Postpartum Patient: General Examination

presented by Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

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Disclosure Statement:

Financial: Rachel Kilgore is an employee of Herman & Wallace Pelvic Rehabilitation Institute and a MedBridge consultant.

Nonfinancial: Rachel Kilgore has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Additional Disclosure: A special thanks to Darla Cathcart, director of peripartum series curricula for Herman & Wallace, for her assistance in the development of this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 66 Minutes; Learning Assessment: 45 Minutes

There is a lack of clear, evidence-based guidelines on musculoskeletal examination for the postpartum patient. This course is appropriate for rehabilitation professionals and will benefit clinicians who are interested in examination of the postpartum population. This course will help the participant become familiar with systemic physiological changes unique to the postpartum patient. We will review the stages of labor and birth for vaginal birth as well as provide a general review of cesarean birth. Clinicians will learn to identify postpartum danger signs and red-flag conditions requiring immediate medical referral. General examination considerations, such as screening, history taking, positioning, and movement, will be discussed.

Meet Your Instructor

Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

Rachel's primary specialty is pelvic rehabilitation. This includes incontinence, prolapse, constipation, pelvic pain, and peripartum issues such as cesarean birth or diastasis rectus abdominis. She enjoys treating general orthopedics, with interest in the back, neck, knee, and shoulders. Additionally, playing collegiate soccer inspired her desire to focus on sports rehabilitation. Currently, she unites these specialties…

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1. Overview of Systemic Changes in the Postpartum Patient

This chapter defines the postpartum period and reviews physiological changes from pregnancy as well as what changes persist systemically and occur in the postpartum period. To treat this population effectively, it is important to understand the physiological journey postpartum patients undergo.

2. Overview of Labor and Birth

This chapter provides an overview of the stages of labor and vaginal birth as well as a review of cesarean birth. Understanding what is commonly involved in both vaginal and cesarean birth and acute postpartum recovery can help healthcare providers better care for this population.

3. Red Flags and Medical Screening

In this chapter, learn about common red-flag conditions in the postpartum period that would warrant further medical assessment and emergent care, as well as how to screen for postpartum danger signs. This is important for rehabilitation professionals as we typically have more frequent contact with patients and can catch issues early.

4. General Examination and Positional Considerations

This chapter discusses history taking and intake screening for postpartum patients. Also discussed are positional and movement considerations for examination. These are important for effective examination of the postpartum patient.

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