Perinatal Pelvic Health Service 

The Perinatal Pelvic Health Service (PPHS) comprises an obstetric consultant who overseas the team, and then the clinic is run by a specialist pelvic health physiotherapist and a specialist midwife. This is known as a multi-disciplinary run clinic, and this has been set up at Hillingdon to support patients in the perinatal period with any of the conditions below (see acceptance criteria below). You fall within the perinatal period anytime between being pregnant and up to 12 months postnatally (when your baby reaches one year old). 

Location

Perinatal Pelvic Health Service
Cumberlege Centre, 3rd Floor 
Hillingdon Main Building (not the Maternity Building) 

Telephone: 01895 542465 

Please note that all staff work part time and may not answer the call. Please use the voicemail service and someone will get back to you ASAP. 

Parking

Please park in the main car park (not maternity) and use the main entrance. Take a right at the information desk and take the stairs or lift to the third floor. 

Referrals

Antenatal  

  • Previous 3rd/4th degree tear  
  • Previous complex perineal trauma if symptomatic  
  • Poor control and leaking wind or poo 
  • Persistent perineal pain (pain in the area between your vagina and anus which began after your birth) 
  • Painful sexual intercourse / internal examinations
  • Vaginismus 

Postnatal   

  • Wound breakdown   
  • Wound haematoma   
  • Perineal wound infection   
  • 3rd and 4th degree tears  
  • Postnatal dyspareunia (painful sex after birth) 
  • Persistent perineal pain (after an episiotomy or tear during birth) 
  • Postnatal faecal / flatus incontinence (leaking or difficulty controlling wind or poo) 
  • Bladder retention (difficulty emptying you bladder fully) 

Clinics

Thursdays 9:30am -12:30pm at the Perinatal Pelvic Health Service.

Your appointment will be half an hour long, and you will either be assessed by the physiotherapist or the midwife, depending on what you have been referred for. They may treat you in the session, give advice, or provide you with exercises to complete at home. They will also advise you on any continued treatment.  

We only accept referrals from GPs or a healthcare professional (doctor or midwife). They must complete a referral form and send it to thh.perinatalpelvichealthservice@nhs.net and you will be contacted within a few weeks to book you an appointment. 

If you are experiencing any of the following, please ask your healthcare provider to refer you to the pelvic health physiotherapy team (either at Hillingdon Hospital or Mount Vernon using the Blue internal referral forms).  

  • Prolapse  (symptoms of heaviness, dragging or something coming down into your vagina) 
  • Urinary incontinence (urine leaking)
  • Pelvic girdle pain (pain around your hips or pelvis in pregnancy or immediately after)
  • Any other MSK ante/postnatal pregnancy related pain (including tingling in your hands, back pain or mid back pain) 

Facilities

  • There are baby changing facilities on the Cumberlege Unit
  • There is a water fountain available.