Rybakova AI, Senkevich LV, Scheglova AS and Shagidaeva AB
One of the unfavorable factors of pregnancy and its outcomes for the mother and newborn in primiparous over 30 years is not the age itself, but the "conjugate" extragenital pathology. Its frequency, as a rule, increases with age. Very often, by the age of forty, a woman has three or even more chronic illnesses. These include: hypertension, diabetes and obesity. Also, by late reproductive age, many women suffer any inflammatory diseases of the genitals. It is now recognized that the rehabilitation of such women after childbirth should be comprehensive. It should include magnetotherapy, pressotherapy, general massage and physical exercises. Their integrated use in the postpartum period helps restore the functional state of the puerperium and improve their adaptation to the upcoming physical exertion after discharge from the maternity home. The inclusion of the gymnastic exercises in the regime of the day of the parish woman especially strengthens the peripheral blood circulation and gas exchange, improves the general condition of the woman, accelerates the reduction of the uterus, intensifies metabolic processes, raises appetite and improves sleep. The use of static and dynamic breathing exercises leads to the restoration of a full breathing skill in the puerperas of 30-40 years with participation of the diaphragm and the anterior abdominal wall. Diaphragmatic breathing eliminates stagnation in the abdominal cavity, accelerating the venous circulation, increases the flow of venous blood to the heart, and to some extent strengthens the walls of the abdominal cavity. Thus, complex physical rehabilitation has a pronounced toning and healing effect on the organism of the parturient woman of 30-40 years. Its highquality conduction from the first days after birth reduces the recovery period and ensures maximum efficiency of the woman's recovery.
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