As was discovered with much horror by my young male researcher today, perineal tears are not uncommon in childbirth, but the most severe are known as third and fourth degree tears, and they can involve some really debilitating injuries. They do often require surgery under general anaesthetic. They often require ongoing pelvic physiotherapy. There's ongoing medical issues, they can be profound. They can be life changing for these new mothers, as some can take months and months and even years to heal. The ACC cover for such injuries can be a critical enabling factor in the recovery of those mums.