Post-partum Problems and the Perineal Clinic

Many new mothers experience at least one health problem in the first 8 weeks postpartum, and these problems can persist for up to 18 months after birth. Unfortunately, most women do not consult a health professional and suffer in silence. In this chapter, we address common issues in the postpartum period including management of perineal pain, haematomas, anal fissures, haemorrhoids, constipation, and urinary retention. Similarly, we address the management of pelvic floor disorders in the peripartum period including urinary incontinence, faecal incontinence and pelvic organ prolapse. Lastly, we present data supporting the need and benefit of specialised maternal perineal/maternal recovery clinics.