Importance of Gynecological Physiotherapy during antenatal and postnatal period: Perception of gynecologists

Abstract

Background: Obstetrics and gynecology physiotherapy is a physical therapy field that focuses on promoting health during childbearing. It involves integrating physical therapy treatments with obstetrics and gynecology to provide optimal healthcare. The role of physiotherapists includes addressing pregnancy, labor, puerperium, preoperative and postoperative phases, and various obstetrics and gynecology problems. However, doctor knowledge and attitudes influence the frequency of use of these services. Objective: This study seeks to investigate the perspectives and understanding of gynaecologists on the involvement of physiotherapy in obstetric and gynaecological treatment, with a specific focus on its advantages, recommended methods, and possible issues. Method: The study utilised a qualitative phenomenological methodology, which involved conducting semi-structured interviews with a total of 10 Gynaecologists from two hospitals in Bangladesh. Participants were chosen via convenience sampling, and the data was analysed using NVivo 12 software. Results: The study uncovered different degrees of understanding and attitudes about physiotherapy during pregnancy and after giving birth. Although many participants recognised the advantages of physical activity, such as enhanced pelvic muscle strength, decreased discomfort, and improved healing, a considerable proportion noted that their patients seldom asked about physiotherapy. The study also revealed a deficiency in standardised exercise programmes and emphasised situations in which exercise should be abstained from. Conclusion: There is a pressing requirement for improved education and standardised protocols for physiotherapy in obstetric care. Enhancing the integration of physiotherapy into prenatal and postnatal treatment has the potential to enhance the health outcomes of both mothers and their babies, highlighting its significance in obstetric healthcare. Keywords: Obstetric physiotherapy, gynecological physiotherapy, pregnancy, postpartum, maternal health, qualitative study, Bangladesh