When we assess the perineum after birth, we’re not just looking at the perineum, vagina or the skin. We’re also checking the deeper muscles that support continence and healing. A healthy anal sphincter should feel like a smooth, continuous ring - just like a Haribo ring between your fingers. During a PR examination, we’re gently feeling for that full circle of muscle. If there’s a gap, weakness, or an area that doesn’t “close” properly, it can be a sign of a deeper tear that isn’t always visible
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