PHTY306 Lecture Notes - Lecture 9: Pelvic Girdle Pain, Pelvic Pain, Estrogen

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18 Nov 2018
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Lecture 1: pregnancy and pregnancy related pelvic girdle pain. Reproductive system- ovaries: two one each side, oval shaped, 3cm x 1. 5cm x 1. 5cm, main role is egg maturation and hormonal secretion during a standard menstrual cycle. Uterus: pear-shaped (upside down) muscular organ, normally the size of an adult fist. The weight of a pregnancy is carried by our pelvic floor. Increased pressure/ compression of inferior vena cava and common iliac vein. Understanding the trimesters of pregnancy: human pregnancy is ~40 weeks from 1 st day of last menstrual period. Trimester: 0-(cid:1005)(cid:1006) (cid:449)eeks, (cid:271)a(cid:271)y is (cid:272)alled a(cid:374) (cid:858)e(cid:373)(cid:271)ryo(cid:859, high risk of miscarriage, many women experience morning sickness. 2nd trimester: 12-(cid:1006)6 (cid:449)eeks, (cid:271)a(cid:271)y (cid:374)o(cid:449) (cid:272)alled a (cid:858)foetus(cid:859, less chance of miscarriage, scans: nuchal translucency. Scan at 12-14/40: general morphology scan at 18-20/40, foetus (cid:271)e(cid:272)o(cid:373)es (cid:862)(cid:448)ia(cid:271)le(cid:863) fro(cid:373) (cid:1006)4/4(cid:1004) (cid:894)~(cid:1005)(cid:1004)% sur(cid:448)i(cid:448)al(cid:895) rd. At 24/40 = 10% chance of survival. At 28/40 = 90% chance of survival. At 34/40 = 99% chance of survival.

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