TOTAL CORE CONTROL PERI AND POST NATAL

During pregnancy a lot of changes happen in the body. The quick increase in hormones are the
major cause of changes like flexibility in the joints and ligaments.
All abdominal muscles stretch up to allow for enough space for the growing foetus. A
separation of the abdominal muscles may occur and this can cause a condition after pregnancy
known as diastsis recti. This happens along the linea alba which divides the abdominals into left
and right halves.
Many of these changes do not only lead to back pain, but affect the shape of the spine, tilt of
the pelvis and pelvic floor muscle strength.
Given all the stretching that the abdominal muscles go through during pregnancy, it becomes
very necessary to find ways to keep them in tone and speed up recovery after delivery. This
therefore makes the incorporation of a core strength programme during pregnancy very
beneficial.
The list of benefits are; reducing the risk for back pain, supporting the pelvic organs as the baby
bump gets bigger, reducing the likelihood of developing a prolapse of the pelvic organs,
allowing for proper posturing during pregnancy, increased control during labor and potentially
giving a speedier labour and helping with quick recovery after delivery.
It also minimizes and improves diastasis recti and gives the expectant mum more energy as she
carries out through each day and enhance her confidence as well.
A total core control programme at nadkof physiotherapy consists of recruiting the muscles of
the abdomen, pelvis, pelvic floor, back, arms and lower limbs. A good core strength helps to
create a strong enough foundation for everything around it, helping to curb other conditions
like incontinence and pelvic organ prolapse.
And this we achieve with exercises like, alternate leg and arms exercises, planks, squats, mini
push ups, kegel's exercise, hip and shoulder exercises etc. and these are carried out putting into
consideration the the stages of the pregnancy, right through till delivery and most importantly,
post-delivery.
It is adviced that most exercises are not deferred till after delivery. This can make recovery take
longer and also make reconnecting a diastasis difficult.
Whether one delivers vaginally or via a C section, the abdominals will need help regaining their
strength post-delivery.

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Many of the conditions which need physiotherapy interventions are as a result of poor functioning of the neuromusculoskeletal system, and at Nadkof physiotherapy, we believe that a restoration of proper functioning of certain systems in the human body will ameliorate most of these problems.