Ante Natal and Post Natal Rehabilitation
All ante and post natal Rehab led by our expert Physiotherapist who are experienced in therehabilitation of women’s health conditions such as pelvic girdle pain and pelvic floor dysfunction.You will be assessed prior to commencing a session to establish suitability for participation and to ensure that the
exercises that you do are both safe and appropriate for your needs.

ANTENATAL REHABILITATION
Pregnancy is a time of tremendous musculoskeletal, physical and emotional changes for the lady and yet is a condition of wellness. Exercise programs during pregnancy and after childbirth are designed to minimize impairments and help the woman maintain or regain function while she is preparing for arrival of baby.

AIMS OF ANTENATAL CARE:
• Learn safe body mechanics
• Develop awareness and control of posture during and after pregnancy
• Prevent/treat impairments and painful conditions associated with pregnancy
• Promote /maintain safe cardiovascular fitness
• Develop upper body strength for demands of child care
• Learn relaxation skills to relieve stress of labour

CHANGES DURING PREGNANCY:
• Weight gain of approximately 11 kg
• Uterus becomes more of an abdominal organ rather than pelvic organ
• Abdominal muscles are stretched
• Blood pressure decreases in early trimester, reaches its lowest level midway through pregnancy and then rises gradually from mid pregnancy to up to 6 weeks of delivery
• Ligaments become lax
• Postural changes occur like rounded shoulders, increased curvature of low back, walking with wider base of support

WHO SHOULD ABSOLUTELY NOT EXERCISE?
• A woman who has an abnormal position of placenta
• A woman having vaginal bleeding of any amount
• Maternal diabetes or hypertension
• A woman having history of miscarriage or premature labour
• Intrauterine growth retardation
• Any acute infection or fever
• Multiple pregnancies

THE FOLLOWING CANNOT EXERCISE UNLESS ALLOWED BY THEIR DOCTOR:
• Woman having anaemia
• Extreme obesity /underweight
• Breech presentation in third trimester
• Thyroid disease
• Extreme fatigue

POSTNATAL REHABILITATION
Our Doctors of Physiotherapy here at Physio & Rehab NMC offer women’s services in the area of post-natal/post-partum rehabilitation.

Common issues that women struggle with after having a baby are musculoskeletal pain. Physiotherapy reatment can provide relief to musculoskeletal problems with a range of treatment techniques such as manual therapy, exercise,electrotherapy and acupuncture. Unfortunately, pelvic floor muscle damage is common during vaginal delivery; incontinence is a common, embarrassing problem that many women live with after having a baby. Our Doctors of physiotherapy will help you increase your understanding of the pelvic floor muscles. They will also teach you how to correctly re-train your pelvic floor to regain muscle strength and control

.Many of the physical changes of pregnancy persist 4-6 weeks post-partum, and some (such as increased laxity of ligaments) continue for even longer than this. Having undergone detraining, pre-pregnancy exercise routines may be resumed gradually. A Doctor of physiotherapy can assess your needs and goals to help you establish an exercise programmed that steadily helps you regain your pre-pregnancy levels of activity and fitness.

Some women worry that commencing an exercise programmed may be harmful to them or their baby. However,
you can be reassured that there are no known complications associated with resumption of training. Moderate weight reduction while breastfeeding is safe and does not compromise your babies’ weight gain. There is also no evidence that lactation and exercise cannot be successfully combined without any disruption of milk production or flow.

For more information or for an informal chat with one of our Doctor of physiotherapy about the ways’ we can help you
specifically, please contact us today at: 35380000 Ext: 271 or Email us at: physio@nmc.net.pk