The musculoskeletal system, related pelvic girdle pain during pregnancy and the role of the midwife
During Pregnancy a number of important physiological changes occur to enable the pregnant woman to nurture the development of the fetus and to prepare her body for birth. These physiological adaptions begin before fertilization and implantation, in the luteal phase of the menstrual cycle as progesterone is secreted by the corpus luteum. After fertilization takes place, progesterone and oestrogen levels increase and the many changes to maternal physiology begin (Coad, 2005).
This assignment will focus on the musculoskeletal adaptations that take place during pregnancy and the topic of pelvic girdle pain (PGP) that can occur as a result. Whilst on a community practice placement working in antenatal clinics, I have come across a significant number of women with PGP symptoms, with most having required advice and/or intervention from their midwife. This has prompted me to study the topic in more detail to enable a greater knowledge and understanding of this minor disorder. In order to do this the assignment will outline the relevant physiology of the musculoskeletal adaptations, the subsequent causes of PGP and associated risk factors, as well as prevalence and treatment of the disorder. I believe this knowledge is required to ensure effective midwifery practice and assist midwives and student midwives in responding to what I have observed as a common minor disorder of pregnancy. Of furthermost significance the assignment will discuss what the role of the midwife is, and is not, in facilitating optimum midwifery care in relation to PGP throughout the childbirth continuum, focusing on woman centered care, health promotion, advice and support and working as part of a multi-professional team.
Physiology and anatomy of the musculoskeletal system during pregnancy
During pregnancy adaptions within the musculoskeletal system take place due to...