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Perineal Tear and Episiotomy

Are you still experiencing pain from your perineal tear or episiotomy following your vaginal birth?

Are you now experiencing difficulty with controlling your bladder or bowel?

Is sex painful now or are you worried about resuming sex?

Although a perineal tear or episiotomy are common with a vaginal birth it is not normal to experience ongoing pain, pain during sex or bladder and bowel control issues.  Even a severe tear can be managed so do not suffer in silence. 
85% of women have some form of perineal trauma during childbirth and around 17% of women have an episiotomy.  
Specialised physiotherapy will help you understand how to aid healing, correctly strengthen and relax your pelvic floor muscles and prepare for future birthing.

Common symptoms:

  • Painful perineum, especially when sitting

  • Difficulty or fear of emptying bowels

  • Painful sex

  • Difficulty controlling the flow of urine, wind or bowels

  • Leaking urine when you cough, sneeze or exercise

  • Having to rush to the toilet to empty your bladder or bowels

Possible causes:

  • Vaginal birth especially if forceps or ventouse were used

  • Large baby

  • You spent a long time in the pushing stage of labour

  • The position of your baby’s head

What can be done?

  • We are specifically trained to make a thorough assessment of your specific needs and design a personalised program for you

  • Advice on pain management techniques

  • We are specially trained in pelvic floor muscle rehabilitation

  • Chrissie is also a midwife so will use her unique set of skills to advise you on recovery techniques and how to prepare for future birthing

  • Advice on scar tissue management and desensitization techniques

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