Physiotherapy in Pelvic Dysfunctions and Women's Health: Urogynecology

Evaluation and medical treatment of pelvic dysfunction in women.
Pregnancy:
Physiological changes and biomechanical modifications of the abdomino-Lumbo-pelvic complex in pregnant women;
Main musculoskeletal, pelvic floor dysfunctions and other symptoms in pregnancy;
Biomechanics of the pelvis in labor;
Fetal positions;
Importance of autonomic nervous system balance in pregnancy and labor;
Pain in labor.
Postpartum (immediate puerperium):
Physiological changes in the postpartum period;
More frequent postural changes and impact on the pelvic floor;
Postpartum breathing pattern changes;
Obstetric Trauma (episiotomy and cesarean section) and complications;
Changes and dysfunctions of the pelvic floor in the postpartum period.
Postpartum (Late Puerperium):
Puerperium and sports activity – management of intra-abdominal pressure.
Pelvic dysfunction in women:
Women’s health and life cycle;
Types of pelvic dysfunction of women;
Epidemiology and risk factors;
Urinary Incontinence;
Prolapse of pelvic organs.
Pelvic health in female athletes:
High impact sport and abdomino-Lumbo-pelviperineal function;
Pelvic dysfunction in female athletes.
Menopause:
Genitourinary syndrome of menopause;
Early/ induced menopause / natural physiological process;
Oncological processes and (dis)pelvic function;
Postmenopause-aging.
Birth plan and its importance.
Labor and types of childbirth:
Signs of childbirth-characterization and practical procedures of pregnant;
The pain of Labor-support and facilitation strategies;
Physiology and practical procedures in the dilation and expulsion phase;
Positions in the expulsive period;
The breastfeeding process, challenges and strategies.
Intervention of the physiotherapist in the preparation for birth in gestation:
Anamnesis, evaluation of the pregnant woman and informed consent;
Guidelines for the practice of physical exercise in pregnant women;
Management of intra-abdominal pressure in exercise and ADLS;
Guidelines for the use of habitual resources (Pilates ball, childbirth bench, among others);
Breathing and mobility exercises: global and pelvic;
Manual therapy for balancing body tensions;
Non-pharmacological strategies for pain management and relief in labor;
Pelvic floor preparation for vaginal delivery (functional pelvic floor, perineal massage and exercises);
Childbirth (postures and expulsive period – – practice;
Episiotomy and pelvic floor lacerations;
Physiotherapist intervention in high-risk pregnancy.
Immediate postpartum care for vaginal delivery and cesarean section.
Evaluation and rehabilitation of the puerperal woman-abdomino-Lumbo-pelviperineal complex.
Evaluation and intervention in scars.
Intervention strategies in the late postpartum period.
Postural reeducation-clinical Pilates.
Intervention strategies in women’s pelvic dysfunctions, female athletes and menopause.
Discussion of clinical cases.

NAO