This placement is mainly outpatient clinics and classes but there is an element of ward work on the birth centre and postnatal ward. It will be possible to gain experience in the assessment and treatment of women of all ages, referred by GPs, midwives and Consultants (Obstetric, Gynaecology and Urology).
The caseload comprises obstetric and gynaecological conditions, some of which are listed below.
Common Conditions
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Pelvic Floor dysfunction –including perineal trauma, urogenital prolapse
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Urogynaecological problems such as urge incontinence, stress urinary incontinence, frequency, nocturia, pre and post-surgical
Knowledge and Skills required
Knowledge required
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The physiological changes that occur throughout pregnancy, common musculoskeletal problems in pregnancy and an overview of labour and delivery.
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Knowledge of the anatomy of the musculoskeletal system – in particular the Lumbar spine and pelvic girdle, and to be able to link this to patients' symptoms and presentations.
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The anatomy of the female reproductive system.
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An understanding of pelvic floor anatomy and function and common dysfunctions
Students will be expected to attend and contribute to bi-monthly in-service training. This may take the form of presentation, case review or journal article critical appraisal.
Skills required
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Be able to undertake subjective and physical examination, demonstrating the application of appropriate communication skills and using appropriate manual assessment techniques.
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Identify appropriate diagnosis, problems, treatment goals and outcome measures to support the implementation of suitable treatment plans and progressions
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Liaise with and refer to other team members and a knowledge of own limitations
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Demonstrate the safe and effective application of appropriate treatment techniques, which may include:
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Exercise therapy – individual and group
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Manual therapy skills
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Posture re-education
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Group education skills
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Patient education and advice
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Hydrotherapy
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Learning Outcomes
On completing this module you should be able to:
Justify appropriate assessment procedures with reference to evidence-based knowledge of anatomy and physiology in relation to dysfunction of the musculoskeletal system in pregnancy and dysfunction of the pelvic floor.
Understand the role of the MDT
Be able to plan, carry out, modify, progress and evaluate the therapeutic management of patients, both obstetric and gynaecological.
Able to write concise and accurate records
Manage time and caseload effectively, showing appropriate prioritisation skills
Plan and execute interventions in groups (both educational and exercise-based)
Communicate effectively and appropriately, both verbally and in writing, with patients, carers and other professionals
Learning Opportunities
Experience may also be gained in other aspects of the service:
Gynaecology Education
Postnatal and Perineal Trauma classes
Core Exercise Classes
Pregnancy-related Pelvic Girdle Pain
Hydrotherapy for Ante- and Postnatal Pelvic Girdle and Back Pain
There may also be the opportunity to shadow midwives on the ward and attend normal/caesarean births, watch gynaecological surgery or get involved with virtual appointments/classes.
Day 1
Please contact your clinical educator by telephone at least two weeks prior to commencement of the placement in order to discuss specific details.
Day 1 will consist of an induction and initial introduction to team/ speciality and unit.
Uniform requirements: Full uniform is worn (polo shirt if preferred) and university ID Badge required to be displayed at all times. Tracksuit bottoms/shorts may only be worn if you are taking/participating in gym classes/exercise groups. You will need to bring swimming costume / trunks to participate in hydrotherapy.
Student Hours:
Monday – Thurs: 8.30am – 4.30pm*
Friday: 8.30am – 4.00pm
Please note these hours may vary in accordance with your clinical educator’s working hours. We work:
Monday 8am-5.30pm
Tuesday 8am-4.30pm
Wednesday 8am-6pm
Thursday 8am-4.15pm*
Friday 8.30am-4.00.
