this ppt contains everything about evaluation in antenatal period by a physiotherapist for proper prescription of exercises. also it has details of contraindications & generalised guidelines for exercises in antenatal period.

1. DR. MEGHAN METHA-PHUTANE (PT)

2.  Name
 Age
 Address
 Contact no.
 Date of evaluation
 Duration of marriage
 Religion
 Occupation
 Occupation of husband
 Gestational age

3.  Of present illness (if any)
 Present pregnancy
 Obstetric
 Menstrual
 Medical
 Surgical
 Past complications
 Family
 Personal

4.  GPLAD (Gravida, Parity, Live, Abortion, Death)
 Type of previous delivery
 If C-section – (reasons)
 Regular hospital visits
 Medications
 Vaccinations
 Hospital admissions
 Menarche
 Regularity of MC
 LMP
 EDD- LMP + 9m&7d
 EDD on scan report

5.  Temperature
 Pulse rate
 Respiratory rate
 Blood pressure
 Height
 Pre-pregnancy weight
 Current weight
 Built
 Nutrition

6.  Pallor
 Tongue & teeth
 Tonsils
 Oedema
 Breast
 Abdominal girth
 Fundal height
 Lie of baby
 Diastasis recti
 Fetal movements
 Fetal HR

7.  Complete blood count
 Sonography report (USG)
 Urine reports
 Cervical cytological studies
 Serological tests for rubella, hepatitis & HIV
 Maternal serum alpha feto proteins- high levels in neural
tube & other defects
 Chorionic villus sampling (CVS) – for down’s syndrome
 Amniocentesis – genetic disorders, STDs
 Pelvimetry - CPD

8.  Muscle problems
 Activity level- active/ less active/ bed rest
 Diastases recti
 Posture
 Gait
 Pain- site/ nature/ VAS
 Physiological edema- foot/ palm/ abdomen/ face
 Hemoglobin level

9.  Check for
 Latissimus dorsi
 Thoraco-lumbar fascia
 Gluteus maximus
 Erector spinae
 Biceps femoris

10.  Take medical clearance from gynecologist
 Medical & surgical history
 Check for contraindications
 Maintain patient’s privacy

11.  Avoid jerky, ballistic movements & vigorous activities.
 Regular exs session – at least 3times a wk are safer than
intermittent bursts of activity.
 Careful warm up should precede exs session & should
always be followed by cool down.
 Strenuous exs should be avoided in hot & humid
atmosphere.
 Maternal HR should not exceed 140bpm & vigorous
exs should not be continued for longer than 15mins.

12.  Fluids must be taken before, during & after exertion, to
avoid dehydration.
 Energy intake must be sufficient for the needs of
pregnancy & exs.
 As the woman begin to exs during pregnancy, it is
essential that those accustomed to sedentary lifestyle
should start with low intensity physical activities like –
walking, swimming, stationary bicycle or yoga.
 Progression should always be gradual.
 Exs should always be decided on limitations imposed
by pregnancy – exclude the competitive elements.

13. ABSOLUTE
 CVD
 Acute infection
 Multiple pregnancies
 H/O recurrent abortions
 Bleeding/ruptured
membrane
 Severe HTN
 Thrombophlebitis
 Pulm embolism
 Sedentary lifestyle
 Blood disorders
 Thyroid diseases
 DM
 Maternal over or under
weight
 Breech presentation
RELATIVE

14.  To develop good posture
 To decrease constipation & insomnia
 To alleviate discomfort, postural backache, fatigue
 To ensure good muscle tone & strengthen PFM
 To develop good breathing habits, ensure good O2
supply to fetus
 To prevent circulatory stasis in lower extremities,
promote circulation, decrease possibility of venous
thrombosis.

15.  Vaginal bleeding/ spotting
 Dyspnoea prior to exertion
 Dizziness
 Headache
 Chest pain
 Muscle weakness
 Calf pain /swelling
 Preterm labour
 Decreased fetal movements
 Amniotic fluid leakage