There may be many different healthcare professionals involved in your care, during and after pregnancy. Please see a summary of these different professionals below.
To find out more about how physiotherapists, osteopaths and chiropractors can help you, please visit our page on Manual therapists:
We know that some people find it difficult to explain their healthcare conditions to healthcare professionals. We have developed a free toolkit to help you navigate these appointments and find the words to explain how your PGP is affecting you physically and mentally:
GPs can refer you for physiotherapy or to see a consultant and can prescribe pain-relieving medication. Make sure that the fact you have PGP is properly recorded in your medical notes. You may find yourself in a continuous educational role.
To assist you with this, you could refer your GP to the publication from the Royal College of Obstetricians and Gynaecologists (RCOG):
Don’t be afraid to share all the information you have with your midwife and health visitor – it helps you to assess their level of knowledge. Antenatally, it can help to give you support and information (and vice versa) and prepare for any help you may need afterwards. Midwives can be very helpful in planning how they can meet your needs during labour and birth. It is beneficial to make sure they are aware of your individual physical needs and wishes. Postnatally, they may be able to give you access to other services you might need. Don’t be afraid to ask for home visits if it becomes difficult to get out, particularly with a new baby. Most are only too happy to give the extra support. Midwives are usually based at either the local hospital or your GP surgery. If you aren’t finding your midwife supportive, or if you’re told that your choices for birth are not possible, you can speak with the Supervisor of Midwives who is there to ensure that care is safe and woman-centred. She will meet with you to discuss your needs and work with you to produce a written plan to be followed during your antenatal care, labour and birth. In some hospitals there is also a consultant midwife who can offer similar help.
You can also use an independent midwife who will give you individual care.
To find an independent midwife
Independent midwives charge a fee for their services.
Health visitors are nurses or midwives who have undergone extra training to become a health visitor. They will visit you after you have had your baby, and many also meet with you towards the end of your pregnancy. They can be a helpful listening ear, and can also help with referrals to physiotherapists and be supportive of your needs when you have a small baby.
An occupational therapist can provide equipment and advice to help with the activities of daily living (washing, dressing, getting in/out of bed etc). You can involve your OT in looking at your home for ways to make things easier.
You can find an OT through a GP or midwife referral or self-referral – contact them directly through your local or community hospital. Private OTs are also available. When you make contact, do explain what your problems are, and that being seen early will help to speed up your recovery and prevent deterioration. It may take a few phone calls to find the right person, but it is well worth persevering.
The orthopaedic consultant is the senior doctor specialising in bone and joint conditions. You may be referred if you have had trauma (e.g. a fall) or if your symptoms are not improving. Again, you can ask for a referral from your GP.
Talking to a professional psychologist or counsellor can help to reduce fear and anger, possibly helping to reduce the risk of depression and relationship difficulties during such a stressful time. Having counselling or psychotherapy does not mean that your pain is not real or is ‘all in the mind’. A counsellor/psychologist can help you to explore ways of managing and coping with your pain, which can lead to a greater sense of control and wellbeing.
An occupational therapist can provide equipment and advice to help with the activities of daily living (washing, dressing, getting in/out of bed etc). You can involve your OT in looking at your home for ways to make things easier.
You can find an OT through a GP or midwife referral or self-referral – contact them directly through your local or community hospital. Private OTs are also available. When you make contact, do explain what your problems are, and that being seen early will help to speed up your recovery and prevent deterioration. It may take a few phone calls to find the right person, but it is well worth persevering.
An OT assessment can help identify areas of your daily life you are finding particularly challenging. An occupational therapist can offer advice and equipment to enable you to live your life as independently as possible.
Examples of equipment that may be useful include:
Every region has its own referral process. You may be able to self-refer for a community OT assessment and your council website or local community hospital will often provide information on how to do this. Search the websites for ‘community occupational therapy.’
You can also ask your GP for a referral to an OT.
If you are able to, you can pay for an assessment from a private service.