Dr. Sinéad Dufour is an Associate Clinical Professor in the Faculty of Health Science at McMaster University. She teaches and conducts research in the Schools of Medicine, Nursing and Rehabilitation Science. She completed her MScPT at McMaster University (2003), her PhD in Health and Rehabilitation Science at Western (2011), and returned to McMaster to complete a post-doctoral fellowship (2014). Her current research interests include: conservative approaches to manage pelvic floor dysfunction, pregnancy-related pelvic-girdle pain, and interprofessional collaborative practice models of service provision to enhance pelvic health and pain care. Sinéad stays current as a pelvic health physiotherapist through her practice at The World of my Baby (the WOMB), a company in which is a partner.
Sinéad is an active member of several organizations charged with optimizing perinatal care and pelvic health and has led and contributed many clinical practice guidelines to improve care provision. Sinéad is also a sought out expert to speak at conferences around the world and currently consults with several companies that focus on pelvic health and perinatal care such as FIFA Women's Football, Lansinoh, and Urospot. Her passion for optimizing perinatal care and promoting pelvic stemmed from her own experience becoming a mother of twins.
For many women, pregnancy, as well as labor and delivery, represent the key physiological events predisposing them to urinary incontinence and associated pelvic floor dysfunction. Our knowledge of obstetrical pelvic floor injuries, and their connection to incontinence and pelvic floor disorders thereafter, has vastly increased in recent years. Primary care clinicians and those working with women through the perinatal care period should be aware of the potential effects of pregnancy and childbirth on the pelvic floor as well how to promote optimal pelvic health.
Professional associations are concerned about the increase of intervention during childbirth, as it introduces unnecessary risks for mother and baby. According to a review of the evidence, social and cultural changes have fostered an insecurity in women regarding their ability to give birth without technological intervention. Further, the publication of numerous clinical practice guidelines in the last few years actually confer the notion that a physiologic birth protects the pelvic floor. Other aspects of upstream care for the pelvic floor in the perinatal care period have been been also substantiated and corroborated in recent years. This presentation will review that evidence-base related to the promotion of optimal pelvic health through the perinatal care period.
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