Postpartum recovery training

There is no standardized recovery template suitable for all mothers. The core of truly reliable training is always "personalized assessment ability + evidence-based operational skills + risk avoidance awareness." Anyone who comes to teach fixed movements, set fixed courses of treatment, or even puts selling products first in teaching is just cutting leeks.

I have been in the postpartum rehabilitation department of a public maternal and child health hospital for 7 years. When I first transferred to a training position two years ago, I encountered too many trainees who made mistakes. What impressed me the most was a 22-year-old girl who spent 12,800 to enroll in a "gold medal obstetrics and health practitioner crash course" from an internet celebrity institution. She graduated in 7 days and got a certificate that even the Ministry of Human Resources and Social Security could not find. She went back to repair the rectus abdominis for a client. After pressing it three times, the client immediately went to the hospital with abdominal pain. It was found that it was mild uterine prolapse caused by increased abdominal pressure. When she came to me crying, she didn't even know the basic common sense that "you should not blindly do actions to increase abdominal pressure in the first 6 months after giving birth." Don't think I'm being alarmist. Last year, our department received at least 10 patients who came for reexamination because they failed to do well in obstetric care outside. Most of them were half-baked practitioners who had learned this kind of crash training.

Postpartum recovery training on the market now generally takes three paths, each with its own pros and cons, and there is no absolute right or wrong. The training provided by teachers from the hospital system is basically evidence-based. All interventions must be based on clinical indicators: what is the training intensity corresponding to the EMG score of the pelvic floor muscles, what movements can be performed with a few fingers when the rectus abdominis is separated, and when the pubic symphysis is separated by a certain amount, you must first be transferred to an orthopedic department. The advantage is safety and there are almost no medical accidents. The disadvantages are also obvious and too rigid. I once met a mother whose pelvic floor muscle electromyography score was only 50 in the retest 42 days after giving birth. According to the standard, she had to undergo 12 electrical stimulations. However, she did not feel any leakage or falling. She usually had to hold the baby, so she could not find time to do it. Later, she practiced glute bridge with a sports rehabilitation teacher for a month, and the retest score directly reached 85 points. Which one do you think is right? There is no way to say that the evidence-based school seeks to be error-free, while the exercise rehabilitation school seeks to adapt to the actual situation of the user.

There is also a type of training in the direction of traditional health care, many of which are given by teachers with a background in traditional Chinese medicine. They will teach bone setting, organ massage, and Qi and blood regulation during the confinement period. Many mothers have backaches and pelvic distortions after giving birth. Finding a reliable manual reset master to apply two or three times can relieve a lot of the pain. After the training, if you open a community studio, the price per customer can be one or two times higher than that of an ordinary health care store, but it is also the most controversial. Especially in the past few years, the "bare-hand shrinking" and "crotch tightening 3 centimeters at a time" that have been very popular are mostly gimmicks made by half-hearted people who have never learned anatomy. I once treated a mother who had pelvic repair in the studio. The master massaged her pelvic cavity until it was congested and the pain lasted half a month. Do you think this genre is bad? No, I used to learn postpartum bone setting from the old director of the Provincial Traditional Chinese Medicine. They can tell by touching whether your pubic bone is dislocated on the left or the right. After the reset, walking will no longer hurt. The key point is whether the person who teaches has real knowledge and whether the person who is learning has learned it properly.

Many people ask me how to choose a reliable postpartum recovery training. I never recommend specific institutions. I only teach a judgment method: you go to the first class and the teacher comes up and tells you "How much can this project cost and how to upgrade the single package to customers"?

When I do training now, I never teach techniques in the first class. I take the students to the obstetrics clinic for half a day and let them talk to the mothers who have just given birth. Some are undergoing antegrade cesarean section, some are having their second child, some want to lose weight immediately after giving birth, and some just want to solve the problem of urinary leakage first. When you meet more people, you will naturally stop believing in the nonsense of "a quick fix in 7 days and a one-size-fits-all method."

To be honest, postpartum recovery is not essentially about "repairing damage", but more about helping mothers rediscover their connection with their own bodies. Good training teaches how to help them, not how to trick them. After all, you are facing a mother who has just experienced a life-or-death situation. A little more awe is more useful than any number of techniques you learn.