前、产后妇女体适能训练指引.ppt

* Picture from postnatal booklet, rectus diastasis * * Pelvic floor mm from book Exercise Prescription训练处方 1.Medical screening before exercise 运动前进行医务检查 History : overall health, obstetric (e.g. maternal age, previous low birth weight history, short interval between births) medical (? affect CV) 病史：整体健康，产科（如：母亲年龄，有无婴儿体重不足的历史，两次生产时间间隔短）和内科（？ 影响心肺系统（CV）） Absolute contraindication to aerobic exercise during pregnancy (ACOG, 2002) 孕期进行有氧运动的绝对禁忌症（ACOG，2002） Haemodynamically significant heart disease 显著血液动力障碍严重心脏病 Restrictive lung disease限制型肺病 Incompetent cervix子宫颈口松弛症 Multiple gestation at risk for premature labour 多次怀孕有早产的危险 Persistent second and third trimester bleeding 在中期妊娠和晚期妊娠持续流血 Placenta praevia after 26 weeks gestation 怀孕26周后胎盘前置 Premature labour during the current pregnancy 怀孕时早产 Ruptured membranes胎衣破裂 Pregnancy induced hypertension 孕妇有高血压 Relative contraindication to aerobic exercise during pregnancy (ACOG, 2002) 孕期进行有氧运动的相对禁忌症（ACOG，2002） Severe anaemia严重贫血 Unevaluated maternal cardiac arrhythmia 孕妇心律不齐 Chronic bronchitis慢性支气管炎 Poorly controlled type I DM 没有得到控制的I型糖尿病（DM） Extreme morbid obesity (BMI39) 极度病态肥胖（ BMI39） Extreme underweight (BMI12) 极度体重过轻（BMI12) History of extremely sedentary lifestyle 几乎没有任何活动的生活方式 Intrauterine growth restriction in current pregnancy 怀孕时子宫生长受限 Poorly controlled hypertension / pre-eclampsia 没有得到控制的高血压/子痫前症 Orthopaedic limitation由于整形而引起的限制 Poorly controlled seizure disorder神经混乱 Poorly controlled thyroid disease 没有得到控制的甲状腺疾病 Heavy smoker (20/day)酗烟（20支/天） Warning signs to STOP exercise (ACOG, 2002 ) 停止运动的信号（ACOG， 2002） Vaginal bleeding 阴道出血 Dyspnoea before exertion在用力之前呼吸困难 Dizziness眩晕 Headache头痛 Chest pain胸部疼痛 Muscle weakness肌肉无力 Calf pain or swelling (need to rule out thrombophlebitis) 小腿疼痛或水肿（排除血栓性静脉炎的可能） Preterm labour早产 Decreased fetal movement 胎儿活动减少 Amniotic fluid leakage 羊水渗漏 5. Exercise programming训练计划 Pre-preg