Having a baby is one of life’s truly remarkable experiences. At Sydney Pelvic Clinic we have watched many of our patients take this journey and we have shared with them the joy and excitement of this wonderful time. Pregnancy and delivery (vaginal or caesarean section) are also major events and bring about much change to your body and your life. These changes impact mothers in different ways and to different degrees. For optimal postpartum recovery, it is critical to understand how the process has affected you. This enables you to rehabilitate your body properly, especially your pelvic floor and abdominal muscles.
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.
This is particularly pertinent before returning to more demanding exercise. To assist with this process Sydney Pelvic Clinic offers a Physiotherapy Post-Natal Assessment which will include four key assessments.
Pelvic Floor Muscle (PFM) Assessment
Your PFM plays a major role in continence, pelvic stability and sexual function and these vital muscles are impacted through pregnancy and delivery. We assess the strength and endurance of your PFM. This is important after both vaginal and caesarean deliveries.
A prolapse occurs when the organs inside your pelvis fall, bulge or protrude into the vaginal space. Many women experience prolapse as a result of a vaginal delivery. We assess if there has been any change to your pelvic organs following delivery, and identify if you are at risk of a prolapse occurring in the future.
The structure of the pelvis itself is also impacted by pregnancy & child birth. The pelvic joints soften in preparation for birth and this can create a feeling of instability often contributing to back and pelvic pain. These joints can also be injured during delivery. We assess the external pelvis, including sacroiliac joint (SIJ) and pubic symphysis.
Rectus Abdominis Diastasis (RAD) Assessment
The abdominal muscles are significantly stretched in pregnancy to accommodate your growing baby. In some patients, the fascia between the abdominal muscle splits, causing a gap or ‘’diastasis’’. We measure the depth and width of any separation you may have developed in your pregnancy.
From this assessment we will prescribe appropriate management strategies, which may include:
Prescription of a specific/individualised PFM program to correct, prevent and manage incontinence, bladder urgency and prolapse, or to improve sexual function.
Appropriate post-natal exercises, including abdominal rehabilitation to speed up your recovery and help you get your pre pregnancy body back, and to better support your back and pelvis and reduce chances of developing back pain.
Bladder or bowel management and advice.
Advice on return to exercise, including timing and appropriate choices for you.
Treatment management plan if there are any musculoskeletal issues found.
Application of an abdominal binder to manage a significant Rectus Abdominis Diastasis.
When Do I Book In?
Physiotherapy Post-Natal Assessment is highly recommended at 4-6 weeks post-delivery but can still be relevant for up to 12 months.
Health Fund Rebates
Your Post-natal Assessment is eligible for a Private Health Insurance rebate depending on your individual fund and level of cover. Please check with your fund prior to booking to avoid disappointment.