Postnatal Edition Consultation Form Before you start your Team Bump Postnatal Edition workouts, please fill out the following consultation form so we can check you’re safe to exercise.It’s important you’re honest with your answers. We’ll adapt to your situation as much as we can. Name * First Name Last Name Email * Do you suffer from any of the following? Please note, if you tick any of these conditions, unfortunately you won't be able to take part in Team Bump Postnatal workouts. Heart condition Chest pain, especially when exercising Loss of balance, dizziness or loss of consciousness Bone or joint problem which causes pain during exercise Blood pressure currently requiring medication Any other reason you know of that means you should not take part in physical activity What mode of delivery was your most recent delivery? * Vaginal - Unassisted Vaginal - Assisted Cesarean When was your youngest child born? * MM DD YYYY How many children do you have? * 1 2 3 4 5 6+ Are you currently breastfeeding? * Yes No Symptoms or complaints The below symptoms are for our reference - they are not contraindications to exercise. You can take part in Team Bump Postnatal Edition with any of these symptoms, but given that all births are different, if you have any concerns do speak to your GP or birth provider about whether you are ready to engage in postnatal exercise. Pelvic Girdle Pain (PGP) Carpal Tunnel Syndrome (wrist/finger/hand or forearm pain/numbness or tingling) Lack of total bladder/bowel control Piles/Haemorrhoids/Varicose veins Constipation After effects of Gestational Diabetes Joint pain Vaginal disorder Vaginal bleeding past the 6-weeks of birth Sacrum or Sacroiliac Joint Pain (pain in the very low mid back/top of buttocks) Knee pain Coccyx pain Vaginal prolapse (cystocele, rectocele, uterine) Rectal prolapse Were you given an epidural during birthing C-Section wound discomfort or slow healing or ongoing numbness Perineal scar pain, discharge from scar, or foul smell Buttock/Piriformis Pain/Sciatica Acid Reflux or Digestion Issues Bleeding during or after exercise or any unexplained bleeding Diastasis (separation of your abdominal muscles) Breast or breastfeeding issues Nerve damage during birthing Anemia or taking iron medication Episiotomy cut, painful perineum or tears Pelvic/abdominal cramps How did you hear about Team Bump? * Instagram Search engine Word of mouth Magazine article An event Other Thank you for filling out the Postnatal Edition consultancy form. We’ll be in touch if there are any issues.You can now return to the Team Bump app.
