Sheebah Karungi Uses Birth Experience to Raise Awareness About Pelvic Birth Injuries

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Sheebah also addressed questions about why she pushed for two hours before doctors considered a Caesarean section (C-section). She explained that the decision had been discussed in advance with her medical team.

Ugandan singer Sheebah Karungi has spoken out to clarify misconceptions surrounding the childbirth complications she experienced, saying her intention in sharing her story was to educate women about maternal health and encourage informed decision-making during pregnancy and delivery.

In a message shared with her followers, the singer explained that the pelvic birth injury she suffered was not related to her age, dismissing speculation that older mothers are automatically at greater risk of such complications.

“There are two things I’d like to clarify after sharing my birth story. First, my complication had nothing to do with my age. Pelvic birth injuries can happen to women of any age—whether you’re 17, 25, 35 or 40. Age alone is not the cause,” she said.

Sheebah also addressed questions about why she pushed for two hours before doctors considered a Caesarean section (C-section). She explained that the decision had been discussed in advance with her medical team.

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“The truth is, my medical team discussed it with me beforehand. They explained that I had a two-hour window to try for a vaginal birth, and if I didn’t deliver within that time, we would proceed with a C-section,” she explained.

According to the singer, she had expressed a strong desire to avoid a C-section if it was medically safe to continue with a vaginal delivery, and her doctors followed the agreed plan within accepted medical guidelines.

Medical experts note that pelvic birth injuries—which include pelvic floor muscle tears, vaginal lacerations and pelvic organ prolapse—are caused primarily by the intense physical strain that childbirth places on the muscles, ligaments and tissues supporting the pelvic organs. During a vaginal birth, the birth canal stretches considerably to allow the baby to pass through, and this process can sometimes result in injury.

While age alone is not considered a direct cause, several factors can increase the risk of pelvic birth injuries. These include delivering a large baby weighing more than four kilograms, or a baby positioned face-up (occiput posterior), both of which can place greater pressure on the pelvic floor.

A prolonged second stage of labour, when a mother spends an extended period actively pushing, is another recognised risk factor because it subjects the pelvic muscles to sustained stress. First-time mothers are also more likely to experience pelvic floor trauma since the tissues are stretching for the first time.

Certain medical interventions may also influence the risk. Assisted deliveries using forceps are associated with the highest likelihood of severe pelvic floor and anal sphincter injuries because they can rapidly increase the force exerted on surrounding tissues. Vacuum-assisted deliveries generally carry a lower risk than forceps but may still contribute to birth-related injuries. In some cases, an episiotomy—a surgical incision made to widen the vaginal opening—can extend into surrounding muscles and result in more severe third- or fourth-degree tears.

Health professionals emphasize that every pregnancy and delivery is unique. Decisions about whether to continue with a vaginal birth or proceed to a C-section depend on the condition of both the mother and baby, and should always be made in consultation with qualified healthcare providers.

Sheebah said her experience should not be interpreted as a reason for fear but rather as an opportunity for education.

“Every birth is different. My experience is just that—my experience. I shared it to raise awareness, not to blame anyone or spread fear,” she said.

She urged expectant mothers to ask questions, understand the potential risks associated with childbirth and work closely with their healthcare providers to make informed decisions throughout pregnancy and labour.

Her openness has resonated with many women, sparking conversations about maternal health, childbirth complications and the importance of informed consent, birth planning and postnatal care. Health advocates say such discussions help reduce stigma around birth injuries while encouraging women to seek timely medical attention and pelvic floor rehabilitation where necessary.

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