The REAL Postpartum Checkup

six week follow-up visits

In the journey of postpartum recovery, the 6-week standard follow-up visit with the OB plays a vital role.

It marks a crucial milestone in healing after childbirth and obtaining the much-anticipated clearance to resume normal activities.

However, it's essential to recognize the significance of discussing any concerns or issues with your medical provider during this visit.

Let's delve into the reasons why this visit is so important and how postpartum pelvic floor physical therapy can greatly enhance your recovery.

The All Clear and Valid Concerns

Receiving the "all clear" from your healthcare provider might feel overwhelming, particularly if you had a high level of function before childbirth.

Various scenarios can arise, such as the fear of pain during sexual intercourse after experiencing a perineal tear or experiencing pelvic pressure and heaviness while walking for extended periods.

Perhaps you're dealing with urinary leakage when laughing or coughing, making you hesitant to engage in activities like jumping or running.

These concerns are entirely valid and deserve attention.

This is where postpartum pelvic floor physical therapy steps in to provide a comprehensive assessment and address your specific needs.

The Role of Postpartum Pelvic Floor PT Assessment

A postpartum pelvic floor physical therapy appointment is a crucial component of comprehensive care for birthing mothers.

As experts in musculoskeletal health and movement, pelvic floor physical therapists possess the knowledge to guide you safely through the recovery process.

During the assessment, your therapist will evaluate your birth story, checking for any trauma or interventions.

They will inquire about your bowel movements, bladder function, pelvic pressure, sleep quality, nursing, and exercise routine.

Additionally, your emotional well-being will be considered, ensuring a holistic approach to your recovery.

Components of a Postpartum Pelvic Floor PT Appointment

A typical postpartum pelvic floor physical therapy appointment consists of various elements tailored to your needs.

Firstly, your therapist will focus on understanding your birth story, followed by an evaluation of your recovery progress.

This includes assessing your movement patterns, such as spinal range of motion, breathing mechanics, core bracing, diastasis recti, and, if you consent, an internal pelvic assessment.

Manual treatment and gentle care will be provided throughout the session.

Education is a key aspect of postpartum pelvic floor physical therapy.

Your therapist will provide valuable insights into managing intra-abdominal pressure, developing healthy bowel and bladder habits, and reducing strain on the pelvic floor and core during the healing process.

Sleep, nutrition, and nursing will also be considered when determining your readiness for activity or the need for additional rest.

Lastly, your therapist will create a personalized home exercise program to strengthen and improve mobility during your postpartum journey.

Understanding Healing Progress

It's important to recognize that initial tissue healing after childbirth typically takes between 6 to 12 weeks.

Research suggests that women should wait 3 to 6 months postpartum before resuming activities like running.

A specific assessment tool will determine your readiness for running and identify areas that require further attention.

It's crucial to be patient with yourself and understand that recovery takes time.

If you experience any abnormal symptoms, such as leakage, pelvic pressure, or pain during activities, it's important to stop and seek assessment from a pelvic floor physical therapist.

Woman standing in the sun at the beach

One checkup can’t replace pelvic floor therapy

The 6-week postpartum follow-up visit with your OB holds immense significance in your recovery journey.

However, it's vital to recognize the additional support and care that postpartum pelvic floor physical therapy can provide.

By addressing your specific concerns, optimizing healing, and promoting safe and gradual return to activities, pelvic floor physical therapy plays a pivotal role in your overall well-being.

Let's strive to normalize comprehensive postpartum care and empower all birthing mothers to achieve optimal recovery.

Felice Gebhardt, PT, DPT

Dr. Felice is a passionate about treating patients with pelvic floor dysfunction with a desire to debunk fear, encourage movement and help patients regain joy through return to activity.

Previous
Previous

Navigating Gynecologic Cancer: Understanding its Impact on the Pelvic Floor

Next
Next

Lightning Crotch During Pregnancy: Understanding and Managing Symphysis Pubis Dysfunction