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Care of the Pregnant Patient - Milwaukee, WI - September 14-15, 2019 (SOLD OUT)

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  • Discounts

Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15

Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)

This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.

Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.

Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.

With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.




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.


Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086.
Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc.
Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41.
Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.

Day One:
7:30 Registration
8:00 Course goals, introductions, pre-test
8:30 Hormonal influences and musculoskeletal changes
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 Exercise in Pregnancy
9:15 High-risk Pregnancy
9:45 Break
10:00 Preparing for Birth
10:30 Marketing, Billing, Resources
11:00 Upper Quarter Common Complaints Lecture
11:45 Lunch
12:30 Upper Quarter Common Complaints Lab
1:30 Break
1:45 Lower Quarter Common Complaints Lecture
2:30 Lower Quarter Common Complaints Lab
3:30 Questions, Post-test
4:00 Adjourn

Upon completion of this continuing education seminar, participants will be able to:
1. Understand common definitions and medical testing used in obstetrics.
2. Avoid all contraindications for evaluation and treatment of the pregnant patient.
3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy.
4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy.
5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities.
6. Instruct in safe exercises and activities for the low-risk and high-risk patient.
7. Educate the patient in methods to prepare physically for birth.
8. Complete medical screening for referral for the pregnant patient.
9. Apply and utilize surface EMG with external sensors for pelvic floor muscles.
10. Market a program of physical therapy care for the pregnant patient.

 NameStreet Address (Links to Map)
Course Location

Aurora Medical Center – Kenosha

10400 75th St
Kenosha, WI 53142
Recommended Lodging

Candlewood Suites Kenosha
(262) 842-5000

10200 74th St
Kenosha, WI 53142
Nearest Airport

General Mitchell International Airport
Airport Code: MKE

5300 S Howell Ave
Milwaukee, WI 53207


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Heather S. Rader, PT, DPT, PRPC, BCB-PMD

Heather Rader

Dr. Heather Rader the owner of Rader Pelvic Physical Therapy, a practice devoted to the treatment of pregnancy related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain in men and women. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She has been board certified in the use of Biofeedback for Pelvic Muscle Disorders since 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series and is the author of the Geriatric Pelvic Floor course.

Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

Work Cell: 352-409-7603

Office: 352-585-9135  Fax: 239-275-0277

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Web: www.RaderPelvicPT.com

Facebook: www.facebook.com/TeamPelvicFloor


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".