Porođaj se događa u vremenskom razdoblju od 37. do 42. tjedna trudnoće te se definira kao
čin istiskanja fetusa i ostalih produkata začeća. Mehanizam vaginalnog poroda sastoji se od
četiri porođajna doba dok je carski rez operacija prilikom koje se otvara prednji dio trbušne
stjenke i maternice. Postoje razne komplikacije koje se mogu javiti nakon porođaja, a najčešće
su urogenitalne disfunkcije poput urinarne ili fekalne inkontinencije te pojava dijastaze m.
rectus abdominis. Glavni cilj fizioterapijske intervencije je prevencija navedenih
komplikacija. Intervencija kreće odmah nakon poroda, radi se fizioterapijska procjena rodilje
te se određuju ciljevi terapije. Plan terapije sastoji se od vježbi disanja, vježbi cirkulacije,
edukaciji rodilje o pozicioniranju u krevetu, ustajanju i hodanju nakon carskog reza te vježbi
za jačanje trbušne muskulature i mišića zdjeličnog dna. Uz sve navedeno radi se i na
motivaciji rodilje da se što prije oporavi i da se što lakše brine za svoje dijete.Childbirth occurs in the time period from the 37th to the 42nd week of pregnancy and is
defined as the mechanism of pushing out the fetus and other products of conception. The
mechanism of vaginal birth consists of four stages of labor, while a caesarean section is an
operation during which the front part of the abdominal wall and uterus is opened. There are
various complications that can occur after childbirth, and some of the most common are
urogenital dysfunctions such as urinary or fecal incontinence and the occurrence of diastasis
of the rectus abdominis muscle. The main goal of physiotherapy intervention is the prevention
of the mentioned complications. The intervention begins immediately after childbirth, a
physiotherapeutic assessment of the mother is performed and the goals of the therapy are
determined. The therapy plan is to do breathing exercises, circulation exercises, education of
the mother about positioning in bed, getting up and walking after a caesarean section, and
exercises to strengthen the abdominal musculature and pelvic floor muscles. In addition to all
of the above, it is important to motivate the mother to recover as soon as possible so she can
easily take a care of her child
