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In Conversation: Discussing Obstetric Anal Sphincter Injury (OASI) and the Pelvic Floor.

In our latest episode, Amy Dawes ​interviews Dr Chris Gillespie ​for OASI Awareness Week 2025. This discussion ​covers obstetric anal sphincter injuries (OA​SI), with Dr Gillespie explaining the classification and prevalence of these injuries. They discuss the challenges in timely identification and repair, acknowledging that misdiagnosis can occur​ while addressing the difficulties women face in recognising and seeking help for postpartum injuries, highlighting symptoms such as excessive pain and faecal incontinence. They note cultural barriers and stigma that may prevent women, particularly in multicultural communities, from seeking assistance and discuss the risk factors associated with obstetric anal injuries. Additionally, they examine the mental health impacts for women experiencing postpartum complications, emphasising the need for open conversations about these issues. Dr. Gillespie and Amy acknowledged the complexities of postpartum depression and PTSD, advocating for community support and the sharing of personal experiences to reduce feelings of isolation. This conversation emphasises the need for better collaboration of various specialists to create comprehensive and holistic care pathways and improved awareness, support, and resources for postpartum women for overall wellbeing beyond the initial early months of birth. A note on content: we discuss trauma-related topics, and some of what you hear may be difficult. Please be mindful and practice taking care of yourself. If you require support: Lifeline 24hr support: 131114 PANDA: 1300 726 306 ABTA: Birthtrauma.org.au