JWHPT is pleased to present articles designated for our Fourth Trimester special issue, which could not be included solely due to page limitations. These postpartum articles could have just as easily appeared in the special issue, and we will present more articles destined for the Fourth Trimester in the July/September issue.
In a 2-study investigation, Drs. Johnson, Williams, and Hill examined the important subject of associations between reported prenatal pelvic floor education and perceived discrepancy between expectations and experience with postpartum pelvic floor and mental health symptoms. Dr. Christopher and colleagues propose a 4-phase rehabilitation framework to prepare postpartum runners for symptom-free running. This framework includes exercise prescription, example exercises, running progression and progression goals, as well as a video abstract. To gain an in-depth understanding of nurses’ viewpoints on acute postpartum physical therapy, Dr. Divine and associates conducted focus groups and found nurses had a limited understanding of the scope and role of physical therapy practice in this setting. Dr. Snyder and coauthors found that a postpartum pelvic health education webinar could improve knowledge of the pelvic floor structure and function, as well as the role of this musculature in urinary incontinence and pelvic organ prolapse. In a case-controlled study from a group led by Dr. Foster, using transperineal ultrasonography, women with urgency/frequency predominant lower urinary tract symptoms displayed an anterior cranial position of pelvic floor muscles at rest and less puborectalis muscle lengthening with bearing down.