New moms may get pain relief from pelvic floor therapy after birth tears

This study tests whether adding a physiotherapy protocol—pelvic floor muscle training and cold therapy—to standard care can reduce perineal pain in first-time mothers who had tears or an episiotomy during vaginal delivery. 82 women will be randomly assigned to either usual care (stitches and painkillers) or usual care plus the physiotherapy program starting right after birth and lasting 3 months. The main goal is to see if pain levels improve, with secondary checks on pelvic floor function, quality of life, and recovery.