English: Cabinet Secretary, I took note of the comments you made earlier. As you will have attended part of the meeting that took place in Tŷ Hywel last week, you'll be aware that this is a major problem and is being highlighted by a new charity called MASIC, Mothers with Anal Sphincter Injuries in Childbirth. It was really arresting to hear the testimonials of three women who had suffered really life-changing injuries as a result of third and fourth-degree tears during birth. Their faecal incontinence has required them all to give up their careers - one of them was an accident and emergency nurse and another was a microbiologist - and obviously it's had a huge impact on everything in their lives. It is concerning to know that these injuries have increased threefold in the last decade. Overall, it's estimated that one in 10 women is affected by faecal incontinence, particularly by the time of the menopause. So, the problem's widespread and it's only now being talked about. It's good that we had an earlier question on the subject of incontinence; we don't often talk about this sort of thing. I have two questions, really. One is: why is physiotherapy not available to all mothers following childbirth? It is routine in places like France. Secondly, why is it that Wales is the only part of England and Wales where mothers cannot have non-invasive sacral nerve stimulation, even though it's been approved by the National Institute for Health and Clinical Excellence for over 10 years and is a successful treatment for faecal incontinence in three quarters of cases where conservative treatment like physiotherapy has failed?
Welsh: Ysgrifennydd y Cabinet, nodais y sylwadau a wnaethoch yn gynharach. Gan eich bod wedi mynychu rhan o'r cyfarfod a gynhaliwyd yn Nhŷ Hywel yr wythnos diwethaf, fe fyddwch yn ymwybodol fod hon yn broblem fawr ac mae'n cael sylw gan elusen newydd o'r enw MASIC i famau sydd wedi cael anafiadau i sffincter yr anws wrth roi genedigaeth. Roedd hi'n drawiadol clywed tystiolaeth gan dair o fenywod a oedd wedi dioddef anafiadau a oedd wedi newid eu bywydau o ganlyniad i rwygiadau o'r drydedd a'r bedwaredd radd yn ystod genedigaeth. Mae eu hanymataliaeth ysgarthol wedi ei gwneud hi'n ofynnol i bob un ohonynt roi'r gorau i'w gyrfaoedd - roedd un ohonynt yn nyrs damweiniau ac achosion brys ac un arall yn ficrobiolegydd - ac yn amlwg, effeithiai'n helaeth ar bob dim yn eu bywydau. Mae gwybod bod nifer yr anafiadau hyn wedi treblu yn y degawd diwethaf yn destun pryder. Yn gyffredinol, amcangyfrifir bod un o bob 10 o fenywod yn cael eu heffeithio gan anymataliaeth ysgarthol, yn enwedig erbyn adeg y menopos. Felly, mae'r broblem yn eang a heb gael ei thrafod nes yn awr. Mae'n dda ein bod wedi cael cwestiwn cynharach ar bwnc anymataliaeth; nid ydym yn aml yn siarad am y math hwn o beth. Mae gennyf ddau gwestiwn, mewn gwirionedd. Un yw: pam nad oes ffisiotherapi ar gael i bob mam ar ôl rhoi genedigaeth? Mae'n arferol mewn llefydd fel Ffrainc. Yn ail, pam mai Cymru yw'r unig ran o Gymru a Lloegr lle na all mamau gael triniaeth anymyrrol i symbylu'r nerf sacrol, er iddi gael ei chymeradwyo gan y Sefydliad Cenedlaethol dros Iechyd a Rhagoriaeth Glinigol ers dros 10 mlynedd a'i bod yn driniaeth lwyddiannus yn nhri chwarter yr achosion o anymataliaeth ysgarthol lle y mae triniaeth gadwrol fel ffisiotherapi wedi methu?