Services
Through the Life Stages
At Dubbo and Mudgee Pelvic Health Clinic's, we treat pelvic health problems for all ages and genders. From childhood and puberty, to the birthing years, perimenopause, menopause and postmenopause, and into older age. The types of problems we see and the treatments we offer are as follows ...
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Incontinence or ‘leaking’ from the bladder or bowel
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Bowel disorders
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Prolapse of the bladder, bowel, and/or uterus
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Pessary fittings to help manage incontinence and/or prolapse
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Pelvic pain
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Sexual pain and dysfunction
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Complex pelvic problems and trauma-informed care
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Before and after pelvic/abdominal surgery assessments and treatment
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Assessments of suitability for high-intensity exercise, sport, and heavy workloads in the presence of pelvic floor dysfunction
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Assessments of suitability for high-intensity exercise, sport, and heavy workloads post pelvic/abdominal surgery
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Mesh complications
Preparing the Pelvic Floor for Birth and Postnatal Rehabilitation.
“More than one‐third of women experience unintentional (involuntary) loss of urine (urinary incontinence) in the second and third trimesters of pregnancy and about one‐third leak urine in the first three months after giving birth. About one‐quarter of women have some involuntary loss of flatus (wind) or faeces (anal incontinence) in late pregnancy and one-fifth leak flatus or faeces one year after birth. PFME (pelvic floor muscle exercises) are commonly recommended by health professionals during pregnancy and after birth to prevent and treat incontinence.”
Quote from Woodley SJ, Boyle R, Cody JD, Mørkved S, Hay‐Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 2017, Issue 12. Art. No.: CD007471.
DOI: 10.1002/14651858.CD007471.pub3.
With such high statistics for pelvic floor dysfunction during pregnancy and in the months and years after birthing, it is important that the pelvic floor is properly assessed both ante and postnatal by a highly skilled physiotherapist.
Antenatal assessments include:
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Assessing the pelvic floor in pregnancy and preparing for birthing.
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The first assessment is between 20 and 25 weeks to get baseline pelvic floor measurements.
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The “Preparing for Birthing” assessment is at 36 weeks. This session helps prepare for vaginal, instrumental (vacuum/forceps), and caesarean births, and goes through what to expect after birthing.
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Individualised programs for safe exercise options in pregnancy (this includes high-risk pregnancy).
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Management of pelvic girdle pain in pregnancy.
Postnatal assessments include:
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Postnatal Rehabilitation after vaginal, instrumental (vacuum and/or forceps), and caesarean births.
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Assessing pelvic floor and abdominal wall separation.
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Readiness for general exercise, sport and work (postnatal).
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Treatment and management of pelvic floor dysfunction.
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Treatment and management of pelvic floor trauma, 3rd and 4th degree perineal tears and/or levator ani avulsion.