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Pregnancy Contraindications
High Risk Pregnancies
Do not proceed
without written release of physician.
-
Diabetic Mother
-
Cardiac Disorders- heart
disease
-
Chronic Hypertension
-
Previous Problem in
Pregnancy - previous miscarriage
-
Mothers under 20 or
over 35
-
Asthmatic Mother
-
Suspected RH Negative
Mother or other genetic problems
-
Drug addictions or exposure
to drugs
-
Previous multiple births
Proceed With
Caution (Physician's Release Advised)
-
Incompetent cervix
-
Complications due to
DES used during pregnancy
-
Lung or live disorder
-
Severe anemia
-
Convulsive disorders
-
Abnormal Fetal Heartbeat
-
Decrease or absence
of fetal movement
-
Interuterine growth
retardation
-
Lupus Erythematosus
-
Poor lifestyle habits
(drug
abuse, poor nutrition, smoking, alcohol consumption)
-
Low weight gain
-
No prenatal care
Warning Signs
of High Risk Factors
-
Possible Miscarriage
- bloody discharge, continual abdominal pains, sudden gush of water or
leakage of amniotic fluid
-
Urinary Tract Infections
- very frequent urination with burning, low back pain increase in thirst
and decrease in urination, chills and fever with 100 degree temperature
or higher
-
Pre-eclampsia - (toxemia
of pregnancy - if neglected or not treated properly may develop true eclampsia)
Sudden rapid weight gain, systemic edema, increased blood pressure (hypertension),
protein in urine, increased headaches
-
Eclampsia (Toxemia)
Emergency
situation-refer to physician immediately- Develops in 1 out of 200
patients with pre-eclampsia; persistent severe headaches; persistent severe
back pain unrelieved by change of position; severe nausea/vomiting; systemic
edema; pitted edema, increased blood pressure; visual disturbances; convulsions.
-
Gestational Diabetes
- excessive hunger and thirst; increased urination in 2nd trimester; sugar
in urine, no non-pregnant diabetes
-
Other conditions - thrombophlebitis;
systemic infections; skin irritations; varicose veins; kidney disease;
heart disease; cancer; acute injuries such as burns, bleeding, fractures
Contraindications
for Massage
-
Abdominal massage totally
contraindicated for 1st trimester and limited to effleurage for remainder
-
Gymnastics/ ROM - do
not do movements when nausea present; or when symphysis pubis separates
( 2nd trimester)
-
Pressure point around
ankles and Achilles tendon should be avoided; pressure point between thumb
and finger should be avoided
-
Swedish stokes that
affect circulation should not be used in the 3rd trimester if the client
has a heart condition
-
Tapotement contraindicated
on the legs because of the increased danger of blood clots during pregnancy
Be conservative and
consult the physician with any questions. Obtain release to work
on client.
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