Lesson 1Work and lifestyle assessment: ergonomic risk at computer, sedentary behaviour, exercise habits, daily movement patternsThis part shows how to check work demands and lifestyle in pregnancy, covering computer setup, lifting jobs, sitting too long, exercise routines, and everyday moves, to plan custom changes and prevent problems for Nigerian women.
Desk and computer ergonomics in pregnancyManual handling and lifting risk analysisAssessing sedentary time and breaksEvaluating exercise history and current activityDaily movement patterns and symptom linksEducation on safe work and home modificationsLesson 2Safety screening and risk stratification: identifying high-risk pregnancy signs, when to liaise with obstetric teamThis part explains thorough safety checks in pregnancy, focusing on danger signs, health and pregnancy risks, and clear rules for stopping treatment, changing plans, or quickly talking to the obstetric team in Nigerian clinics.
Key medical and obstetric red flagsScreening for hypertensive disordersBleeding, fluid loss, and fetal movement changesContraindications to exercise and manual therapyWhen and how to liaise with obstetric providersDocumenting and communicating safety concernsLesson 3Key obstetric history questions: pregnancy timeline, previous pregnancies, complications, medications, obstetrician recommendationsThis part lists important pregnancy history questions, like due date, past pregnancies, birth ways, problems, drugs, and doctor's advice, to make sure physiotherapy plans are safe and fit the situation for our patients.
Establishing gestational age and trimestersPrevious pregnancies, births, and outcomesScreening for obstetric and medical complicationsCurrent pregnancy course and investigationsMedication, supplements, and contraindicationsAligning care with obstetric recommendationsLesson 4Breathing and diaphragmatic assessment: assessment of pattern, rib excursion, cough mechanics and its relation to pelvic floorThis part teaches checking breathing in pregnancy, including diaphragm movement, rib expansion, extra muscle use, cough ways, and how breathing links to pelvic floor actions for better care.
Observation of resting breathing patternPalpation of ribcage and abdominal excursionIdentifying upper chest and accessory breathingCough, sneeze, and load transfer assessmentBreath–pelvic floor coordination strategiesTeaching basic diaphragmatic breathing drillsLesson 5Physical observation: posture analysis (sitting, standing), pelvic alignment, lumbar mobility, hip and ribcage positionThis part covers careful body checks for pregnant women, like steady and moving posture, pelvis straightness, back and hip flexibility, rib position, and using findings to manage loads and personal treatment.
Standing and sitting posture assessmentPelvic alignment and asymmetry checksLumbar mobility and movement patternsHip range, control, and compensation signsRibcage position and thoracic mobilityLinking observation findings to symptomsLesson 6Symptom-focused intake: pain characteristics, urinary symptoms, bowel function, sleep, activity tolerance, fear/psychosocial factorsThis part centres on gathering symptoms properly, looking at pain types, urine issues, bowel work, sleep, activity limits, and mind factors like fear, beliefs, stress affecting pregnancy troubles.
Pain location, behaviour, and aggravating factorsUrinary frequency, urgency, and incontinenceBowel habits, straining, and constipationSleep quality, positions, and nocturnal symptomsActivity tolerance and functional limitationsScreening fear, mood, and catastrophisingLesson 7Clinical reasoning: synthesising findings into problem list, documenting goals and shared decision-making with pregnant patientThis part joins assessment info into a clear problem list, ranks body issues and limits, and teaches goal making, recording, and joint choices with pregnant women and the care team.
Synthesising subjective and objective findingsFormulating a prioritised problem listSetting SMART, pregnancy-specific goalsCollaborative treatment planning with patientsInterprofessional communication and referralsReassessment and adapting the care planLesson 8Functional tests and outcome measures: validated pregnancy-specific pain and function scales, Pelvic Girdle Questionnaire, Oswestry, 6-minute walk or sit-to-stand adaptationsThis part looks at function tests and measures for pregnancy, like pelvis and back pain tools, general disability checks, and changed walk or stand tests to watch progress and direct treatment.
Selecting pregnancy-appropriate questionnairesPelvic Girdle Questionnaire administrationUsing Oswestry and related disability scalesTimed walking and 6-minute walk adaptationsSit-to-stand and transfer test modificationsTracking outcomes and interpreting changeLesson 9Basic pelvic floor assessment: external observation, digital internal assessment principles, contraindications, red flags and when to referThis part starts basic pelvic floor checks for pregnant women, stressing outside looks, inside exam rules, agreement, no-go areas, danger signs, and when to send to experts.
Informed consent and trauma-sensitive approachExternal observation and perineal inspectionPrinciples of digital internal assessmentAssessing strength, endurance, and relaxationContraindications and red flag recognitionIndications for referral to specialists
