What about urinary and bowel incontinence after childbirth?
Certain factors surrounding childbirth can make a women more likely to have incontinence
(bladder or bowel problems), or pelvic floor pain. These can include
- Having your first baby
- Having a baby weighing over four kilograms
- Having a long second stage of labour
Having a difficult vaginal birth with pelvic floor stitches, episiotomy, forceps
or vacuum cap usage
Most bladder and bowel control problems will resolve themselves six months after
childbirth if you perform regular pelvic floor exercises. Likewise for other pelvic
floor problems such as sexual pain, sensitivity and pelvic pain.
However, this may not be the case for all new mums. If there is a lot of pelvic pain, and bladder and bowel control does not start to improve after six months of
having a baby, call our women's health physiotherapists.
How is The Fix Program different in treating incontinence and pelvic floor problems
Our women's health physiotherapists are passionate about providing the best possible
care for woman suffering from urinary or bowel incontinence. Whether they have had
a recent baby or not. We will a perform caring, sensitive and thorough assessment,
and your treatment and recovery is our focus. We understand every woman is different.
Our women's health physiotherapy assessment will always involve an internal vaginal
examination. This, along with extensive questioning about your pelvic floor function
and habits allow for the best diagnosis and management. The internal examination
will also allow for the physiotherapist to properly assess any weakness, spasm or
change to your pelvic floor muscles and vaginal structure.
Your pelvic floor training and treatment will now target exactly your trouble spots.
Remember every woman's management of their incontinence will be different, and this
is our difference.
What should I expect?
You do not need a referral to see our women's health physiotherapists, but you may
be referred by your GP or gynaecologist. After speaking with you over the phone
about your pelvic floor problem, we will book you an hour long assessment.
The assessment will involve taking a very detailed history about your pregnancy
and birth, pelvic floor habits, from bladder and bowel control, to sex, to lower
back and pelvic pain. The internal vaginal examination will follow and a management
plan decided together with you.
Treatments after this time will be different for each woman, but may involve a weekly
or fortnightly treatment session to teach you exercises (some to strengthen and
others to relax) and educate you on safe pelvic floor habits.