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178 A ied Heal Services 2020 | NMH Annual Rep t Physiotherapy in Obstetrics Obstetric Assessment and Treatment: We offer outpatient physiotherapy to all of our obstetric patients as well as providing an inpatient physiotherapy service. We treat a range of musculoskeletal and pelvic floor conditions across the childbearing year. MN-CMS Consult Reason Obstetric New Patients (n=2633) % breakdown Pelvic Girdle Pain 1146 43% Other 569 22% Urinary Incontinence 245 9% DRAM 191 7% Coccyx pain 107 4% OASIS 105 4% Carpal tunnel syndrome 95 4% Respiratory 13 1% Pelvic floor pain/ dyspareunia 55 2% Urinary Urgency 26 1% Pelvic Organ Prolapse 28 1% Faecal Incontinence 16 1% C-section complications 7 .5% Thoracic/rib pain 13 1% Faecal Urgency 6 .5% Urinary Retention 11 1% Physiotherapy in Neonates 2020 allowed the newly appointed Clinical Specialist, Joanne Egan, spend more time working within the NICU as we recruited a Senior Neonatal Physiotherapist, Eithne Lennon, to assist with the neonatal outpatient caseload. Physiotherapy in Gynaecology We run an outpatient gynaecology physiotherapy clinic treating patients with pelvic floor dysfunction. In 2020 we continued to have a 2 day out posting of staff to the Pelvic Floor Centre in St Michaels Hospital. New Gynae Patients (n=278) % breakdown Bladder & Bowel Dysfunction 101 36% Prolapse 27 10% Routine Post Op Advice 24 9% Pelvic Pain/ Dyspareunia 17 7% Mobility Assessment 4 1% Respiratory Assessment 4 1% Pelvic Floor Centre 101 36% New Neona- tal Patients (n=459) % breakdown Neurodevelopmental 302 65% Talipes 79 18% Upper Limb Assessment 18 3% Upper limb fractures 5 2% Developmental Dysplasia of Hip – requiring Pavlik harness 21 5% Head & neck Assessment 34 7% Pelvic Floor Centre 101 36% The above table shows the bulk of our obstetric patients are referred with back and or pelvic pain. In order to facilitate reaching these patients in as timely a way as possible, we ran 'Back & Pelvic Care' classes every Tuesday evening at 5pm and switched to offer a weekly webinar for this service.

