Life After 4th Degree Tears @4thDegreeTears
Facebook support group for 3000+; Support ~ Advocacy ~ Education on our podcast/website; Founder-Laura Fry, MS {she/her} linktr.ee/mw4dts Lancaster, PA Joined May 2018-
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Did you know incontinence is more common after severe perineal tears? #WorldIncontinenceWeek @4thDegreeTears @CentrePelvic @SOGCorg @SocietyPelvic Watch and share our video on prevention/care 👇 youtube.com/watch?v=4Oknt_… BePelvicHealthAware.ca
@FPMRSJournal I had only been referring if symptoms before this paper. I see the value of routine referral for all OASIS patients! #fpmrschat
@eeyanmiller @4thDegreeTears We also took into consideration that paternity leave is traditionally 12 weeks in the US. So starting at 2 weeks postpartum allowed for a few more weeks of therapy before women returned back to work. #fpmrschat
A2: This was such a novel and thoughtful approach. As stated in A1, I typically refer starting at 6 wks but as @4thDegreeTears pointed out, you need to be able to trust your #PT provider and so starting at 2 weeks for education and foundation-building is a great idea! #fpmrschat
@4thDegreeTears @FPMRSJournal @aptapelvic @4thDegreeTears Education is so important which is why we included this in our study! As FPRMS providers we see women who think their pelvic floor symptoms are "normal" and live with these symptoms for years. #fpmrschat
@4thDegreeTears #fpmrschat Question1 your impression is correct; mantra is nothing in vagina for 6 weeks after delivery and repairs; we @FPMRS providers need to work more closely with @aptapelvic for early intervention for pelvic muscle rehab and scar tissue therapy. Tell us more @jmckinneypt
@FPMRSJournal @aptapelvic @FPMRSJournal @jmckinneypt @aptapelvic Women started phase 1 at 2 weeks postpartum until 6 weeks postpartum. Phase 1 focused on education and external PT. At 6ish weeks phase 2 started which included internal physical therapy. #fpmrschat
A short course of pelvic floor PT after OASIS improves women's pelvic floor symptoms. I would encourage OBGYNs to discuss this with their patients. #fpmrschat @FPMRSJournal
After hearing hundreds if not thousands of stories from patients with 4th degree tears in our support group, I can safely say the vast majority do not routinely refer. At all. Most patients have to ask for it. #fpmrschat
After hearing hundreds if not thousands of stories from patients with 4th degree tears in our support group, I can safely say the vast majority do not routinely refer. At all. Most patients have to ask for it. #fpmrschat
“I felt hopeless, useless, botched, deformed, scared, worried, angry and started sinking into a very dark place pretty quickly.” #MMHWeek2021 4thdegreetears.wordpress.com/2021/05/06/tra…
“Those first 6 weeks pp were some of the darkest times in my life.” #MMHWeek2021 4thdegreetears.wordpress.com/2021/05/05/lin…
For #MMHWeek2021 we are releasing a few new stories on our website and social media accounts. Here’s Courtney’s Story “The PTSD set in almost immediately.” 4thdegreetears.wordpress.com/2021/05/04/cou…
So proud of @GILLIANCASTLE3 for this!!
So proud of @GILLIANCASTLE3 for this!!
My BIL has been on ECMO at Mayo for 50+ days and received a double lung transplant 2 days ago. We’re told he’s the first #covid patient to receive a double lung transplant and CABG at the same time. He’s doing well! 🙌🏼
My BIL has been on ECMO at Mayo for 50+ days and received a double lung transplant 2 days ago. We’re told he’s the first #covid patient to receive a double lung transplant and CABG at the same time. He’s doing well! 🙌🏼
New on #HystericalWomen, Chantelle blogs about her experience of obstetric anal sphincter injury, asking: ‘Would a man wait three years to be fixed with full bowel incontinence?’ bit.ly/3asUgKf @masic_uk @BirthTrauma
Twitter friends, we just got prelim results for a #RegenMed treatment for #rectovaginalfistula. I’ll give you an insider hint: gross results look amazingly promising! Stay tuned @FPMRS @4thDegreeTears @GynSurgery @MayoRegMed @MayoGynecology
Amy Park, MD @dramypark
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450 Followers 326 Following We are personal injury and medical negligence solicitors specialising in securing compensation for those with life-changing injuries@dubinsky_a @EditorFPMRS @FPMRS @meganschimpf @FPMRSJournal @4thDegreeTears This topic is a must and definitely will be included!
@otrowers_md @EditorFPMRS @FPMRS @meganschimpf @FPMRSJournal Please include expectations/recovery for vaginal delivery vs C-section. This information will help women to make an INFORMED decision when considering one method deliver over the other. Also, Im sure @4thDegreeTears can provide a great input for you!
@AnnamKavanagh @CCriadoPerez @birthrightsorg @BirthTrauma And @masic_uk and @GILLIANCASTLE3 and @4thDegreeTears
@abi_carey As a male nurse I never catheterised a female patient, there was always a female colleague available. It was unwritten rule that if a male nurse was on duty they do male catheters and females would do the ladies. Best for patient dignity & best for female colleagues. No drama
@Masic @4thDegreeTears good to see 14 pilot sites of pelvic health clinics for pregnant and postnatal women to open @LeighDayHealth #perinealtears
Pelvic health clinics will help thousands pregnant & postnatal women in England -14 pilot sites! Aim to prevent problems Physiotherapists, & midwives will teach women how 2exercise pelvic floor muscles correctly give advice re monitoring progress, referral pathways & more
Have a read of this booklet as it is really informative for #perimenopause after#perinealtear @4thDegreeTears @mymenopausedr @masic_uk @LeighDayHealth
Did you suffer a third or fourth degree tear during childbirth that lead to incontinence? Are you worried about this worsening during #perimenopause or #menopause? Have a read of this booklet that we produced with the @masic_uk Read the booklet here: ow.ly/yL5X50F2TQS
New link to a qualitative study on the effects of 3rd & 4th degree tears on women #Obgyn depts should've Audited link between previous surgery ie Birth Trauma & Hysterectomy & Risk Prolapse/Incontinance 🧵Thread from @4thDegreeTears @MeshCampaign @APPGFDNH sciencedirect.com/science/articl…
Birth trauma expert Dr. Cheryl Beck conducted a qualitative study on members of our Facebook support group and the results have just been released. So thankful for Dr. Beck and the amazing participants for sharing their stories. 1/7 authors.elsevier.com/a/1cXKT3933lCw…
@emilyvonbargen @eeyanmiller @4thDegreeTears If there’s even paternity leave. I realize this isn’t something w/ in your control, but just acknowledging as a barrier for women. Wish postpartum pelvic floor PT was standard in the US.
@FPMRSJournal COVID has posed additional barriers with the limitations to in person visits! @stuboo and I were recently discussing some online resources for PFPT in pelvic pain- would love to hear if anyone has similar resources for OASIS! #fpmrschat #obgyntwitter #urogyntwitter
@FPMRSJournal I had only been referring if symptoms before this paper. I see the value of routine referral for all OASIS patients! #fpmrschat
@FPMRSJournal @KatiePropstMD @DrSwenson13 @DrLisaHickman At @GW_MFA we have a postpartum #OASIS clinic for mamas with 3/4th degree tears that I created and staff. For many reasons this cause is near and dear to my ❤️. I would love to be able to model some of the higher volume clinics across the country!
@FPMRSJournal @KatiePropstMD @DrSwenson13 @DrLisaHickman Also, I think there is a lot of work to be done especially with understanding risk factors, putting strategies in place and making sure women have the tools to make informed decisions about mode of delivery. There is still a pervasive lack of awareness...
@eeyanmiller @4thDegreeTears We also took into consideration that paternity leave is traditionally 12 weeks in the US. So starting at 2 weeks postpartum allowed for a few more weeks of therapy before women returned back to work. #fpmrschat
@lgobrito @livchang @uroginap Yes, we need larger trials and more data on this very important topic. #fpmrschat
@FPMRSJournal A4: Agree with the above comment. Also, I try to stay away from using "normal" during patient counseling encounters as this applies the existence of "abnormal" when it is truly all on a spectrum and it's difficult to define what "normal" should be! #fpmrschat
@FPMRSJournal A5: We are lucky to have an incredible group of physical therapists at @OHSUWomens but we are a large referral center serving many rural communities and often lack of access, long wait times, and issues with insurance coverage are BIG deterrents. #fpmrschat
@TomGregoryPDX @DrSwenson13 @FPMRSJournal @KatiePropstMD @DrLisaHickman Yes yes yes! Although we do not have a standard referral clinic, I do see patients who are referred to my clinic after OASI and can perform endoanal ultrasound because of incredible training from @TomGregoryPDX. And now I also get to teach fellows and residents! 😀 #fpmrschat
@FPMRSJournal @KatiePropstMD @DrSwenson13 @DrLisaHickman A6: I'm in total agreement here that there is an absolute need for dedicated postpartum care clinic for OASI patients. I had the fortune of working with @cgauppmd at @NMGynecology who is paving the way here! #fpmrschat
Great study @livchang @emilyvonbargen et al.! We need more data on #oasis - PT for these women ASAP so that they can benefit from therapy. We have just discussed this topic on our webinar from @uroginap 2 wks ago #fpmrschat journals.lww.com/fpmrs/Fulltext…
@4thDegreeTears @KeracFalkMD @FPMRSJournal @KemperPT AGREE! I wish it were easier to get this covered for patients! #fpmrschat