Initiating Occupational and Physical Therapy in the Hospital After Birth: Access, Reimbursement, and Outcomes

Abstract

Acute care therapists routinely screen body systems, activity tolerance, safe mobility, activities of daily living/instrumental activities of daily living performance, cognition, caregiver support, home environment, and risk factors for hospital readmission. Despite most elective procedures, such as joint replacement and spine surgery, which receive automatic orders for acute care therapy, individuals who elect to give birth in a hospital are typically not offered rehabilitation services to optimize their recovery. Across hospitals in the United States, individuals receiving obstetric care have limited access to acute care therapy despite increasing postpartum readmission rates, severe maternal morbidity, and disproportionate levels of maternal mortality. Cardiovascular conditions, infection, and hemorrhage remain the leading causes of death in the obstetric population during the first 6 weeks postpartum. However, individuals are frequently discharged from the hospital after birth without a formal assessment by an acute care occupational or physical therapist. Extensive education to maternal care providers

Edukasi Melalui Media Massa Radio Republik Indonesia ‘Do And Don’t Before And After Caesarean Birth’

“…Nyeri yang dirasakan ibu pasca persalinan SC terutama di area perut, area insisi, dan punggung belakang. Intoleransi aktivitas yang dikeluhkan ibu pasca SC termasuk bangun dari tempat tidur dan berjalan, membungkuk, mengangkat, menggendong bayi baru lahir, dan tidak bisa mandi 19,20 . Peran perawat selama periode postpartum ibu paska operasi SC dalam memberikan perawatan komprehensif salah satunya mentransmisikan informasi dan mendukung perubahan peran dan adaptasi fisiologis ibu, mengajarkan upaya untuk menurunkan nyeri seperti menggunakan produk alami, aromaterapi, teknik napas dalam, yoga, taici, meditasi, pijat, diet khusus, relaksasi progresif, dan guided imagery 21 .…”