Indian Journal of Obstetrics and Gynecology

The objective of this short communication was to provide an overview of evidence for Active Straight Leg Raising Test (ASLRT) in Examination of Posterior Pelvic Pain in Pregnancy (PPPP) through a search of PubMed database. There were three studies on measurement properties of ASLRT and they showed acceptable reliability, sensitivity and specificity for clinical use in women with PPPP. One study comparing ASLRT between patients and healthy controls showed altered muscle activation patterns, and another study found correlation between ASLRT scores and serum relaxin levels in women with PPPP. Although the identified studies did not find association between ASLRT and age, parity, duration of the postpartum period, height, or weight, number of previous deliveries, BMI, cause (pregnancy-related or not), the existence of urinary incontinence and/or level of fatigue, future studies exploring the mechanisms and inter=relationships are necessary.

Keywords: Orthopedic gynecology; Gynecological examination; Obstetric pelvic pain; Gestational back pain

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Contraceptive counselling is both art and science. It is still more challenging in women with per-existing medical disorders. Is woman’s hormonal journey controversial or beneficial ? Oestrogen is contraindicated in many medical disorders. Progesterone-only contraceptives and novel delivery systems may change traditional risk and benefit profiles in women with co-morbidities. Primary care physician should strive for overcoming the barriers for contraception which are prevalent in association with co-morbidities.

Keywords: Contraception; Chronic medical disorders; Oestrogen; Progesterone; Counselling.
 

The objective of this review paper was to provide a directional explanation to the debate of whether or not to exercise during pregnancy by examining the evidence from articles in PubMed database. This review article distinguished the evidence of efficacy for aerobic exercises in pregnant women through studies on physiological responses, exercise prescription considerations, maternal and fetal health benefits, and systematic reviews/ meta-analyses. The existing evidence reiterated the safety of aerobic exercises in all three trimesters, and a simple walking exercise program was shown to be beneficial of all health-related outcomes including quality of life in pregnant women.

Keywords: Gynecological rehabilitation; Obstetric rehabilitation; Prenatal exercises; Exercise training.