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|Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15
The woman who has just given birth is not only learning to adapt to motherhood, but her physiology is constantly adapting to the changes within the postnatal period. Her uterus will go through involution, or a return towards prenatal size, fluid volumes in her body will drastically reduce, affecting her cardiovascular responses, and the remarkable machinery involved in her endocrine system will again shift in response to varying hormonal needs. In this 2-day continuing education course the participant will learn about a variety of important challenges faced by the postpartum woman that are due, in part, to such physiological changes.
Although the postpartum period may be defined as the time immediately following the birth of a child until 6 weeks later, many patients present to the clinic years or even decades later who have issues that stemmed from the peripartum period. Physical changes including postural dysfunction, pelvic girdle dysfunction, diastasis recti abdominis, and foot size changes, if left unaddressed, can lead to persisting muscle imbalances and musculoskeletal dysfunction. For example, headaches can be mechanical in nature, resulting from retained postural habits gained in late pregnancy. Breathing patterns are altered from trunk, rib, and respiratory diaphragm alterations, and unless these patterns are identified and re-trained, breathing patterns remain suboptimal. Length and activation changes in the abdomen caused by a separation of the rectus abdominis are believed to alter trunk and pelvic muscle stability, potentially setting up a woman for lumbopelvic dysfunction in the postpartum period.
Research tells us that pelvic girdle pain (PGP) in pregnancy may be as high as 50% (Gutke, Ostgaard, & Oberg, 2006), and that 1 in 4 women who develop PGP in pregnancy develop chronic postpartum pain (Ostgaard, Anderson, & Karlson, 1991). Care of the Postpartum Patient emphasizes the evaluation and intervention strategies needed to alleviate lumopelvic pain so that more patients may have the opportunity to avoid chronic postpartum pain. In addition to addressing these common musculoskeletal conditions in this continuing education course, breast health, breastfeeding, scar massage, episiotomies, postpartum fitness, and pelvic floor dysfunctions (incontinence, pelvic pain, bowel dysfunction) are covered.
The postpartum period is also an important time in which the rehabilitation provider must be aware of serious medical issues that may arise. Such medical issues can include gestational hypothyroidism, development of diabetes mellitus following gestational diabetes, postpartum hemorrhage, and postpartum psychosis. Medical screening for these and other conditions are discussed in this second of the Peripartum Series of continuing education courses.
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155.
Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Upon completion of this continuing education seminar, participants will be able to:
1. Define common terminology of the labor and delivery and the postpartum period.
2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state.
3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period.
4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags.
5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction.
6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery.
7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period.
8. Instruct the postpartum patient in safe return to fitness activities.
9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery.
10. Complete medical screening for conditions in postpartum that require referral.
We always want to hear from those interested in hosting our courses. We work with healthcare organizations of all types, sizes, and locations. Please, Contact us about Hosting Care of the Postpartum Patient or any other course!
This was my first Herman and Wallace course and I have learned so much in the past two days. I am new to most of the material and I feel that I am learning with a greater understanding and confidence to treat patients when I return to the clinic.
- Jessica Lui, DPT - San Jose, CA
Another extremely informative and interesting class offered by Herman and Wallace and taught by Jenni Gabelsberg! Jenni’s knowledge and delivery of information is phenomenal! I look forward to taking more Herman and Wallace courses taught by Jenni.
- Tierney Loveland-Grace, PT - Stockton, CA
So great having a course that outlines how to comprehensively mange the postpartum patient.
- Karen Hodges, Doctor of Physical Therapy - Alameda, CA
This course exceeded my expectations. This was my first pelvic floor course and after taking this class, I now feel comfortable tying pelvic floor into treatment of patients pre- and postpartum. Holly was a fantastic teacher.
- Sarah Paxson, PT - Bellingham, WA
Excellent course which provided practical information backed up by strong research. Thank you.
- Marlo Tadashore, PT - Ontario, Canada
When I came back from the first day of class my family asked how the course went and they were very surprised to hear me say "Great! I had a really fun time." Not only did I learn a ton about a subject I thought I already knew about but I came away with new treatment techniques I will use for life. Also, I've been to other courses where they really hold back on going outside the realm of the course because they want you to take the next course in the series but Holly did not hold back. She did not treat this as if it were secret information so she could make another dollar but rather couldn't wait to share all she knew and learn from her students as well. Amazing experience!
- Jessica Jenkins, PT, DPT, CLT - Cleveland Heights, OH
Holly is the best - I hope I retain as much as possible. She is a wealth of knowledge.
- Pamela Urquhart, PT - Bedford, OH
It was a wonderful course. Learned a great deal and very applicable in all aspects of clinical practice.
- Kelly Holden, PT - Wadsworth, OH
Michelle is extremely knowlegable about the subject presented. She is professional, but she also made the course fun.
- Jana Osias, PTA - Salt Lake City, UT
The course was great. What I found very helpful was how she presented the material in a very practical, straightforward way that it can be easily applied to daily practice. This was accomplished both in approach to assessing the basics in patients and then how to actually treat the patients. Too many courses today focus too much attention on the exceptions, diagnosing specific "disorders" rather than treating what you see, and tools to evaluate but little if any tools to actually treat.
- Jeanne Fangman, PT - Naperville, IL
really enjoyed the course! Holly was very informative and has a great presentation style. She kept my interest the whole time and I have already been able to apply techniques I learned that weekend. I look forward to more courses offered by Herman & Wallace!
-Kathleen Goldberg - Memphis, TN