The Pelvic Health Circle: Dubbo Mudgee Macksville Bellingen

31/01/2026

OBSTETRIC A**L SPHINCTER INJURIES (OASI) awareness month - January 2026.

I left it till the last minute but better late than never.

Also known as 3rd and 4th degree perineal tears, these tears that happen at the time of birth can have a significant impact early postnatal, and long term. They happen in about 5% of first vaginal births, but a good repair and following through with rehab with a pelvic health physio can make a big difference in outcomes.

Can you prevent a 3rd or 4th degree tear? Yes. It is possible to mitigate the risk of these tears. Seeing a pelvic health physio in pregnancy to learn techniques to prepare your pelvic floor for birth can certainly help.

https://www.safetyandquality.gov.au/standards/clinical-care-standards/third-and-fourth-degree-perineal-tears-clinical-care-standard/information-women-third-and-fourth-degree-perineal-tears-clinical-care-standard

Third and fourth degree perineal tears: A video for women

30/01/2026

Congratulations Jessica Mackay on opening BELLINGEN PELVIC HEALTH CLINIC💐👏👏👏 Wishing you all the very best and your team at The Pelvic Health Circle hope you have a wonderful first day this coming Friday 🩷

For bookings with Jessica Mackay:

Bellingen Pelvic Health Clinic at
Bellingen Family Medical Centre
16 Church Street
Bellingen NSW 2454

Ph: 02 6882 2782
Online Booking: https://www.thepelvichealthcircle.com.au/bellingen

02/12/2025

Congratulations Jessica Mackay on opening today at MACKSVILLE PELVIC HEALTH CLINIC 💐👏👏👏 Wishing you all the very best and your team at The Pelvic Health Circle hope you have a wonderful first day 🩷

For bookings with Jessica Mackay:
Macksville Pelvic Health Clinic
21 Cooper St.
Macksville NSW 2447

Ph: 02 6882 2782
Online Booking: https://www.thepelvichealthcircle.com.au/macksville

21/11/2025

OPENING SOON ...

Opening the week starting Monday 1st December 2025

23/09/2025

Statement from the Royal Australian and NZ College of Obstetricians and Gynaecologists RANZCOG

https://ranzcog.edu.au/news/paracetamol-use-in-pregnancy/?fbclid=IwdGRjcAM_Vl5leHRuA2FlbQIxMQABHoWqzcVE5bCEz7tIbLQiaNSJ8fVjIRhY3ny-YDEXF_kkqDwOMpdpsF8t7zkg_aem_Xo8dDmdfd1NMVgkLS1A4iA

The Trump administration has made highly controversial claims about the causes of autism and ADHD, asserting that paracetamol (also known as acetaminophen) use during pregnancy increases the risk of children being diagnosed as neurodivergent.

RANZCOG joins leading clinicians and scientists worldwide in rejecting these claims. Scientific evidence shows no link between paracetamol use in pregnancy and autism or ADHD during childhood, with several large and reliable studies directly contradicting the administration’s statement.

The causes of neurodivergence are incompletely understood and remain complex, involving both genetic and environmental factors. Earlier studies raising concerns about paracetamol could not determine whether the medicine itself was responsible, or whether other factors explained the association.

A much larger and stronger study, published in 2024 by Ahlqvist and colleagues, looked at 2.5 million children in Sweden. When they accounted for important factors like family history of autism/ADHD and sibling comparisons, they found no link between paracetamol use during pregnancy and children developing autism or ADHD.

The use of medications during pregnancy should always balance the potential benefits against any potential harms - both of the medication and of the condition being treated - to the mother and the fetus. The Ahlqvist study provides conclusive evidence that paracetamol use during pregnancy does not increase the chance of neurodivergence in the offspring and therefore should be considered safe to use in pregnancy where there is a clear reason to do so.

People who are uncertain about medication use in pregnancy should discuss this with their doctor or midwife.

Learn more in a statement on the College’s website: https://ranzcog.edu.au/news/paracetamol-use-in-pregnancy/

26/06/2025

You learn something new everyday. I knew “Kegels” were named after a man, but I had no idea some female reproductive organs were named after men 😬 I’ll have to look that one up now. Oh and the unsexy technical terms 🤷🏻‍♀️🤣 Happy Friday

18/06/2025

WHAT IS GOOD HYDRATION?
No, it’s not drinking 8 glasses (or 2L) of water per day. Good hydration is all about the colour of your urine. So if you don’t check the colour of your wee when you go to the toilet, it’s time you start.

Health Direct URINE COLOUR CHART
https://media.healthdirect.org.au/publications/Urine-Colour-Chart.pdf?v160425

Natalie McConochie
B.App.Sc.(Physiotherapy), APAM.

Dubbo Pelvic Health Clinic
140 Cobra St. Dubbo. NSW 2830
Ph: 6882 2782
W: www.dubbopelvichealthclinic.com.au
Online booking: https://www.dubbopelvichealthclinic.com.au/book-appointment


Mudgee Pelvic Health Clinic
(Within Mudgee Medical Centre)
145 Church St. Mudgee. NSW 2850
Ph: 02 6882 2782
Online Booking: https://www.dubbopelvichealthclinic.com.au/book-appointment

01/05/2025

Perimenopause symptoms like mood swings, low libido and hot flushes can make life difficult for those who experience them. For partners, it can be confusing too. But there are ways to help.

03/04/2025

ADENOMYOSIS AWARENESS MONTH
https://www.facebook.com/share/p/1Z3ek5GgbW/?mibextid=wwXIfr

April marks Adenomyosis Awareness Month, a crucial time to shed light on a condition that is often referred to as the 'cousin' of endometriosis and can occur with endometriosis or on its own.

It occurs when the tissue that normally lines the uterus grows into the muscular wall of the uterus. It can cause debilitating pain, heavy menstrual bleeding, and other challenging symptoms, adenomyosis remains significantly underdiagnosed and misunderstood.

This month, we're dedicated to supporting those living with adeno, hearing powerful stories and informative content. Join us over the coming weeks as we raise awareness.

💛

02/03/2025

ENDOMETRIOSIS AWARENESS MONTH

https://www.facebook.com/share/p/14oaSSnoeh/?mibextid=wwXIfr

23/10/2024

RURAL GP SHORTAGES
Every Thursday I provide a Pelvic Health service in Mudgee through Mudgee Medical Centre. I arrive there at 8.15am. The practice opens at 8.30am. And every week when I arrive there is a MASSIVE line up of patients out the front, waiting for the practice to open, in the hope of securing a last minute emergency appointment with a GP. The number of patients far outweighing the number of available appointments.

Now due to patient confidentiality, I couldn’t take a photo this morning of the line up. But it near broke my heart. People pouring out into the carpark. Some walking away from the line up acknowledging they probably won’t get an appointment today. And what is really sad, is this problem is not unique to Mudgee.

In my 20 years practicing in Dubbo and surrounding areas I don’t think our gp shortages have ever been this bad. We have had a significant population growth, but our government hasn’t acknowledged that with that growth we need a health workforce capable of sustaining it. Other states have incentives to help build a rural health workforce. NSW is seriously lagging behind.

The health and wellbeing of our rural communities matters. And I apologise for my bluntness … but seeing these line ups out the front of Mudgee Medical Centre every week is just making me so upset for our rural communities. If you are struggling to get an appointment with a gp, if you have no gp in your community, please write to your local member of parliament to address this issue. The current status quo is just not good enough …

End the Rural Doctors Shortage Petition
I encourage you all to please help make a change and sign. Thank you
https://chng.it/CmBHF7sq4v

Natalie McConochie
B.App.Sc.(Physiotherapy), APAM.

Dubbo Pelvic Health Clinic
140 Cobra St. Dubbo. NSW 2830
Ph: 6882 2782
W: www.dubbopelvichealthclinic.com.au
Online booking: https://www.dubbopelvichealthclinic.com.au/book-appointment


Mudgee Pelvic Health Clinic
(Within Mudgee Medical Centre)
145 Church St. Mudgee. NSW 2850
Ph: 02 6882 2782
Online Booking: https://www.dubbopelvichealthclinic.com.au/book-appointment

End the Rural Doctor Shortage Crisis

03/09/2024

WOMEN’S HEALTH WEEK 2-6 September 2024

Natalie McConochie is tackling the big issues head on. Read about the Dubbo Pelvic Health Clinic founder and physiotherapist here: www.dailyliberal.com.au/story/8747987?utm_source=Facebook&utm_medium=Post