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Care of the Postpartum Patient - Phoenix, AZ - March 23-24, 2019 (SOLD OUT)

Phoenix
  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

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.

 

Audience:

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.


Prerequisites: None

 

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.


References

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.

Day One:
7:30 Registration
8:00 Course goals, introductions, pre-test
8:30 Postpartum period
9:15 Labor and Delivery Issues
10:00 BREAK
10:15 Spine and Trunk Common Complaints Lecture
11:00 Spine and Trunk Common Complaints Lab
12:00 LUNCH
1:00 Pelvic Girdle Common Complaints Lecture
1:45 Pelvic Girdle Common Complaints Lab
2:45 BREAK
3:00 Abdomen and Pelvic Floor Lecture
3:45 Abdomen and Pelvic Floor Lab
4:45 BREAK
5:00 Case Study
5:30 Questions, Post-test
6:00 Adjourn

Day Two:
8:00 Questions, pre-test
8:30 Upper Quarter Common Complaints
9:15 Upper Quarter Common Complaints Lab
10:15 Break
10:30 Lower Quarter Common Complaints
11:15 Lower Quarter Common Complaints Lab
12:15 LUNCH
1:00 Postpartum considerations
1:45 Postpartum fitness programs
2:30 BREAK
2:45 Case Studies
3:30 Questions, post-test

 4:00 Adjourn

 

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.

 NameStreet Address (Links to Map)
Course Location

Spooner Physical Therapy

5040 N 15th Ave
Suite #401
Phoenix, AZ 85015
Recommended Lodging

Hilton Garden Inn Phoenix Midtown
(480)785-8500

4000 N Central Ave
Phoenix, AZ, 85012
Nearest Airport

Phoenix Sky Harbor International Airport
Airport Code: PHX

3400 E Sky Harbor Blvd
Phoenix, AZ 85034

 

Directions from Recommended Lodging to Course Location: Click here if map is not shown below.

 

Darla Cathcart, PT, DPT, WCS, CLT

Darla Cathcart, PT, DPT, WCS, CLT

Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

 

To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".


JTA Survey Credit/Discount

Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.