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A mother rests on a sofa with a glass of water while her partner holds their baby.
ComplicationsGuide information (research draft)

Severe tears, pelvic pain and bladder or bowel changes

Some births cause deeper tears (third- or fourth-degree) that involve the muscles around the anus. Specialist care is available for pain, bladder and bowel symptoms.

Most important

Ask about specialist follow-up

Ask whether you should be referred to a pelvic-floor or postpartum healing clinic.

What may happen
  • Problems controlling gas or stool.
  • Pelvic pain or pain with sex.
Why

Deeper tears may need extra assessment and treatment to heal well.

What varies

University of Michigan's Healthy Healing After Delivery program states it is available regardless of delivery hospital; check current scheduling and coverage.

Questions to ask

  • What degree of tear did I have?
  • Can I be referred to a pelvic-floor specialist?

Prototype draft. Not yet clinically reviewed. Your own care team's instructions come first. About this app

Sources

Summaries are drafted from these public sources. No hospital has endorsed this app.

  • University of Michigan Health · Ann Arbor / regional specialty care

    Healthy Healing After Delivery Program(opens in a new tab)
    Published
    Date not stated
    Checked
    2026-10-24
    Access
    Read from a search index copy

    Applies to: Published by one health system. Procedures at your hospital may differ.

    Limitations: Program says available regardless of delivery hospital; verify current scheduling and coverage.

  • University of Michigan Health · Ann Arbor educational handout

    Healing After Birth: Taking Care of Your Wound(opens in a new tab)
    Published
    Date not stated
    Checked
    2026-10-24
    Access
    Old link now redirects; document must be relocated

    Applies to: Published by one health system. Procedures at your hospital may differ.

    Limitations: Old PDF redirects to new library; replace with a working document-specific link before use.