Implementation Guide - United States Army

[Pages:97]US Army Pregnancy Postpartum Physical Training Program

Implementation Guide

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LOCAL REPRODUCTION IS ENCOURAGED

June 2010

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U.S. Army Pregnancy and Postpartum

Physical Training

Implementation Guide June 2010

June 2010

U. S. Army Public Health Command (Provisional) Directorate Health Promotion and Wellness Aberdeen Proving Ground, MD 21010

ACKNOWLEDGMENTS

Appreciation to these subject matter experts and consultants in the development process:

Ann Cowlin, M.A., C.S.M., C.C.E. Assistant Clinical Professor, Yale University School of Nursing Physical Education Instructor, Yale University Department of Athletics

Director, Dancing Thru Pregnancy?, Inc.

Health Promotion Experts Directorate of Health Promotion and Wellness, U. S. Army Public Health Command (Provisional)

Civilian and Military Volunteer Actors, Aberdeen Proving Ground, MD

International Imaging, US Army Aberdeen Test Center, Aberdeen Proving Ground, MD

Kirk Army Health Clinic, Aberdeen Proving Ground, MD

Office of the Surgeon General Consultants Maternal Child, Women's Health Advanced Practice Nursing, Obstetrics & Gynecology, Women's Health

US Army Physical Fitness School Staff, Ft. Benning, GA

Thanks to the following for assisting with or granting permission for use of graphics:

Imagery and Content courtesy of ,

Addison Wesley Longman, Inc., Pearson Publications, Boston, MA Essentials of Human Anatomy and Physiology, 6th ed., Human Anatomy and Physiology, 5th ed.

American Medical Association Complete Guide to Women's Health ? copyright 1996 by American Medical Association. Used by permission of Random House, Inc.

Henry M. Jackson Foundation staff person*, Directorate of Health Promotion and Wellness U. S. Army Public Health Command (Provisional)

, Inc., New York, NY Anatomy of the Human Body, by Henry Gray. 20th ed. thoroughly rev. by Warren H. Lewis.

DK Images, The Human Body, , London

Document Development Division and Visual Information Division Deputy Chief of Staff for Information Management U. S. Army Public Health Command (Provisional)

Krames/StayWell, Health and Safety Education, San Bruno, CA

Linda M. Brenegan, Respect Life Committee of the Archdiocese of Baltimore

Medical Illustration, Eisenhower Army Medical Center, Ft. Gordon, GA

Maternity Center Association, New York, NY

*This effort is supported in part by the Henry M. Jackson Foundation for the advancement of military medicine through a grant from

the Uniformed Services of the Health Sciences and the U. S. Army Public Health Command (Provisional), formerly the U.S. Army Center for Health Promotion and Preventive Medicine. Dancing Thru Pregnancy? is a registered trademark of Dancing Thru Pregnancy?, Inc., Box 3083, Stony Creek, Connecticut 06405.

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Table of Contents

Foreword....................................................................................................................... iii

Chapter 1. Introduction Section I. Purpose .............................................................................................. 1 Section II. Applicability ........................................................................................ 1 Section III. References ....................................................................................... 1 Section IV. Overview .......................................................................................... 1 a. Goals ................................................................................................... 2 b. Benefits ................................................................................................ 2 c. Standard criteria.................................................................................... 3 Section V. Implementation Checklist .................................................................. 4 Section VI. Accountability ................................................................................... 4 a. Local leadership accountability ............................................................ 5 b. Remote PPPT Program accountability ................................................. 5 c. Training accountability .......................................................................... 6 d. Program evaluation............................................................................... 6 Section VII. Duties and Responsibilities ............................................................. 6 a. Senior Commander (Installation Commanding General) ...................... 6 b. Unit Commanders ................................................................................ 7 c. Medical Treatment Facility Commander or Representative .................. 7 d. Community Health Promotion Officer (HPO) ........................................ 8 e. PPPT Medical Expert (ME) ................................................................... 9 f. PPPT Education Coordinator (EC) ..................................................... 10 g. PPPT Installation Program Manager (PM) ......................................... 11 h. PPPT Program Installation Instructor Trainer (IIT) ............................. 12 i. PPPT Trimester Instructor Trainers (IT) .............................................. 15 j. PPPT Exercise Leaders (EL) ............................................................. 17 k. Administrative Assistant ...................................................................... 18 l. PPPT Program personnel .................................................................... 19

Chapter 2. Procedures for Program Implementation Operation Section I. Maintaining PPPT Program Enrollment ............................................ 20 a. Eligible participants ............................................................................ 20 b. Enrollment .......................................................................................... 20 c. Special enrollment circumstances ...................................................... 21 Section II. Documenting and Reporting Attendance ......................................... 21 a. Daily attendance roster ...................................................................... 21 b. Accountability ..................................................................................... 22 Section III. Directing Fitness Activities .............................................................. 22 a. Pregnancy activities ........................................................................... 22 b. At-home activities ............................................................................... 24 c. Postpartum activities .......................................................................... 25

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Section IV. Reserve Component /Remote (RC/R) PPPT Program..................... 28 a. Reserve .............................................................................................. 28 b. Army National Guard (ARNG) ............................................................ 28 c. Reserve Component (RC) PPPT Program components..................... 28 d. Remote Soldiers ................................................................................. 29 e. RC/R Soldier materials ....................................................................... 29 f. Healthcare provider resources ........................................................... 30

Section V. Outside the Continental United States (OCONUS) Recommendations ................................................................................... 30 a. Alaska................................................................................................. 30 b. Europe ................................................................................................ 30 c. Japan.................................................................................................. 31 d. Korea .................................................................................................. 31

Appendices Appendix A. ALARACT 168/2008 ..................................................................... 33 Appendix B. References .................................................................................... 35 Appendix C. ALARACT 171/2009...................................................................... 37 Appendix D. Research: Effects of Exercise on Pregnancy/Postpartum ............. 38 Appendix E. Program Database Spreadsheet ................................................... 40 Appendix F. ACCESS Database Surveys ......................................................... 41 Appendix G. EL Unit Request Memorandum ..................................................... 45 Appendix H. Program Enrollment Process Flowchart ......................................... 46 Appendix I. Health Care Provider Enrollment Clearance Form ....................... 47 Appendix J. DA Form 4700, Supplemental Medical Data .................................. 48 Appendix K. EL Performance Evaluation Form ................................................. 49 Appendix L. Education Classes ......................................................................... 50 Appendix M. Program Policy Memorandum ....................................................... 51 Appendix N. PPPT Program Operations Order .................................................. 54 Appendix O. PPPT Standard Operating Procedures .......................................... 59 Appendix P. Communication and Gaining Command Support ........................... 60 Appendix Q. Chain-Teaching on PPPT .............................................................. 63 Appendix R. Program Participation Agreement Memorandum ........................... 69 Appendix S. PPPT Enrollment Welcome Letter.................................................. 70 Appendix T. Request for Record APFT Memorandum ....................................... 71 Appendix U. EL Training Certificates .................................................................. 72 Appendix V. Full Time Equivalent Estimates for Personnel Duties ..................... 73 Appendix W. PPPT Appointment Orders ............................................................ 75 Appendix X. Standard Program Completion Memorandums .............................. 76 Appendix Y. Delayed Program Completion Memorandums ............................... 79 Appendix Z. Sample Early Program Completion Memorandums........................ 82 Appendix AA. PPPT DVD Order Form ............................................................... 85 Appendix BB. R/NG/R Soldier PPPT Materials Request Form........................... 86

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Local Implementation Guide Foreword

June 2010

Few other professions require the physical fitness levels that are expected of US Army Soldiers. Being in the military service, pregnant Soldiers are expected to meet strenuous physical fitness standards when they return to their jobs after having a baby.

It is part of the job of every Soldier, including a Soldier who has recently delivered a baby, to be fit and, if necessary, ready to deploy at a moment's notice.

The purpose of the Pregnancy/Postpartum Physical Training (PPPT) Program is to assist pregnant and postpartum Soldiers in maintaining health and fitness throughout pregnancy and to be successfully integrated back into unit fitness training programs.

The PPPT Program is designed to promote -- ? Better transition back to unit physical readiness training (PRT). ? Higher Army Physical Fitness Test (APFT) pass rates and scores. ? Improvement in meeting Army Regulation 600-9 height/weight standards. ? Reduction of physical discomforts and stress during pregnancy.

Successful participation in this PPPT Program will meet the unique physical fitness training needs of pregnant and postpartum Soldiers. This will enhance the Soldier's ability to meet the physical requirements for readiness after pregnancy.

An ideal compliment to this physical fitness training program is the prenatal education program which encourages a positive self-image and improved parenting skills through consistent education to Soldiers. This educational component is best accomplished through collaboration with the healthcare professionals at the Medical Treatment Facility (MTF) and other community resources.

Use of trademarked name(s) does not imply endorsement by the US Army but is intended only to assist in identification of a specific product.

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