Physical Therapy May Improve Recovery After Cesarean Section During Hospital Admission

Background: Cesarean section is the most common inpatient surgery in the United States requiring an inpatient stay. It is not common practice to consult acute care physical therapy (PT) for this population despite other procedures regularly receiving therapy intervention prior to discharge. PT in the hospital may improve maternal function and recovery, as well as screen for postpartum complications. Case Description: The patient is a 31-year-old woman postoperative day 1 cesarean delivery. She has incisional pain postpartum, which increases with functional mobility movements that are required when caring for her newborn. Outcomes: Education regarding incision management, breathing techniques, abdominal binder use, and body mechanics reduced reported pain with mobility. Resting and active vitals were used to screen for postpartum complications, and a home exercise program was issued, which focused on diaphragm use, positioning for optimal scar healing, and core activation. Discussion: Acute PT can play an important role in the mother’s care postpartum. Education surrounding energy conservation and activity tolerance, modifying movements and daily activities, and abdominal pressure management may improve a patient’s ability to care for herself as well as her child.