Having a baby is a major life change. Recovering from a C-section is, too. In those first days, new moms are healing from abdominal surgery while also figuring out how to move with less discomfort, while caring for a newborn.
That’s where a unique program at MelroseWakefield Hospital is making a difference. Launched in May 2026, the hospital’s dedicated inpatient physical therapy (PT) and occupational therapy (OT) program is one of just four dedicated post-C-section PT/OT programs in Massachusetts.
We spoke with members of the PT and OT team about how the program helps patients feel more comfortable, confident and prepared to go home.
What does the program offer?
While still in the hospital, physical and occupational therapists provide personalized guidance on how to move safely and care for themselves and their babies after a major surgical procedure.
The program provides practice and education on how to get in and out of bed, stand, walk and use stairs. Patients will also learn tips on how to get dressed, shower and position themselves to feed, hold and lift their baby without putting unnecessary strain on the body.
How is this different from typical postpartum care?
While patients will move out of bed with nursing after surgery, PT and OT build on that care by focusing on the mechanics behind those movements and teaching strategies that can make those activities more comfortable.
The therapists consider specific aspects of a patient’s home set up and provide techniques on how to minimize pain and maximize efficiency and independence during movements. For example, the therapists may simulate the patient’s bed at home by flattening the hospital bed and removing bed rails, or practice stepping over a tub ledge.
“We’re able to provide that underlying functional rationale for why these things work and feel better,” said Lindsay Silvia, PT, DPT. “When you understand the ‘why,’ there’s often more confidence and empowerment with movement.”
What’s the difference between PT and OT?
PT focuses primarily on mobility: getting out of bed, walking, standing and navigating stairs. OT focuses more on everyday activities, including getting dressed, using the bathroom and safely caring for a baby. Therapists work together to help patients prepare for the movements and tasks they’ll face at home.
When does therapy begin?
Usually, the first visit takes place the day after surgery and lasts about 30 minutes, depending on the patient’s needs. Therapists typically follow up the next day to answer questions and reinforce what was taught.
How does PT/OT support C-Section recovery?
C-section recovery can be harder than many expect, even for those who have had a C-section before. Everyday tasks like picking up a baby, changing a diaper, getting dressed or climbing stairs can be surprisingly difficult when the abdomen is healing.
Patients can feel more prepared to return home when they have a chance to learn and practice techniques for movement with the skilled therapists. The better a patient can care for themselves, the better they can care for their baby.
What happens after discharge?
The team encourages patients to consider outpatient pelvic floor physical therapy. MelroseWakefield Hospital offers pelvic floor PT in Reading and Wakefield, generally beginning around six weeks after surgery. The therapists can help facilitate follow-up care with the outpatient physical therapists.
Who can participate?
The program supports patients who have had a C-section, including repeat C-sections. The goal is to expand the program to all patients postpartum.
Helping moms feel supported
Patients have told therapists that the techniques helped them feel more independent and comfortable. One mom experienced more pain than usual getting out of bed one morning. She remembered the bed-mobility techniques she had learned and found that moving was easier when she put them into practice.
Ultimately, the team says, the program is about making sure mothers feel seen and supported, too.
“It’s about making sure the mom feels seen and cared for—not just the newborn—and giving them the knowledge and confidence to take care of themselves and their baby,” said Melissa Cote, MOT, OTR/L.
Expecting a C-section? Talk with your care team about physical and occupational therapy.
Learn more about your physical and occupational therapy options to support your recovery after a C-section.
