Navodila, priporočila in smernice

Navodila, priporočila in smernice s področja fizioterapije za zdravje žensk (posodobljeno 2020/21)

1 RCOG - Royal College of Obstetricians & Gynaecologists

Splošna povezava:

https://www.rcog.org.uk/guidelines

Coronavirus (COVID-19) infection and pregnancy

https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-19-coronavirus-covid-19-infection-in-pregnancy-v13.pdf

KLJUČNI IZSLEDKI:
- Okužba s COVID-19 vpliva na 2-3x večjo možnost za prezgodni porod (sploh, če poteka simptomatsko)
- COVID-19 pomembno vpiva tudi na večji delež rojstev s carskim rezom (59% nosečnic s COVID-19 rodi s carskim rezom)

2 SMA - Sports Medicine Australia

Splošna povezava:

https://sma.org.au/resources-advice/policies-and-guidelines/active-women-in-sport/

ZGIBANKE:

Pregnancy and exercise

https://sma.org.au/sma-site-content/uploads/2017/08/SMA_AWiS_Pregnancy_-_Exercise.pdf

Exercise and breast support

https://sma.org.au/sma-site-content/uploads/2017/08/1082-SMA-BRABrochure_FA_Web.pdf

Risks and benefits of exercise in pregnancy

https://sma.org.au/sma-site-content/uploads/2017/08/pregnancystatement.pdf

Participation of pregnant athlete in contact and collision sport

https://sma.org.au/sma-site-content/uploads/2017/08/torode.pdf

3 POGP - Pelvic, Obstetric and Gynaecological Physiotherapy

Splošna povezava:

https://thepogp.co.uk/

Post COVID pelvic floor rehabilitation

https://thepogp.co.uk/_userfiles/pages/files/POGP-COVID-19-poster2.pdf

RCM/CSP Joint statement on Pelvic Floor Muscle Exercises

Improving health outcomes for women following pregnancy and birth

https://pogp.csp.org.uk/system/files/documents/2020-05/001616%20RCM%20Position%20statement%20update%20v3.pdf

Aquanatal Guidelines Guidance on antenatal and postnatal exercises in water (2017)

https://pogp.csp.org.uk/system/files/publication_files/POGP-Aquanatal%20%28UL%29.pdf

The Pelvic Floor Muscles - a Guide for Women (2018)

https://pogp.csp.org.uk/system/files/publication_files/POGP-PelvicFloor%20%28UL%29.pdf

ZGIBANKE:

https://pogp.csp.org.uk/booklets

4 ACSM - American College of Sports Medicine

Splošna povezava:

https://www.acsm.org/

ZGIBANKA:

Pregnancy Physical Activity

https://www.acsm.org/docs/default-source/files-for-resource-library/pregnancy-physical-activity.pdf?sfvrsn=12a73853_4

5 ACOG - The American College of Obstetricians and Gynecologists

Splošna povezava:

https://www.acog.org/

Physical Activity and Exercise During Pregnancy and the Postpartum Period, Committee Opinion, April 2020.

https://www.acog.org/-/media/project/acog/acogorg/clinical/files/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period.pdf

KLJUČNI IZSLEDKI:
- Priporočila (ACOG) za telesno dejavnost v nosečnosti se bistveno ne razlikjejo od predhodnjih priporočil;
- Svetujejo uporabo “5A pristop” (angl. 5’s approach – ask, advice, asses, assist, arrange), s čimer na podlagi anamneze/vprašanj dobimo dobro oceno/stanje zdrave nosečnice, ki ji na podlagi tega svetjemo, pomagamo in naredimo skupni plan telesne dejavnosti med nosečnostjo (str. 181)

6 CSEP - Canadian Society for Exercise Physiology

Splošna povezava:

https://csep.ca/

7 SOGC - Society of Obstetricians and Gynaecologists of Canada

Splošna povezava:

https://www.sogc.org/

Conservative Care of Urinary Incontinence in Women.

https://www.jogc.com/article/S1701-2163(19)30463-3/fulltext

KLJUČNI IZSLEDKI:
- Priporočila (SOGC) za konzervativno obravnavo urinske inkontinence poudrarjajo pomen znižanja telesne teže za vse pacientke, ki imajo prekomerno težo, ne glede na vrsto inkontinence (SUI in UUI) in pomen pomoči pri vzpostavitvi in vzdrževanju ukrepov za zdrav življenjski slog;
- Poudrajajo tudi pomembnost tega, da se pacienti pred izvajanjem vadbe za mišice medeničnega dna (VMMD), le te naučijo pravilno izvajati pri ustreznem strokovnjaku (fizioterapevt, ginekolog, medicinska sestra). Pisna/ustna navodila niso zagotovilo, da posameznik pravilno stisne mišice medeničnega dna, kar je pogoj za uspešno izvajanje VMMD.