Physiotherapist-Led Prelabor Ultrasound-Guided Visual Biofeedback for Second-Stage Pushing and Pelvic Floor Training: A Randomized Controlled Trial

Physical therapists and physical therapist assistants who work with pregnant and postpartum patients, along with clinicians in orthopedic and women’s health settings who field questions about prenatal preparation for labor.

Physical therapists and physical therapist assistants in outpatient, pelvic health, obstetric and community practice settings. Physical therapist assistants participate under the direction and supervision of a physical therapist.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course reports on a single peer-reviewed randomized controlled trial. Every finding, figure and conclusion presented in the course comes from this source.

Ben-Ami N, Tischler T, Ruff SR, Hendin N, Hadar E, Rousseau S, Perlman S. Physiotherapist-led ultrasound-guided visual biofeedback prelabor training: a randomised controlled trial. BMC Pregnancy Childbirth. 2026;26(1). DOI: 10.1186/s12884-026-08976-8. PMID: 41862837. PMCID: PMC13127039.

Scope note

The course appraises one trial. It does not teach ultrasound imaging technique, and it does not extend the trial’s findings to populations the trial did not enroll.

After completing this course, you will be able to:

1. Describe the population, the three study groups and the timing of the single training session used in this randomized controlled trial of prelabor ultrasound-guided visual biofeedback.
2. State the trial's reported findings for pushing efficacy during the session and for operative vaginal delivery, perineal integrity, postpartum urinary retention and stress urinary incontinence.
3. Explain the limitations the authors identified and the conclusions they drew about feasibility and about the need for larger follow-up studies.

1. Start Here: How This Course Works
2. Podcast: Watching the Push — Ultrasound Biofeedback Before Labor (about nine minutes)
3. Why Prelabor Pushing and Pelvic Floor Training Was Put to the Test
4. Inside the Trial: Three Groups, One Physiotherapist, One Session
5. What Changed on the Screen: Pushing and Pelvic Floor Contraction
6. Delivery, Perineum and Bladder: The Obstetric Outcomes
7. What the Trial Cannot Settle, and What the Authors Concluded
8. Key Takeaways
9. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. This course reports on a single peer-reviewed randomized controlled trial. Every finding, figure and conclusion presented in the course comes from this source.
2. Ben-Ami N, Tischler T, Ruff SR, Hendin N, Hadar E, Rousseau S, Perlman S. Physiotherapist-led ultrasound-guided visual biofeedback prelabor training: a randomised controlled trial. BMC Pregnancy Childbirth. 2026;26(1). DOI: 10.1186/s12884-026-08976-8. PMID: 41862837. PMCID: PMC13127039.
3. Scope note
4. The course appraises one trial. It does not teach ultrasound imaging technique, and it does not extend the trial's findings to populations the trial did not enroll.