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Napier Conference Centre

24-25 August 2019

Skills Lab - Levator Avulsion - the Missing Link to Pelvic Organ Prolapse”

Saturday 24 August


Levator avulsion (LA) - a significant development in clinical obstetrics occurs in up to 36% of first vaginal deliveries. This pelvic floor trauma is frequently occult in the early post-partum period but in the longer term is related to a sense of vaginal looseness, sexual dissatisfaction, anterior and apical prolapse, higher surgical failure rates and three-fold increase in the risk of expulsion of a vaginal pessary within 1 year.


Understanding contributing etiology and assessing for presence of  LA affords the clinician an opportunity to identify contributing factor to clinical picture, provide realistic expectations to the patient, offer conservative management options including pelvic floor muscle training in an effort to optimise pelvic floor function to optimise  benefit of pessary support.


This Lab covers pelvic floor anatomy relating to LA, etiology, impact and consequences, and clinical assessment for LA.


Leanne Wait

Pelvic Health Physiotherapist

Dip PT, PGDip MT

Company Director - Inside Out Physiotherapy, Havelock North


I am a physiotherapist with over 20 years of experience in both musculoskeletal and pelvic health. I am passionate and dedicated to health promotion and facilitating best possible outcomes based on a team approach. Most recently my interest has moved to the pregnancy and post-natal wellness journey. Focussing on both optimising post-natal recovery and identifying pelvic floor trauma to limit the consequences in the  longer term. I believe in striving for better pelvic health information, education, assessment and treatment options across all cultures and socioeconomic groups.