After childbirth, many women believe they are responsible for their urinary leakage if they have not carried out perineal rehabilitation. In an Instagram video, Dr. Olivier Marpeau reminds us that scientific data tells a much more nuanced story and invites us to replace guilt with support based on medical recommendations.
When perineal rehabilitation becomes a burden of guilt
In a recent video posted on his Instagram account, Dr. Olivier Marpeau, gynecologist, clearly explains why it is wrong to blame women for problems such as urinary leakage attributed to alleged negligence in postpartum perineal rehabilitation.
A sentence from one of his patients made him react: “It’s normal that I have leaks doctor, I haven’t done my perineal rehabilitation“This common assertion, however, is based on an erroneous understanding.
The real risk factors explained by science
The expert, aka @Mon.gyneco, emphasizes that no scientific evidence shows that ignoring perineal rehabilitation after childbirth increases the risk of developing urinary incontinence or long-term organ descent. Real risk factors include difficult births, hormonal factors such as menopause, and genetic predispositions.
“The risk factors for urinary incontinence or organ descent are not not having done perineal rehabilitation” reveals the expert, before questioning the usefulness of making women feel guilty with symptoms that are often considered taboo.
CNGOF recommendations for a gentler approach
In accordance with the recommendations for postpartum clinical practice published by the CNGOF, it is essential to reduce unnecessary guilt imposed on women. The Mon.Gyneco video also talks about good practices, such as solid indications for initiating perineal rehabilitation, particularly in the treatment of urinary leakage and chronic pain. However, the emphasis is that guilt and blame should not be part of a woman’s postpartum experience.
In conclusion, it is vital to understand that postpartum complications such as urinary leakage and feelings of heaviness can come from multiple factors that are not always under the woman’s control. Rather than blaming, it would be more beneficial to offer appropriate support and care to manage these symptoms without adding stress or guilt to those experiencing them.