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Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
Prenatal care in the United States is a health care preventive care protocol recommended to women with the goal to provide regular check-ups that allow obstetricians-gynecologists, family medicine physicians, or midwives to detect, treat and prevent potential health problems throughout the course of pregnancy while promoting healthy lifestyles that benefit both mother and child. [1]
[57] [58] [59] [54] Women with vaginal bleeding during pregnancy are at higher risk for preterm birth. While bleeding in the third trimester may be a sign of placenta previa or placental abruption—conditions that occur frequently preterm—even earlier bleeding that is not caused by these conditions is linked to a higher preterm birth rate. [60]
Pre-eclampsia is a multi-system disorder specific to pregnancy, characterized by the new onset of high blood pressure and often a significant amount of protein in the urine or by the new onset of high blood pressure along with significant end-organ damage, with or without the proteinuria.
Fernand Lamaze visited the Soviet Union in the 1950s, and was influenced by birthing techniques which involved breathing and relaxation methods. [3] The Lamaze method gained popularity in the United States after Marjorie Karmel wrote about her experiences in her 1959 book Thank You, Dr. Lamaze, as well as Elisabeth Bing's book Six Practical Lessons for an Easier Childbirth (1960).
Complications during pregnancy can cause other more severe symptoms, such as those associated with anemia. Early signs and symptoms of pregnancy may include: [30] Tiredness or fatigue (one of the most common symptoms) Missed period; Nausea or morning sickness, may or may not include vomiting; Breast tenderness (common during the first trimester ...
Pelvic massage was a gynecological treatment first recorded as being used by doctors in the 19th century. An early practitioner was the Swedish Major Thure Brandt (1819–1895), whose method was described in the New York Medical Journal [ 1 ] and the Journal of the American Medical Association .
Overall, the systolic and diastolic blood pressure drops 10–15 mm Hg in the first trimester and then returns to baseline in the second half of pregnancy. [6] All of these cardiovascular adaptations can lead to common complaints, such as palpitations, decreased exercise tolerance, and dizziness.
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