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Birth Related Injuries & Trauma

Injuries sustained during childbirth can include perineum and pelvic floor tears, pubic diastasis and fractures.

What are Perineum Tears?

As the name suggests, perineum tears are a form of injury to the perineum. They can occur during childbirth and come in four degrees of severity. The first and second degrees are most common and do not extend to the anus. Third and fourth-degree tears, also known as obstetric anal sphincter injuries, affect the external anal sphincter and in some cases, the anal mucosa. Third and fourth degree tears may lead to faecal incontinence.

How Are Perineum Tears Treated?

Women who experience tears during childbirth require stitches. Once healing has occurred, it is important to perform scar massage/desensitisation to prevent long-term sensitivity and pain in the area.

Our specialists here at Sydney Pelvic Clinic can help prevent the severity of tears by teaching perineal massage from week 36 onwards in the patient’s pregnancy.

Following an OASIS, each patient will require individualised pelvic floor retraining exercises from about six weeks onwards to maximise their potential and aim to regain full function of their pelvic floor again.

What Is Pubic Diastasis?

Also known as pubic fractures, pubic diastasis is a rare but debilitating condition that occurs during pregnancy or delivery. It involves the pubic symphysis – the joint at the front of the pelvis – becoming separated by more than 1 cm.

The condition is typically caused by prolonged active labour, twin and triplet pregnancies, large size babies, excessive relaxin levels, and biomechanical changes to the pelvis during pregnancy.

How Is Pubic Diastasis Treated?

Our specialists here at Sydney Pelvic Clinic can help provide external support to the pelvis via belts and abdominal binders while offering guided exercise to help the patient regain joint stability.

Conservative management of the condition yields very good outcomes, with most women achieving full recovery without surgery.

What’s Happening?

It is perfectly normal for post-natal women to experience pelvic health conditions and appropriate exercise and treatment returns most women to their pre-pregnancy state. If you’re experiencing any symptoms or issues following birth, book a Post-Natal Assessment with one of our experienced Physiotherapists today. Our Post-Natal Assessment will help identify any issues needing to be addressed to ensure you make a full recovery from your pregnancy.

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