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Illustrative photo. Archivo/LD
Physiotherapy in the female pelvis is essential before, during and after pregnancy, so that mothers can care for and strengthen the muscles of her intimate area, as reported by Katy Gómez, expert in rehabilitation and strengthening of the pelvic floor.
Gómez explained that, during the stage of pregnancy, the woman undergoes changes that gradually modify her posture and the position of her pelvis, abdomen and intestines, to guarantee the baby enough space for its development .
“The pelvic floor muscles must work harder, since one of their functions is to support the weight of the pelvic viscera, which fill and empty, such as the bladder and the rectum”, he specified.
Another pelvic viscera is the uterus (the baby’s home), every month it grows, which increases its weight and size, especially in the last trimester of pregnancy.
Program for pregnant women
The physiotherapist he explained that the program starts in the second trimester of pregnancy, where it is searched by means of Different exercises improve spinal and pelvic stability. In addition, the muscles are prepared, gaining strength and tone in women with weakness in the pelvic floor, to improve the quality of movement, control perineal relaxation, help lumbopelvic stability< /strong> along with the transversus abdominis muscle.
`If it is a vaginal delivery, the tissue is prepared by increasing elasticity and flexibility through Epi-no and perineal massage, and giving tools so that it arrives prepared for childbirth,´ she argued. Katy.
The postpartum program is recommended after eight weeks when the uterus and more viscera return to their position, where the quality of the muscles of the pelvic floor finding if there are musculoskeletal or musculofacial injuries.
Tools to train the pelvic floor muscles
Specialist Gómez said that she uses transperineal sonography, with which she observes in real time the The quality of pelvic floor movements, how they respond to pressure increases, and also to teach patients how to contract.
“ I rely on electrotherapy, which is a device that generates electrical stimulation of the pelvic floor muscles, stimulating muscle tone, improving different pathologies such as: bladder hyperactivity, activation muscle improvement, proprioception improvement and pain reduction”, he explained.
Likewise, Katy Gómez recommends women avoid constipation, Maintain a balanced diet and avoid being on your feet for many hours.