Mummy MOT Report

Visit date: 01/11/24 Name: Sarah Jones Duration Postpartum: 20 weeks **Concerns and Goals:** You have expressed concerns about lower back pain and a feeling of weakness in your core since giving birth. You are keen to return to your pre-pregnancy fitness levels and feel more confident in your body. You are experiencing some discomfort during exercise and everyday activities. **Assessment:** **Posture and breathing:** Your posture assessment reveals a slight forward head posture and increased thoracic kyphosis. Your breathing pattern appears to be primarily chest-based, with minimal diaphragmatic engagement. You are advised to focus on deep, diaphragmatic breathing exercises to improve core stability and reduce strain on your upper back. **Abdominal:** Your abdominal assessment reveals a diastasis recti of 2cm at the umbilicus. Your c-section scar appears well-healed, with some mild tissue tightness. You are advised to incorporate gentle abdominal exercises to improve core strength and function, focusing on proper technique to avoid further strain. **Pelvic Floor:** Your pelvic floor muscle examination reveals a moderate level of weakness. You are advised to practice pelvic floor exercises to improve strength and coordination. **Internal exam:** The vulva and external tissue appear normal. There is no pain or discomfort. You have intact ligaments and 360 degree activation of the internal pelvic floor muscles. You are advised to continue with your pelvic floor exercises to improve strength and coordination. **Other:** Musculoskeletal: Your range of motion in your lumbar spine is slightly restricted. There is some tenderness in the lower back muscles. Your gait appears normal. **Other advice/plan:** * Bladder: Continue to practice pelvic floor exercises regularly. * Bowel: Maintain a high-fibre diet and adequate hydration. * Sleep: Ensure you are getting adequate sleep to aid recovery. * Diet: Maintain a balanced diet to support healing and energy levels. * Exercises: Begin a progressive exercise program, including core strengthening and pelvic floor exercises. Follow up in 4 weeks.