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M. PT in Women’s Health

Paper V: Elective – Obstetric and Gynecological Conditions – Basics, Assessment and Evaluation

On completion of the subject, student will have had the opportunity to develop the following generic skills-
  • An advance understanding of the changing knowledge base in this clinical area
  • An ability to evaluate and synthesis of research and professional literature in this area.
  • An understanding of the significance and value of their knowledge to the wider community.
  • An appreciation of team approach to learning.
  • Plan, deliver and evaluate appropriate exercise programs for specific women’s groups of the community.
  • Understand the impact of exercise on the altered physiology, patho physiology and psychology of pregnancy, menopause, aging, & osteopenia/ osteoporosis.
  • Identify the legal and safety issue associated with leading exercise classes for women with specific physical need.
  • Understand the motivational and marking aspect of leading community and hospital based exercise classes.

Section-I: Obstetrics and Gynecological Conditions – Basics

Anatomy and Physiology
  • Developmental anatomy: Embryology & fetal development.
  • General female anatomy & Physiology:
    • Reproductive system
    • Female breast.
    • Female abdomen.
    • Female bony pelvic
  • Biomechanics of the female pelvic:
    • Reproductive tract.
    • Abdominal muscle.
  • Endocrine physiology related different phase of women’s life.
  • Puberty and menarche
  • Physiology of Menstrual cycle
  • Review of pelvic anatomy

Section-II: Obstetrics and Gynecological Conditions – Assessment and Evaluation

  • Physiotherapy assessment in obstetrics:
    • Antenatal assessment.
    • Assessment during labour.
    • Postnatal assessment.
  • Assessment includes:
    • Common musculoskeletal problem.
    • Diastasis recti.
    • Pelvic floor muscle function.
    • Bowel & bladder dysfunction.
  • Physiotherapy assessment in gynecology:
    • Physiotherapy Assessment of different gynecological condition.
    • Pre & Post operative assessment of gynecological surgery.
    • Physiotherapy assessment of Bladder and Bowel Dysfunction.
  • Assessment includes:
    • Pelvic floor muscle assessment.
    • Assessment of pain.
    • Diagnostic tools used in gynecological assessment.
    • Examination of breast.

Paper VI: Elective – Physiotherapeutic Interventions in Clinical Obstetrics and Gynecological

Section-I: Clinical Obstetrics and Gynecological Conditions

  • Pregnancy detection methods and diagnostic test.
  • Physiological changes during pregnancy.
  • Common complications & discomforts during pregnancy: High risk pregnancy.
  • Common syndrome during pregnancy.
  • Psychological and emotional aspects of pregnancy
  • Stages of Labour & its mechanism.
  • Complication during labour.
  • Assisted delivery :
  • Episiotomy
  • Forceps delivery.
  • Caesarian section.
  • Postnatal phase Puerperium & its physiological changes. Common problem & complications.
  • Different methods of Contraception.

  • Menstrual disorder
  • Puberty & common syndrome during this phase.
  • Polycystic ovarian syndrome
  • Gynecological infections.
  • Displacement, Prolapse and pelvic floor dysfunction: surgical repair for it.
  • Cysts & new growth.
  • Cancer of the reproductive system, Breast cancer: Surgical procedures for it.
  • Infertility.
  • Menopause: Physiological changes and its consequences.
  • Gynecological surgeries including exisitional and repair surgeries.

Section-II: Physiotherapy Interventions in Obstetrics and Gynecological condition

  • Antenatal exercise in pregnancy.
  • Concept, principles and organization of antenatal exercises.
  • PT management of common syndrome of pregnancy.
  • Role of PT in antenatal complication.
  • Ergonomics during childbearing phase.
  • Role of physiotherapy in high risk pregnancy.
  • Role of physiotherapy during Labor and its management.
  • PT management of immediate and late postnatal complications.
  • Concepts, principles and organization of postnatal classes.
  • Exercise for an adolescent female.
  • Principles and techniques of application of pelvic floor exercises.
  • Use of electrotherapy modalities in training Pelvic floor muscles. a. Therapeutic electrical stimulation. & Biofeedback.
  • Physiotherapy management in Pelvic floor dysfunction.
  • Prevention and Physiotherapy intervention in Osteoporoses.
  • Breast cancer rehabilitation.
  • Physiotherapy management of Lymphedema after mastectomy.
  • Physiotherapy intervention before and after gynecological surgeries.
Recommended Books:
  • Physiotherapy in Obstetrics & Gynaecology – Polden & Mantle, Jaypee Brothers.
  • Obstetrics & Gynaecologic Physical Therapy – Wilder Elaine, Churchill Livingstone.
  • Therapeutic Management of Incontinence and Pelvic Pain by J. Laycock and J. Haslam (Jun 20, 2002)
  • Physiotherapy of the cancer patient – McGaryex, Churchill Livingstone.
  • Women’s Health in Physical Therapy by Jean M. Irion and Glenn L. Irion (May 27, 2009)
  • Women’s Health: A Textbook for Physiotherapists by Ruth Sapsford, Joanne Bullock-Saxton and Sue Markwell Bphty (Dec 1, 1997)
  • Obstetric and Gynecologic Care in Physical Therapy by Linda J. O’Connor and Rebecca J. Gourley (Jul 1990)
  • Evidence-Based Physical Therapy for the Pelvic Floor: Bridging Science and Clinical Practice by Kari Bo, Bary Berghmans, Siv Morkved and Marijke Van Kampen (Jul 27, 2007)
  • Obstetric and Gynaecologic Physical Therapy by E. Wilder (Oct 1988)
  • Female Genital Prolapse and Urinary Incontinence (Vol 4) by Victor Gomel and Bruno van Herendael (Nov 19, 2007)
  • Physiotherapy in Obstetrics and Gynaecology by Jill Mantle, Jeanette Haslam and Sue Barton (May 3, 2004)
  • Obstetric and Gynecologic Care in Physical Therapy, 2E by Rebecca G. Stephenson and Linda J. O’Connor (Jan 1, 2000)
  • Physiotherapy in Pregnancy: Antenatal, Postnatal and Baby Care by Balaji Hiranandani (Dec 1, 2007)
For more details about SPB Physiotherapy College & our various services feel free to call us directly

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South Gujarat Medical Education & Research Center
SPB (BPT & MPT) Physiotherapy College,
Ugat-Bhesan Road, Mora Bhagal,
Rander Road,

Email: [email protected]
Phone: +91 95373 69696