What does the assessment involve?
A Mummy MOT® is a specialist postnatal examination for women following both vaginal and C-section deliveries. It will assess how your posture, pelvic floor muscles and stomach muscles are recovering after childbirth. Your Mummy MOT® physiotherapist will provide you with gentle exercises and treatment to help with your recovery – and get you back on track with your fitness goals.
The assessment starts with an interview to find out more information about your pregnancy, labour, general health, exercise goals and more specifically, about your bladder, bowel and pelvic function.
Following this, the physical assessment will be carried out and then you will be given a bespoke rehabilitation programme with your goals and lifestyle factors in mind and a written report on the findings of your assessment.
Why does a physiotherapist need to perform a vaginal examination?
An internal examination is performed by a specially trained Physiotherapist to assess the strength of the pelvic floor muscle. Treatment often includes exercises for this muscle to improve your symptoms.
Following an internal examination, the physiotherapist is able to design an individual exercise programme suitable for you.
They can also perform any internal muscle release or massage if there is a need for it.
What is involved?
It’s slightly different to your gynae exam, in that we don’t use speculums -just the clinician’s finger, to measure your pelvic floor strength.
We need to know this, so that we can assess damage and future treatment.
You will be asked to remove your lower underwear, lie on a bed, on your back, with your knees bent. You will be given a towel to put over your lap. As part of the examination, the physiotherapist will insert a gloved finger into your vagina to assess the strength of your muscles. You will be asked to perform a series of pelvic floor exercises to assess your muscle function further.
Throughout the examination the physiotherapist will discuss what she is doing and what she wants you to do.
What are the risks of an internal examination?
Although this procedure carries very little risk when performed with correct infection control procedures, there are certain conditions/situations which are listed as precautions under national guidelines. You must therefore inform your physiotherapist if any of the following apply:
- You may be pregnant
- You have had a baby recently or have had recent pelvic surgery
- You currently have any vaginal infection
- You have recently received radiotherapy
- You have an allergy to latex
- Your cultural/religious beliefs do not allow this type of examination
- If you have ever seen your doctor with a complaint of pelvic pain or other problems around the pelvic area
- You are menstruating
- Psychosexual problems