A background to our organisation:
- The MASIC Foundation is the only multi-disciplinary UK charity to support women who have suffered perineal injuries during childbirth known as OASI (Obstetric Anal Sphincter Injury) or 3rd and 4th degree tears.
- The average incidence of OASI in the UK is 3.1%, with an incidence rate of 4.5% in first births. This figure increases to 6.9% with an assisted (instrumental) birth.
- Approximately 1 in 20 first-time mums are affected by this injury.
- The main risk factor for anal incontinence amongst childbearing women is an OASI injury.
- The long term consequences of OASI include increased risk of chronic pain, sexual dysfunction and difficulty or inability to control the bladder, bowels or the passing of wind.
- These consequences significantly affect mental health, the ability to carry out everyday activities, employment and personal relationships.
- Many women experience postnatal depression, anxiety, post-traumatic stress disorder, problems bonding with their babies, and fear of having another child.
- Women who have sustained these injuries often suffer in silence due to societal stigma and shame. Seeking help is difficult and many GPs are unaware the problem exists. Health professionals are reluctant to discuss the long-term effects of birth injury and there is a lack of multi-disciplinary care within the NHS to support the complex needs of severe perineal injury.
- BARONESS CUMBERLEGE, HEAD OF THE NATIONAL MATERNITY REVIEW