Ante/Post Natal Care

Role of physiotherapy

Physiotherapists are essential members of the healthcare team for the post-partum woman. They facilitate recovery from:

• lactation disorders such as mastitis
• pelvic ring dysfunction
• spinal pain and musculoskeletal problems such as abdominal diastasis, pubic symphysis separation and carpal tunnel
• perineal tissue trauma and haemorrhoids
• pelvic organ and pelvic floor dysfunction
• bladder or bowel dysfunction

Benefits of physiotherapy

Prevention of pelvic floor problems

Treatment may range from advice on urination and defecation techniques, to RICE (rest, ice, compression, elevation) techniques and ultrasound. Pelvic floor rehabilitation is an important aspect of care and physiotherapists can provide an individual program for women with pelvic floor weakness, incontinence and/or constipation.

Prevention of back pain and return to fitness

Physiotherapists run postnatal classes providing women with information on backcare and safe lifting techniques, the need for rest, suitable exercise and other coping strategies. The physiotherapist will assist in developing appropriate strategies for managing young children, caring for the new baby and other activities. Women are individually assessed for diastasis recti and taught appropriate exercises for this condition.

Many women are surprised to find some of the aches and pains of pregnancy are still present following the birth of their baby. Individual consultation with a physiotherapist is important in the management of pubic symphysis or sacro-iliac dysfunction and lumbar, thoracic and cervical joint problems.

Management of breastfeeding problems

Some physiotherapists also work in conjunction with lactation consultants in the treatment of breastfeeding disorders using ultrasound for engorgement or mastitis and educating women about posture and relaxation which can reduce the need for antibiotics. Following discharge from hospital the physiotherapist can provide ongoing treatment. Some physiotherapists conduct exercise classes specially designed for new mothers to help them to return to optimal fitness levels.

Finding a physiotherapist

Physiotherapists who are members of the APA Private Practitioners Group have their special interests and contact details listed in the PPG Directory of Members. Physiotherapists in private practice are also listed in the Yellow Pages.

Contact the Australian Physiotherapy Association in your state or territory for the names of physiotherapists practising in your area or working in public hospitals and community health centres who have a special interest in postnatal care