The complicated postnatal care (‘perineal’) clinic provides care to women who sustained anal sphincter injury during the birth of their baby. An anal sphincter injury occurs when there is a tear from the vagina into the back passage. A third degree tear is where the ring of muscle around the back passage (anal sphincter) is damaged during birth. A fourth degree tear is where the tear goes as far as the anal canal (inside the back passage).
Any women with a 3rd or 4th degree tear following birth will have been seen by the physiotherapist around 2 weeks after the birth. Further appointments with the physiotherapist will be arranged as necessary.
These women are referred for a special review at this clinic around 6 weeks after birth to ensure that their recovery has been satisfactory. Their labour and the birth of their baby as well as planning care for any future pregnancies and births are discussed. The clinic is run by Dr Maeve Eogan, consultant obstetrician & gynaecologist.