{"id":9,"date":"2012-11-17T21:45:11","date_gmt":"2012-11-17T21:45:11","guid":{"rendered":"http:\/\/petersphotogallery.com\/vanea\/?page_id=9"},"modified":"2018-01-26T02:29:24","modified_gmt":"2018-01-26T02:29:24","slug":"pre-natal","status":"publish","type":"page","link":"http:\/\/petersphotogallery.com\/vanea\/pre-natal\/","title":{"rendered":"pre natal"},"content":{"rendered":"<p><a href=\"http:\/\/petersphotogallery.com\/vanea\/pre-natal\/pregnancy5-2\/\" rel=\"attachment wp-att-213\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-213\" title=\"pre - natal classes\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy51-1024x435.jpg\" alt=\"\" width=\"695\" height=\"295\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy51-1024x435.jpg 1024w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy51-300x127.jpg 300w\" sizes=\"auto, (max-width: 695px) 100vw, 695px\" \/><\/a><br \/>\nYou just can&#8217;t get enough pre &#8211; natal education&#8230;. providing you have an open and enquiring mind. This part of your life, whether it&#8217;s the first or subsequent pregnancies is an amazing journey for both your body and your mind.\u00a0 The way you approach this time will have an impact on your birthing outcomes. For me this is when I <em>most<\/em> want to see you.<br \/>\nWomen&#8217;s Health Physios have a depth of knowledge on &#8216;preparing&#8217; you physically for your birth.\u00a0 Over the last twenty years there has been a real move away from specific &#8216;childbirth preparation&#8217; exercise classes. \u00a0Much of the blame for this has to be placed at the feet of our Obstetricians and Gynaecologists. No disrespect to our amazing doctors, but\u00a0you <em>do<\/em> need to specifically train for birth.<br \/>\nYou need to understand the process, what changes happen to your body, which muscles need work ..to strengthen, stretch, relax and much, much more.<br \/>\nBirthing is a natural process, but\u00a0 everyday postures and work habits do not help prepare\u00a0you to &#8216;give birth&#8217;&#8230; believe me it is the most physically demanding thing I have ever done. You need a Women&#8217;s health physio to help with your posture, pregnancy exercises and pelvic floor education. Now I have had my little <em>&#8216;hissy fit&#8217;<\/em>\u00a0 on with the info<br \/>\n<em>&#8230;<\/em> <strong>Pre- pregnancy <\/strong> Planning a pregnancy and trying to get pregnant can be, for some couples long and difficult and for others accidental, quick and easy. These links have some good information on the statistics surrounding pregnancy!<br \/>\n<a title=\"The road to conception\" href=\"http:\/\/www.essentialbaby.com.au\/conception\/trying-to-conceive\/the-road-to-conception-20121108-29005.html\" target=\"_blank\" rel=\"noopener\">The road to conception<\/a><br \/>\n<a title=\"getting Pregnant\" href=\"http:\/\/www.huggies.com.au\/conception\/getting-pregnant\" target=\"_blank\" rel=\"noopener\">Getting Pregnant<\/a><br \/>\n<a title=\"Healty Eating during pregnancy brochures \" href=\"http:\/\/www.foodauthority.nsw.gov.au\/foodsafetyandyou\/life-events-and-food\/pregnancy\/foods-to-eat-or-avoid-when-pregnant\" target=\"_blank\" rel=\"noopener\">Healty eating during pregnancy<\/a><br \/>\nLet&#8217;s look at pregnancy week by week . You will find many pregnancy calculator apps, which send you regular information about what to expect . The link below takes you through each trimester week by week.<br \/>\n<a title=\"Pregnancy week by week\" href=\"http:\/\/www.huggies.com.au\/pregnancy\/week-by-week\" target=\"_blank\" rel=\"noopener\">Pregnancy The Three Trimesters<br \/>\n<\/a> <a href=\"http:\/\/petersphotogallery.com\/vanea\/pre-natal\/pregnancy_stages_s8_8_weeks1\/\" rel=\"attachment wp-att-465\"><img loading=\"lazy\" decoding=\"async\" title=\"pregnancy_8_weeks\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy_stages_s8_8_weeks1.jpg\" alt=\"\" width=\"448\" height=\"304\" \/><\/a> <a href=\"http:\/\/petersphotogallery.com\/vanea\/pre-natal\/pregnancy_stages_s13_16_weeks1\/\" rel=\"attachment wp-att-467\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-467\" title=\"pregnancy16 weeks\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy_stages_s13_16_weeks1.jpg\" alt=\"\" width=\"493\" height=\"335\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy_stages_s13_16_weeks1.jpg 493w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy_stages_s13_16_weeks1-300x203.jpg 300w\" sizes=\"auto, (max-width: 493px) 100vw, 493px\" \/><\/a> <strong><a href=\"http:\/\/petersphotogallery.com\/vanea\/pre-natal\/pregnancy_stages_s20_32_weeks1\/\" rel=\"attachment wp-att-469\"><img loading=\"lazy\" decoding=\"async\" title=\"pregnancy 32 weeks\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pregnancy_stages_s20_32_weeks1.jpg\" alt=\"\" width=\"493\" height=\"335\" \/><\/a>\u00a0<\/strong> <a href=\"http:\/\/www.medicinenet.com\/stages_of_pregnancy_pictures_slideshow\/article.htm\">http:\/\/www.medicinenet.com\/stages_of_pregnancy_pictures_slideshow\/article.htm<\/a><\/p>\n<p><strong>Pregnancy\u00a0and exercise<\/strong>: During your pregnancy you will need to focus on specific muscle groups. Strengthening and stretching muscles in the pelvis and legs together with understanding and awareness of your changing posture. \u00a0I <em>encourag<\/em>e alot of calf stretches to aid in squatting. \u00a0Some women with knee (patello-femoral tracking) problems may not be able to work towards the deep squatting ( in your late pregnancy) that helps strengthen legs, \u00a0open the pelvic outlet and stretch the pelvic floor.\u00a0 Modified positions can help&#8230;but you will need to get up and down from the floor when bub arrives; \u00a0and then there is all the picking up of toys as they get older&#8230;<\/p>\n<p>The website &#8220;<a title=\"The Pregnancy Centre\" href=\"http:\/\/www.thepregnancycentre.com.au\" target=\"_blank\" rel=\"noopener\">The Pregnancy Centre<\/a>&#8221; \u00a0is a fantastic resource that I use all the time and highly recommend.\u00a0 Dianne is an Elite Personal Trainer with a background of 22 years as a Physiotherapist working in pregnancy, postnatal and pelvic floor fitness, in\u00a0Australia who has devoted a lot of time to the advancement of on-line women&#8217;s health education.<br \/>\nThis next website\u00a0is a great bedtime read&#8230;do not print it!!\u00a0-NSW health a 172 pages of really straight forward up to date (2012) information about everything involved with having a baby <a href=\"http:\/\/www.health.nsw.gov.au\/kidsfamilies\/MCFhealth\/Pages\/having-a-baby.aspx\">http:\/\/www.health.nsw.gov.au\/kidsfamilies\/MCFhealth\/Pages\/having-a-baby.aspx<\/a>\u00a0 \u00a0Here is the content list&#8230;&#8230;Antenatal care<br \/>\nChoices for care during pregnancy and birth<br \/>\nHandle with care: looking after yourself in pregnancy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0406.JPG.b.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-1465\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0406.JPG.b-300x133.jpg\" alt=\"IMG_0406.JPG.b\" width=\"300\" height=\"133\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0406.JPG.b-300x133.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0406.JPG.b.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nGive me strength: pre- and post-natal exercises<br \/>\nCommon concerns in pregnancy<br \/>\nStages of pregnancy<br \/>\nGetting ready for labour and birth<br \/>\nLabour and birth<br \/>\nAfter your baby is born<br \/>\nFeeding your baby<br \/>\nThe first weeks of parenthood<br \/>\nPrenatal testing and genetic counselling<br \/>\nHaving a baby at 35+\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0405.JPG.1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-1466\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0405.JPG.1-300x176.jpg\" alt=\"IMG_0405.JPG.1\" width=\"300\" height=\"176\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0405.JPG.1-300x176.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/IMG_0405.JPG.1-1024x602.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nMultiple pregnancy: when it\u2019s twins or more<br \/>\nComplications in pregnancy<br \/>\nComplications in labour and birthing<br \/>\nEarly arrival: when a baby comes too soon<br \/>\nBabies with special needs<br \/>\nYour feelings in pregnancy and early parenthood: what all parents need to know<br \/>\nRelationships in pregnancy and early parenthood<br \/>\nWhen a baby dies<br \/>\nLearning more about pregnancy, birth, babies and parenthood<br \/>\nAnd here is another <a title=\"raising children\" href=\"http:\/\/raisingchildren.net.au\/\" target=\"_blank\" rel=\"noopener\">great website <\/a>from pregnancy &#8230;all the way through. Also a great area on the site &#8216;my neighbourhood&#8217; where you can search for all sorts of useful information near you.<br \/>\n<strong>Exercise and Pregnancy<\/strong><br \/>\nTake a look at this short <a href=\"https:\/\/www.youtube.com\/watch?v=G_9_Eu8mGRQ&amp;sns=em\">video<\/a> I did with<a href=\"https:\/\/www.yoganic.com.au\/for-pregnancy\/\"> Melissa<\/a> explaining the postural changes that take place in your body during pregnancy.<br \/>\nExercise is a great way to keep fit, stay in shape and feel good about yourself and life in general.\u00a0Pregnancy does not change this for most women. Despite the differences in your body, exercise is still important. Some studies have suggested that exercise during pregnancy will help with an easier and shorter labour and birth, fewer caesarean surgeries, a quicker recovery postpartum, a quicker return to your pre-pregnancy weight, not to mention a healthier feeling pregnancy.<\/p>\n<p><strong>When you might need special attention or limited exercise<\/strong><\/p>\n<ul>\n<li>Heart Problems<\/li>\n<li>Asthma or Chronic Lung Problems<\/li>\n<li>High Blood Pressure<a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/thAOAXPZOZ.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1468\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/thAOAXPZOZ.jpg\" alt=\"thAOAXPZOZ\" width=\"300\" height=\"150\" \/><\/a><\/li>\n<li>Extreme weight problems (Under or Over)<\/li>\n<li>Muscle or Joint Problems<\/li>\n<li>History of premature labour<\/li>\n<li>History of several miscarriages<\/li>\n<li>Multiple Pregnancy<\/li>\n<li>History of Incompetent Cervix<\/li>\n<li>Persistent Bleeding<\/li>\n<li>Placental Problems (Praevia, etc.)<\/li>\n<\/ul>\n<p>One of the things that you need to determine before you get started is where you are fitness wise. If you previously were a couch potato this is not the time to take up a new sport. However, all is not lost. There are several exercises that you can do while pregnant, even if you were previously sedentary. These would generally be walking, swimming, and <a title=\"Mums and Bumps - pregnancy exercise classes\" href=\"http:\/\/www.sportsfocusphysio.com.au\/womens-health\/\" target=\"_blank\" rel=\"noopener\">specialized pregnancy exercise classes<\/a>. The key, as with any exercise in pregnancy, is to take it relatively easy and to\u00a0listen to your body.<br \/>\nSo, now that you&#8217;ve decided to exercise what comes next? First of all you want to exercise on a regular basis. This is what will give you the most benefit.<br \/>\nWhen you exercise you need to make sure that you warm up and cool down, have plenty of water available, and are cleared by your doctor. Dressing appropriately is very important. This means you should wear loose fitting, comfortable clothing, non-skid shoes that are supportive, and a decent bra, preferably a sports bra. If you are large breasted consider wearing a maternity\/nursing bra under a sports bra for added support.<\/p>\n<ul>\n<li>\u00a0<strong>Stay off your back <\/strong>\u00a0After 16 weeks+ your uterus starts to grow out of your pelvis and the weight of it, when you are on your back, can depress the vena cava.\u00a0 This reduces the amount of blood flow, and therefore oxygen, to your baby. \u00a0Most women will find that they will also become dizzy or light-headed if they lie on their backs for any length of time. This is something that should be avoided, not just during exercise. Lying on your back for stretches or very short periods may be OK.<\/li>\n<li><strong>Don&#8217;t over do it<\/strong>\u00a0 This includes overheating.\u00a0 Raising your core temperature too much can affect the baby adversely.\u00a0 Always drink water before, during and after exercising.\u00a0 Listening to your body when something hurts or doesn&#8217;t feel right, that means stop!<\/li>\n<li><strong>Watch your centre of gravity <\/strong>\u00a0After 16 weeks it starts to change and you can quickly find yourself off balance.\u00a0 While your baby is very well protected by the amniotic sac should a fall occur, the best protection is prevention!<\/li>\n<li><strong>What is your current level of fitness?\u00a0 <\/strong>If you have been very active before and are participating in an activity that is safe for pregnancy or can be modified for pregnancy, generally you can continue to participate . However, most women are not able to maintain the same pace that they did before the pregnancy; and you will need to learn specific exercises to help you through an active labour<\/li>\n<\/ul>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stop Signs<\/strong><\/p>\n<ul>\n<li>Dizziness\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/Smerete_caffeine_and_pregnancy1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1471\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/Smerete_caffeine_and_pregnancy1-199x300.jpg\" alt=\" rest &amp; pregnancy\" width=\"136\" height=\"205\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/Smerete_caffeine_and_pregnancy1-199x300.jpg 199w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/Smerete_caffeine_and_pregnancy1.jpg 533w\" sizes=\"auto, (max-width: 136px) 100vw, 136px\" \/><\/a><\/li>\n<li>Faintness<\/li>\n<li>Headaches<\/li>\n<li>Shortness of Breath<\/li>\n<li>Uterine contractions<\/li>\n<li>Vaginal Bleeding or fluid leaking<\/li>\n<li>Heart Palpitations<\/li>\n<\/ul>\n<p><strong>Heart rates<\/strong> Generally women should keep their heart rate under 140 beats per minute. However, for some women this may be too high. So, the easiest way to do this is what is called the talk test. Simply put, if you are too winded while exercising to carry on a conversation, you are doing too much.<\/p>\n<p><strong>Exercises to avoid<\/strong><\/p>\n<ul>\n<li>Don&#8217;t take part in contact sports where there&#8217;s a risk of being hit, such as kickboxing, judo or squash.<\/li>\n<li>Don&#8217;t take part in horse riding, downhill skiing, ice hockey, gymnastics and cycling, because there&#8217;s a risk of falling.<\/li>\n<li>Don&#8217;t go scuba-diving, because the baby has no protection against decompression sickness and gas embolism (gas bubbles in the bloodstream).<\/li>\n<li>Don&#8217;t exercise at heights over 2,500m above sea level until you have acclimatised: this is because you and your baby are at risk of altitude sickness (a decrease in oxygen).<\/li>\n<\/ul>\n<p><strong>24 weeks Pregnant\u00a0Women&#8217;s Health Physiotherapy Consultation<br \/>\n<\/strong> If I haven&#8217;t convinced you to join my pre -natal exercise class&#8230; then come along for a 1 hour consultation at this time so I can assess your muscles; inside and out. I can <a title=\"contact vanea\" href=\"http:\/\/www.sportsfocusphysio.com.au\/our-physios\/vanea-atwood\/?portfolioCats=9\" target=\"_blank\" rel=\"noopener\">offer advice on exercise and labour<\/a>. This is particularly relevant to 2nd time mums who may have had a difficult 1st delivery or those that may be considering a VBAC.<\/p>\n<p>Check out these fact sheets from my favourite websites<br \/>\n<a title=\"0-9 months pregnancy exercise guiodelines\" href=\"http:\/\/www.thepregnancycentre.com.au\/pregnancy\/exercise\/pregnancy-exercise-guidelines\" target=\"_blank\" rel=\"noopener\">Pregnancy exercise guidelines<\/a>. 0-9 months; basic info on what to stop and start doing during your 9 months. <a title=\"Pregnancy and Exercise\" href=\"http:\/\/www.thepregnancycentre.com.au\/getattachment\/Pregnancy\/Exercise\/Exercise-during-Pregnancy\/Pregnancy-and-exercise.pdf.aspx\" target=\"_blank\" rel=\"noopener\">Pregnancy and exercise<\/a>\u00a0fact sheet<br \/>\n<a title=\"Caring for your back\" href=\"http:\/\/www.thepregnancycentre.com.au\/getattachment\/Pregnancy\/Well-Being\/Taking-care-of-your-back\/Caring-for-your-back.pdf.aspx\" target=\"_blank\" rel=\"noopener\">Taking care of your back<\/a>\u00a0fact sheet<br \/>\n<a title=\"Pregnancy exercises\" href=\"http:\/\/www.thepregnancycentre.com.au\/pregnancy\/exercise\/pregnancy-exercises\" target=\"_blank\" rel=\"noopener\">Some Pregnancy exercises<\/a> <a href=\"http:\/\/physicalbest.com\/index.php?page=pregnancy-post-natal-fitness\" target=\"_blank\" rel=\"noopener\">Exercising for 2<\/a>\u00a0\u00a0\u00a0\u00a0<em>book by Lisa Westlake<\/em><br \/>\nThe <a title=\"exercises-to-do-and-avoid-during-pregnancy\" href=\"http:\/\/www.myvmc.com\/pregnancy\/exercises-to-do-and-avoid-during-pregnancy\/\" target=\"_blank\" rel=\"noopener\">Virtual medical centre <\/a>is a great resource for all sorts of up to date medical info and advice on <a title=\"pregnancy-and-exercise\" href=\"http:\/\/www.myvmc.com\/health\/pregnancy-and-exercise\/\" target=\"_blank\" rel=\"noopener\">pre natal exercise. \u00a0\u00a0\u00a0<\/a><a title=\"morning sickness\" href=\"https:\/\/sites.google.com\/site\/pregnancysicknesssos\/about-hg\/complications-of-hg\" target=\"_blank\" rel=\"noopener\">Morning sickness<\/a>\u00a0 <a title=\"sex during pregnancy\" href=\"https:\/\/proaxispelvicpt.wordpress.com\/2014\/08\/11\/sex-during-pregnancy-your-top-questions-answered\/\" target=\"_blank\" rel=\"noopener\">Sex and pregnancy<\/a><br \/>\nThis great website by Canadian Physical Therapist Kim Vopini has a lot of <a title=\"educational videos on pregnancy \" href=\"http:\/\/www.pelviennewellness.com\/pages\/videos\" target=\"_blank\" rel=\"noopener\">informational videos <\/a>on the <a title=\"Epino information\" href=\"http:\/\/www.pelviennewellness.com\/pages\/studies-and-downloads\" target=\"_blank\" rel=\"noopener\">Epino <\/a>and great advice on minimizing anterior abdominal wall separation<\/p>\n<p><strong>Pelvic girdle pain<\/strong>\u00a0 <strong>PGP &#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pubic Symphysis Pubis Dysfunction\u00a0\u00a0 \u00a0PSD<\/strong><br \/>\nPGP is the medical name given to pre and post natal pain in and or around the low back, pelvic joints (sacro -iliac at the back and pubic symphysis at the front) side pelvis, side hip area, front groin and inner thigh. It can be severe and disabling, making even walking a major effort; or mild with episodes of pain or aching around the pelvis.<br \/>\nIt mainly occurs in pregnancy, but may be due to a sports injury or trauma to the pelvis.<br \/>\nThe sacroiliac joints at the back of the pelvis and the pubic symphysis at the front form a unit to hold the pelvis absolutely steady during any activity in any position which involves movement of the legs.<br \/>\nIf the pelvic girdle is not balanced\u00a0firmly by ligaments it cannot effectively allow movement of the legs without excess strain at the pubic symphysis joint. The pubic symphysis joint may shear or separate causing pain.<br \/>\n<strong>Signs and Symptoms of PGP \/SPD<\/strong><br \/>\nPregnancy has the effect of changing the position and function of the pelvic girdle.<br \/>\nCheck out this <a href=\"https:\/\/www.youtube.com\/watch?v=qt7tM5RAsII\">video<\/a> I did with <a href=\"https:\/\/www.yoganic.com.au\/for-pregnancy\/\">Melissa<\/a> on\u00a0 PGP \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pgp.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-1462\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pgp-300x217.jpg\" alt=\"pgp\" width=\"300\" height=\"217\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pgp-300x217.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/pgp.jpg 345w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nTypes of pain that can be experienced;<br \/>\n\u2022 Achy \/ sharp \/ burning \/ tender \/ acute \/ chronic.<br \/>\nIntensity of pain;<br \/>\n\u2022 Varies from sudden severe intermittent pain to constant chronic disabling pain.<br \/>\nLocation of pain;<br \/>\n\u2022 In and around the pelvic girdle for example, sacroiliac joints, pubic symphysis joint, coccyx, one or both hip joints.<br \/>\n\u2022 The pain can radiate from the pelvis up into the spinal column or down into the buttock and back of the leg.<br \/>\n\u2022 Lower abdomen, groin and undercarriage.<br \/>\n\u2022 Inner thigh pain<br \/>\nOther Symptoms<br \/>\n\u2022 Clicking within the pelvis is common due to the misalignment of the joints and the lax ligaments.<br \/>\n\u2022 Bladder dysfunction<br \/>\n\u2022 Sensation that the hip is out of place or has to pop into place before walking.<a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1461\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy.jpg\" alt=\"23-Pelvic-Pain-During-Pregnancy\" width=\"200\" height=\"200\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy.jpg 200w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-150x150.jpg 150w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-96x96.jpg 96w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-24x24.jpg 24w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-36x36.jpg 36w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-48x48.jpg 48w, http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/23-Pelvic-Pain-During-Pregnancy-64x64.jpg 64w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u2022 Waddling gait<br \/>\n\u2022 Difficulty starting to walk after sleep.<br \/>\nActivities that can be painful include;<br \/>\n\u2022 Lifting one leg at a time<br \/>\n\u2022 Standing on one leg getting dressed \/ undressed.<br \/>\n\u2022 Parting legs e.g. getting out of the car.<br \/>\n\u2022 Bending down<br \/>\n\u2022 Turning over in bed \/ standing \/ sitting \/ lying<br \/>\nWhat can help PGP<br \/>\nI can&#8217;t stress enough that you should get a full assessment \/ treatment from a Women&#8217;s health Physio that specialises in pregnancy. The complexity of relaxing stretching ligaments around joints needs to be moderated with pelvic floor muscle contraction\/relaxation. Other muscle tightness around the pelvis ( Gluts; Hamstrings; hip Flexors?) may need to be addressed.<br \/>\nThere is so much more on this topic and attending <a title=\"Pre- natal Pilates based exercise classes\" href=\"http:\/\/www.sportsfocusphysio.com.au\/womens-health\/\">specific pre- natal exercise classes <\/a>as an adjunct to your general cardio fitness is important. Make sure you have an assessment with a Women&#8217;s Health Physio to determine the cause of your PGP.<\/p>\n<p><a title=\"Sretch marks in pregnancy\" href=\"http:\/\/www.mrptny.com\/2015\/03\/06\/stretch-marks-best-tips-dealing\/\" target=\"_blank\" rel=\"noopener\">Stretch marks&#8230;<\/a>how to avoid or reduce them. This is a post by Marienne Ryan, one of our great Women&#8217;s Health Physios in New York.<\/p>\n<p><strong>Diastasis Recti <em>&#8211; tummy separation<\/em><\/strong><\/p>\n<p><a title=\"Check your belly\" href=\"https:\/\/fit2b.us\/splinting\/\" target=\"_blank\" rel=\"noopener\">Diastasis Recti <\/a>&#8211; Separation of your tummy muscles. Also see under the post natal tab and January 15\/1\/13 blog post.<br \/>\nP<a title=\"Preparing for Labour\" href=\"http:\/\/www.thepregnancycentre.com.au\/labour\/exercise\/preparing-for-labour\" target=\"_blank\" rel=\"noopener\">reparing for Labour<\/a>\u00a0\u00a0 <a title=\"Epidural information\" href=\"https:\/\/thewomens.r.worldssl.net\/images\/uploads\/fact-sheets\/Epidural-information2.pdf\" target=\"_blank\" rel=\"noopener\">Epidural<\/a><br \/>\n<a title=\"Labour preparation\" href=\"http:\/\/www.thepregnancycentre.com.au\/labour\" target=\"_blank\" rel=\"noopener\">Labour Preparation<\/a>\u00a0 <a title=\"Caesarean section\" href=\"http:\/\/brochures.mater.org.au\/Home\/Brochures\/Mater-Mothers-Hospital\/Caesarean-birth\" target=\"_blank\" rel=\"noopener\">Caesarean Section<\/a>\u00a0 <a title=\"Labour and Birth\" href=\"http:\/\/brochures.mater.org.au\/Home\/Brochures\/Mater-Mothers-Private-Hospital\/Information-for-parents-about-labour-and-birth\" target=\"_blank\" rel=\"noopener\">Labour and birth <\/a>information from Mater Hospital -Brisbane<br \/>\n<a title=\"Perineal Massage\" href=\"http:\/\/www.holditsister.com\/content\/perineal-massage\" target=\"_blank\" rel=\"noopener\">Perineal massage<\/a> <a title=\"Perineal massage\" href=\"http:\/\/www.essentialbaby.com.au\/pregnancy\/stages-of-pregnancy\/a-touchy-subject-perineal-massage-20120705-21j9s.html\" target=\"_blank\" rel=\"noopener\">Perineal massage<\/a> <a title=\"VBAC\" href=\"http:\/\/www.kidspot.com.au\/birth\/labour\/types-of-birth\/vbac-what-are-the-real-risks\/news-story\/bf383a7ce37cb6d639150b8ccced6f93\" target=\"_blank\" rel=\"noopener\">VBAC<\/a> Vaginal birth after Caesarean section<\/p>\n<p><strong>Things to know or read about from 36 weeks \u00a0<\/strong>(<a title=\"Secret Women's Business\" href=\"http:\/\/www.sportsfocusphysio.com.au\/secret-womens-business-physio\/\" target=\"_blank\" rel=\"noopener\">Secret Women&#8217;s Business<\/a>)<\/p>\n<p>Preparing for breast feeding. The <a title=\"Australian breastfeeding Association\" href=\"https:\/\/www.breastfeeding.asn.au\/bfinfo\/index.html\" target=\"_blank\" rel=\"noopener\">Australian breast feeding Association <\/a>ABA is a comprehensive site for mums. You will find information on everything to do with breastfeeding. Read through the<br \/>\n<a title=\"breastfeeding plan\" href=\"https:\/\/www.breastfeeding.asn.au\/system\/files\/Breastfeeding%20Plan%20%28with%20explanations%29_4.pdf\" target=\"_blank\" rel=\"noopener\">Breastfeeding plan<\/a>. It is extremely detailed and even if you just take on some of the explanations about why you might ask to keep your baby on your chest after birth etc. it will be useful. Think about attending a <a title=\"breastfeed-prepare to succeed\" href=\"https:\/\/www.breastfeeding.asn.au\/bf-info\/your-baby-arrives\/planning-breastfeed-prepare-succeed\" target=\"_blank\" rel=\"noopener\">pre-natal breastfeeding class<\/a>&#8230; The ABA does run them. Locally\u00a0 on the North Shore at Lane Cove- but not very often. Next some\u00a0 <a title=\"early breastfeeding\" href=\"http:\/\/www.biologicalnurturing.com\/video\/bn3clip.html\" target=\"_blank\" rel=\"noopener\">breastfeeding videos\u00a0<\/a>\u00a0on<a title=\"great video of immediate post birth baby and feeding\" href=\"http:\/\/www.youtube.com\/watch?v=qXAjp96nGS8&amp;lr=1\" target=\"_blank\" rel=\"noopener\"> early breast feeding<\/a>.<\/p>\n<p>So by now you should know where your Perineum is? Good! Some women even with Perineal massage, the use of the <a title=\"history of the Epino\" href=\"http:\/\/epi-no.com.au\/the-epi-no-story\/\" target=\"_blank\" rel=\"noopener\">Epino<\/a>, still, will through other circumstances have a <a href=\"http:\/\/www.kidspot.com.au\/birth\/search\/?q=perineal%20tears\">tear<\/a> or episiotomy\u00a0of the Perineum. Tears are \u00a0graded 1-4. Grade 1,2 will require no, or minimal stitching. 3rd and 4th degree tears will require a more specialised repair and you will probably be taken up to a theatre for\u00a03rd and 4th degree tears\u00a0on the same day as your birth.<br \/>\n<a title=\"Episiotomy\" href=\"http:\/\/www.kidspot.com.au\/birth\/labour\/types-of-birth\/episiotomy-during-childbirth-not-just-a-little-snip\/news-story\/9162605a4f21cdc8ec5c6fcede3ee310\" target=\"_blank\" rel=\"noopener\">Episiotomy<\/a>. This is a cut made by your Obstetrician or caregiver\u00a0to help ease the delivery of the head during crowning.<a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/thRSJK7HQY.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1472\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2012\/11\/thRSJK7HQY.jpg\" alt=\"Secret Women's Business\" width=\"300\" height=\"200\" \/><\/a><\/p>\n<p><a title=\"secret Women's Business\" href=\"http:\/\/www.sportsfocusphysio.com.au\/whats-new\/secret-womens-business\/\" target=\"_blank\" rel=\"noopener\"><span style=\"text-decoration: underline;\">Secret Women&#8217;s Business&#8217;<\/span> <\/a>This 2 hour workshop is available to all pregnant women from 34 weeks+ It is designed for the 1st time mum, but holds\u00a0advice and practical\u00a0tools\u00a0for\u00a0all mums to help you through your late pregnancy and early post-natal period. By understanding how you can &#8216;help &#8216; your labour you can maximize safer pelvic floor outcomes and empower your delivery. This workshops has a practical component. <strong>Check into <a href=\"http:\/\/www.sportsfocusphysio.com.au\/womens-health\/\">Sports Focus<\/a> Physio 9958 8986<\/strong> and find out when I am running the next workshop, or come and see me for a review and advice on how to work through the last few weeks!!<\/p>\n<p>It&#8217;s OK if you don&#8217;t want to have all this information, but I believe if you understand what you and your body are trying to do in this &#8220;Labour&#8221; then you will be able to work with it and have an amazing birth!!<\/p>\n<p>O.K So now you are REALLY ready to have this baby&#8230;..Good Luck!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You just can&#8217;t get enough pre &#8211; natal education&#8230;. providing you have an open and enquiring mind. This part of your life, whether it&#8217;s the first or subsequent pregnancies is an amazing journey for both your body and your mind.\u00a0 The way you approach this time will have an impact on your birthing outcomes. For <a href='http:\/\/petersphotogallery.com\/vanea\/pre-natal\/' class='excerpt-more'>[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"magazine.php","meta":{"footnotes":""},"class_list":["post-9","page","type-page","status-publish","hentry","post-seq-1","post-parity-odd","meta-position-corners","fix"],"_links":{"self":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/9","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/comments?post=9"}],"version-history":[{"count":197,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/9\/revisions"}],"predecessor-version":[{"id":2063,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/9\/revisions\/2063"}],"wp:attachment":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/media?parent=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}