Clinical CommentaryInitiating Occupational and Physical Therapy in the Hospital After Birth: Access, Reimbursement, and OutcomesSegraves, Rebeca L. PT, DPT, WCS1,2; Croghan, Ann PT, DPT, CLC3; Coreas, Meaghan PT4; Locati, Erin PT, DPT5; Finley, Rachel Noyes PT, DPT6 Author Information 1Enhanced Recovery and Wellness, Yakima, Washington. 2Pacific Northwest University, Yakima, Washington. 3Heart of the Rockies Regional Medical Center, Salida, Colorado. 4Texas Children's Pavilion for Women, Houston, Texas. 5Methodist Health System, San Antonio, Texas. 6Indiana University Health, Indianapolis, Indiana. Corresponding Author: Rebeca L. Segraves, PT, DPT, WCS, School of Physical Therapy, Pacific Northwest University of Health Sciences, 200 University Pkwy, Yakima, WA 98901 ([email protected]). The authors declare no conflicts of interest. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (http://journals.lww.com/jwhpt/pages/default.aspx). Journal of Women's & Pelvic Health Physical Therapy 47(1):p 26-35, January/March 2023. | DOI: 10.1097/JWH.0000000000000262 Buy SDC Metrics Abstract Acute care therapists routinely screen body systems, activity tolerance, safe mobility, activities of daily living/instrumental activities of daily living performance, cognition, caregiver support, home environment, and risk factors for hospital readmission. Despite most elective procedures, such as joint replacement and spine surgery, which receive automatic orders for acute care therapy, individuals who elect to give birth in a hospital are typically not offered rehabilitation services to optimize their recovery. Across hospitals in the United States, individuals receiving obstetric care have limited access to acute care therapy despite increasing postpartum readmission rates, severe maternal morbidity, and disproportionate levels of maternal mortality. Cardiovascular conditions, infection, and hemorrhage remain the leading causes of death in the obstetric population during the first 6 weeks postpartum. However, individuals are frequently discharged from the hospital after birth without a formal assessment by an acute care occupational or physical therapist. Extensive education to maternal care providers on obstetric rehabilitation is needed to improve outcomes after hospital birth with inpatient occupational and physical therapy. Supplemental video abstract available at https://www.youtube.com/watch?v=zfdU-1DuQiM. © 2023 Academy of Pelvic Health Physical Therapy, APTA.