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Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
Pregnancy itself is a factor of hypercoagulability (pregnancy-induced hypercoagulability), as a physiologically adaptive mechanism to prevent post partum bleeding. [41] However, when combined with an additional underlying hypercoagulable states, the risk of thrombosis or embolism may become substantial.
Prenatal care, also known as antenatal care, is a type of preventive healthcare.It is provided in the form of medical checkups, consisting of recommendations on managing a healthy lifestyle and the provision of medical information such as maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins, which prevents potential health problems ...
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[2] [3] Education level can also influence the utilization and accessibility of prenatal care. Nearly one-fifth of women in the United States do not access prenatal care during the first trimester of pregnancy. [4] The prenatal health care system, along with personal attitudes all contribute to the utilization and accessibility of prenatal care.
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