Third and fourth degree perineal tears, also known as obstetric anal sphincter injuries (OASIS), can significantly affect bowel function, pain, mobility, and participation in daily activities during the early postpartum period. Despite the functional impact of these injuries, rehabilitation is frequently delayed until the traditional six-week medical clearance, leaving a critical gap in early management. This course examines the clinical rationale for initiating rehabilitation within the first six weeks and outlines evidence-informed assessment and intervention strategies appropriate for acute and early postpartum care.
Participants will analyze tissue healing timelines, bowel protection principles, red flag screening, and early mobility considerations specific to severe perineal trauma. Instruction will emphasize functional assessment, symptom-guided progression, and interdisciplinary communication. The course also explores how to adapt early rehabilitation principles across acute care, home health, outpatient, and telehealth settings to support safe recovery and restore participation in meaningful activities while reducing risk of long-term dysfunction.