Home' Splash Magazine : SPLASH Aug-Sept 2015 Contents NEW features make
the very good just
Mobile pool serrvice technicians can now worrk
ettter with the NEEW features o
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Not only do you get your poolside water testing done
quickly and accurately, you now get your test results
into a cloud-based platform. This means that the
test results not only get into a central database, but
you are also now able to get your work orders from
the pool shop.
And, now with Apple connectivity, you can easily
work on a smartphone or tablet of your choice---
Android or Apple iOS.
Remember, you get to test nine different parameters
of pool water quality in just 60 seconds. All done,
without the hassle of crushing tables, washing test
tubes, or other boring chores. A small pool sample
is all you need. The laboratory-grade photometer
does the rest.
The upgraded DataMate Web is the new cloud-based
system that does all the work. A unified platform
means that the shop gets all your info and keeps a
history of each swimming pool you service.
l Apple connectvity
l Cloud-based sofware
l Job Scheduling
Every year, approximately one of every four pregnant women will
be prescribed bed rest or activity restriction for pregnancy complica-
tions (Maloni, 2010). Bed rest is also prescribed in the treatment of
other pregnancy-related conditions that include decreased amniotic
uid (oligohydramnios), threatened miscarriage, cervical incompe-
tence, multiple gestations, and hypertension (Bigelow & Stone, 2011).
Hospitalised bed rest allows for intensive monitoring when there is a
threat to maternal or foetal health (Kemp&Hatmaker, 1989).
e intent of bed rest is to prevent further complications for the
mother and the unborn baby; however, there is evidence that bed
rest can have adverse e ects including fatigue, muscle weakness,
joint pain, cardiovascular deconditioning, and prolonged postpartum
recovery (Maloni & Park, 2005; Maloni et al., 2005).
is research suggests one way to overcome some of those down-
sides could be participation in an aquatic exercise program.
Implications for occupational therapy
e American College of Obstetricians and Gynaecologists (ACOG)
provides guidelines for aerobic exercise during pregnancy and the
postpartum period (ACOG, 2002); however, there are no recognised
clinical practice guidelines for aquatic exercise programs for high-
risk pregnant women. e results of this study provide support for
occupational therapists to develop AEPs as part of inter-professional
treatment plans for women with high risk pregnancies.
e experiences from this hospital-based AEP program provide
some insight for AEP program development. e program's success
was dependent upon an inter-professional team approach. Col-
laboration among occupational therapists, maternal foetal medi-
cine (MFM) physicians, and antepartum oor nurses resulted in
increased patient participation and safety.
e MFM referred patients to occupational therapy for the AEP
and consulted on exercise modi cations as needed. Oftentimes,
it was the nursing sta 's positive comments to patients about
the AEP that in uenced the patient's decision to attend the rst
session. Environmental considerations included an accessible pool,
transportation, water temperature, and space for changing in and
out of swimwear.
e occupational therapist varied the type and intensity of exercise
for each individual AEP participant. A notable observation was that
the AEP provided an environment conducive for discussions related
to the responsibilities of motherhood as well as the emotional stress
associated with hospitalised bed rest.
Occupational therapists can provide aquatic interventions for
pregnant women to lessen the negative e ects of bed rest. e holis-
tic nature of occupational therapy interventions can bene t pregnant
women on bed rest by addressing:
• Debilitating physiological e ects (e.g., cardiovascular decondition-
ing, joint pain, muscle weakness)
• Psychosocial challenges encountered (e.g., diminished activities
• Enablement of support strategies (e.g., sleep, relaxation, socialisa-
tion, resource identi cation).
Further implications for occupational therapy AEPs may extend to
include women with low risk pregnancies. Screening and referring to
aquatic exercise programs during pregnancy may decrease physical
discomfort, improve mobility, body image, and health promoting be-
haviours in non-exercising pregnant women (Smith & Michel, 2006).
Occupational therapists can play a role in the promotion of preg-
nant women's health by providing skilled services to carefully monitor
the intensity and types of exercises as well as the associated risks.
Physiological E ects of Aquatic Exercise in Pregnant Women
on Bed Rest. Dawndra M. Sechrist, Cynthia Gorter Tiongco,
Sandra M. Whisner, & Matthew D. Geddie. Texas Tech
University Health Sciences Center, Lubbock, Texas, USA.
August/September 2015 SPLASH! 33
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