Postpartum recovery rehabilitation training

Postpartum rehabilitation training that is serious and meets the standards of evidence-based medicine is neither the "IQ tax that cuts off ordinary people's leeks" posted online, nor is it a shortcut to make money by "earning over 10,000 yuan a month on a job in 7 days" promoted by some organizations - it is essentially vocational skills training that connects the clinical needs of obstetrics and the rehabilitation needs of postpartum people. Qualified trainees can not only enter postpartum rehabilitation positions in public medical institutions, but also rely on their true skills to gain a foothold in confinement centers and community rehabilitation stations.

Last week, I took this group of students to the community for a free postpartum assessment. I met a mother who lived nearby. She was just six months after giving birth to her second child. She started leaking urine after taking only two steps with her 20-pound baby. I had previously received a "Pelvis Sculpting" package worth more than RMB 30,000 at a beauty salon near my home. After pressing it for more than ten times, my pubic bone hurt so much that I struggled to even turn over. We evaluated her rectus abdominis and pelvic floor muscles. The rectus abdominis was separated by 3 fingers, and the pubic symphysis was separated by 1.5 centimeters. The previous "restorator" couldn't even understand the basic anatomy. When pressing, she specifically pressed the pubic bone. It's strange that it didn't hurt.

To be honest, the current reputation of the postpartum rehabilitation industry is polarized, which is largely caused by the chaos on the training side. At present, the training on the market is basically divided into two paths. There is no absolute good or bad, and the suitable groups are completely different. The first type is training led by medical schools and public tertiary-level rehabilitation departments. It takes an evidence-based route. It starts with giving you half a month of basic anatomy and obstetrics knowledge. You need to be able to accurately describe the three-layer structure of the pelvic floor muscles and the grading standards for diastasis of the rectus abdominis. You also need to learn how to read pelvic floor electromyography reports and identify abnormal indications that require referral to the obstetrics department. Just the evaluation alone is enough. It takes a week to learn, and you have to practice on a simulator for 100 hours before you can meet real clients. After graduation, you need to take the postpartum rehabilitation practitioner job competency certificate recognized by the National Health Commission. The whole cycle can be as short as 1 month or as long as 3 months. The threshold is not low, and the tuition is expensive. The advantage is that what you learn is compliant, you can enter a hospital or a regular rehabilitation clinic, and there is a lot of room for subsequent development. There is also a type of crash course run by many chain postpartum rehabilitation institutions. The main focus is "7-day teaching, guaranteed employment," and almost no theory is taught. You just memorize sales techniques and practice a few fixed techniques. After graduation, you will be issued a "senior rehabilitation practitioner" certificate printed by the institution itself. After completing the course, you will be directly sent to a cooperative confinement center or beauty salon to work. The advantages The threshold is low and you can get started quickly. If you just want to make quick money, you can get into the industry quickly, but the shortcomings are also obvious: there is no theoretical support, and special situations (such as a mother with cesarean scar adhesions and pelvic organ prolapse) cannot be recognized at all. It is easy to be like the beauty salon prosthetist mentioned above, and improper operation will cause damage to the customer.

I have been doing postpartum rehabilitation myself for almost 10 years, and I have been conducting training for 5 years. I often meet people who come for consultation and ask if there is a crash course. There used to be a student who was a fitness instructor and had very strong hands. The first time he used it to repair the rectus abdominis, he had a large bruise on his belly the next day and came to complain to me. I later led him to practice force exertion for almost half a month, and told him that when doing rectus abdominis repair, you must first find out where the client is separated and whether there are scars or adhesions. To exert force, use the tenacity of your fingertips to bring it to the middle, rather than relying on the weight of the upper body to press down. During the process, you must also look at the client's expression at all times. Whenever someone frowns, you must immediately ask if the intensity is appropriate. How can these details be learned in 7 days?

Many people think that postpartum rehabilitation practitioner training is about learning techniques, but this is not the case. One-third of our current training is about communication and professionalism. If you meet a mother who is crying with anxiety after giving birth, she will say, "My stomach is flabby and my butt is collapsed, and my husband thinks I'm ugly." You can't follow her words and sell "Just do a 10-time rectus abdominis package." You have to tell her first that it is normal for the rectus abdominis to be separated within 2 fingers and the pelvis to be slightly expanded within six months after giving birth. Physiological changes, if you are tired from raising a baby, take calcium supplements and rest more, and you will recover slowly. Only problems such as separation of more than 2 fingers, or urinary leakage or falling sensation require intervention. You cannot exaggerate the problem to create anxiety just to make some money - to put it bluntly, those repair technicians who come out of the crash course will not work for a long time. Most of them are not because of poor skills, but because they are too impatient and want to quickly open orders to earn commissions, regardless of the real needs of customers.

Last month, a former student sent me a message saying that after graduation, she opened a small rehabilitation studio in her hometown community. The fees were half the price of beauty salons outside. They relied on referrals from old customers. Last time, the mother who leaked urine did 8 times of pelvic floor rehabilitation and home training. Now she can carry her baby up to the fifth floor without any problem. I gave her a basket of home-grown strawberries. You see, this is the meaning of serious training: it is not to teach you how to make quick money, but to teach you how to rely on your true skills and really help people.