there is a shift in the centre of the body mass that leads to rounding of shoulders, increased hump in the neck, increased curvature of lower back, and widening of pelvis.

Altered posture during pregnancy

POTENTIAL MUSCLE IMBALANCES:

During pregnancy, abdominal muscles get stretched which leads to laxity after delivery. Because of this muscle imbalance, the entire abdominal ‘corset’ is weakened with very little mechanical control.

Altered posture during pregnancy

DIASTIS RECTI:

Diastasis recti is a fairly common condition of pregnancy and post-pregnancy in which the two halves of Rectus Abdominis muscle spread apart at the body’s mid line. It is most commonly seen after pregnancy when the abdominal wall is lax. Diastasis recti reduces the integrity and functional strength of the abdominal wall and can aggravate lower back pain and pelvic instability.

Altered posture during pregnancy

PELVIC FLOOR WEAKNESS:

Pelvic floor is a broad sling of muscles, ligaments and sheet-like tissues that stretch from pubic bone at the front, to the base of spine at the back. Think of pelvic floor as being similar to a trampoline, as it can stretch when something presses down on it, and bounce back up again.
Unlike a trampoline, however, if it bears weight for a long time, as it does in pregnancy, the muscles and tissues can become overstretched and weak. Also during labour and birth, pelvic floor stretches to allow baby’s head to pass out of womb, which can make muscles sore and add to the weakness. Also, weak pelvic floor muscles can lead to problems like stress urinary incontinence (trouble holding urine). To know more about urinary incontinence click here.

CHANGES IN SPINAL MOBILITY:

Due to hormonal and postural changes during pregnancy and child birth, there is laxity in the ligament of the spine and that can predispose one to muscle strain. Also, there is widening and increased mobility of the sacroiliac joints in preparation for the foetus. All this can predispose to low back and pelvic pain.

Changes that take place during pregnancy and labour can lead to dysfunction in the skeletal system leading to delayed return to pre-pregnant state.

 

At PhysioRehab, we offer solutions and advice or guidelines for the problems. Our tailored exercise classes or individual physiotherapy consultations can help you achieve your goals and leave you feeling fit, healthy and ready to meet the demands of a growing baby.

Post-natal Pilates:

After having the baby, tummy muscles that become stretched and weak need correct rehabilitation. Sit-ups/crunches can be harmful to your healing tummy/pelvic floor muscles and your susceptible lower back. Post-natal Pilates can help.

Benefits of post-natal Pilates include:

  • Strengthen deep core muscles
  • Induce healing of diastasis recti
  • Restore posture and body alignment.
  • Improve upper body strength to counter bad postures due to breastfeeding and caring of the baby.

Altered posture during pregnancy

Pelvic Floor Rehabilitation:

Pelvic floor problems can hamper with daily activities. A full pelvic floor assessment followed by specific training program can help you enjoy a full active life.

Return to sports/running:

Resuming sports, running or any high impact activity immediately after delivery can put stress and strain on your healing tummy and pelvic floor muscles. A progressive exercise regime that suits your body can guide you to an early and safe return to pre-pregnancy activities.

Altered posture during pregnancy

Weight loss program:

During pregnancy, one can gain approximately 11 kg of weight. A proper fitness regime along with a diet plan can help you return to and maintain a healthy body.

We at PhysioRehab believe in incorporating holistic approach to help you “get your body back”.

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