03/06/2026
Cesarean delivery is the most common major surgery in the United States.
Most surgical patients have access to rehabilitation before discharge. Mothers after C-section are rarely offered this type of evaluation.
Dr. Addy Javes, PT, DPT decided to document a typical physical therapy visit during the hospital stay after an open abdominal birth.
In 2025, she published Physical Therapy May Improve Recovery After Cesarean Section During Hospital Admission: A Case Report in the Journal of Acute Care Physical Therapy.
Her case report describes a patient evaluated postoperative day 1 after C-section with incisional pain that increased during the functional movements required to care for her newborn.
Physical therapy addressed:
• breathing techniques
• incision protection and body mechanics
• abdominal binder education
• energy conservation and activity tolerance
• safe mobility for infant care
Resting and active vital signs were also monitored during mobility assessment to screen for postpartum complications.
Pain with mobility improved, and the patient left the hospital with a home program focused on breathing techniques, positioning to support scar healing, and early core muscle recovery.
The paper concludes that acute care physical therapy can improve maternal function and recovery after cesarean delivery.
Addy is the lead Emergency Department and Obstetric Physical Therapist at her hospital and helped implement both ED and OB physical therapy programs.
On March 17, she and Kelsey Mathias, OTR/L, PRPC will be teaching:
We Can’t Wait 6 Weeks: Early Rehab After 3rd & 4th Degree Tears
Their training focuses on how rehab therapists can support recovery much earlier for patients with severe perineal lacerations following childbirth.
Recovery after childbirth is not only about surviving delivery.
It’s about whether a patient has access to early recovery support so she can fully function and care for her newborn when she leaves the hospital.
Training: https://pelvichealthnetwork.org/events/