Effects of Pregnancy and Childbirth on the Pelvic Floor

2007 ◽  
pp. 21-33 ◽  
Author(s):  
Roger P. Goldberg
2011 ◽  
Vol 22 (11) ◽  
pp. 1421-1427 ◽  
Author(s):  
Ksena Elenskaia ◽  
Ranee Thakar ◽  
Abdul Hameed Sultan ◽  
Inka Scheer ◽  
Andrew Beggs

2020 ◽  
pp. 137-145
Author(s):  
Helen Jefferis ◽  
Natalia Price

This chapter covers the normal physiological changes to the renal tract, bladder, and pelvic floor that is associated with pregnancy. It then explains perineal trauma and its classification, and obstetric anal sphincter injury. The types, risk factors, and management of postpartum urinary retention is also covered.


Author(s):  
Helen Jefferis ◽  
Natalia Price

Urogynaecological problems are one of the most common reasons that women are referred to the hospital services, and can account for up to a fifth of the gynaecological surgery waiting list at any time. Pelvic floor problems can have a huge impact on the patient’s quality of life, and therefore should be managed appropriately. Succinct yet comprehensive, this new addition to the Oxford Specialist Handbooks in Obstetrics and Gynaecology series covers all aspects of pelvic floor function and dysfunction, and approaches to assessment and management in all compartments (the bladder, reproductive system, and bowel). Special chapters are dedicated to urogynaecological issues in pregnancy and childbirth, and also to the effects of age on the pelvic floor. Covering all material needed for those undertaking the RCOG advanced training skills module in urogynaecology and vaginal surgery, this is an invaluable guide for both senior general trainees in gynaecology, and subspecialty trainees in urogynaecology.


Medwave ◽  
2012 ◽  
Vol 12 (03) ◽  
pp. e5336-e5336 ◽  
Author(s):  
Michel Naser ◽  
Valentín Manríquez ◽  
Mauricio Gómez

2016 ◽  
Vol 15 (1) ◽  
pp. 73
Author(s):  
Karine De Castro Bezerra ◽  
Suzy Ramos Rocha ◽  
Mônica Oliveira Batista Oriá ◽  
Camila Teixeira Moreira Vasconcelos ◽  
Dayana Maia Sabóia ◽  
...  

Aim: to evaluate the evidence available in literature on interventions to  prevent  urinary  incontinence  in  pregnant  women  during  prenatal  care.  Method:  an integrative literature review (RI) conducted in October 2014 using the LILACS, MEDLINE, CINAHL, and Cochrane databases. Eleven articles were included in the sample. Results: All of the articles were published in English; seven of them were identified in the PubMed database,  and  four  in  Cochrane.  Most  of  this  work  used  cognitive  and  behavioral interventions,  with  the  training  of  the  musculature  of  the  pelvic  floor  as  a  main treatment   for   preventing   and   treating   urinary   incontinence   during   pregnancy. Conclusion: the results can work jointly to improve  the care of women during pregnancy and childbirth.


2021 ◽  
Author(s):  
Sabine Schuetze ◽  
Marlen Heinloth ◽  
Miriam Uhde ◽  
Juliane Schütze ◽  
Beate Hüner ◽  
...  

Abstract PurposeAlthough pregnancy and childbirth are physiological processes, they may be associated with pelvic floor disorders. The aim of this study was to evaluate the influence of pelvic floor muscle training on postpartum pelvic floor and sexual function of primiparous. MethodsThis is a randomized, prospective study including 300 primiparous women. Inclusion criteria were the delivery of the first, mature baby, the ability to speak, understand German. The participants were evaluated by clinical examinations and questionnaires after 6, 12 months postpartum. After 6 months the women were randomized in two groups. Compared to the control group the intervention groups participated in pelvic floor muscle training once a week over 6 weeks. ResultsThe results of the questionnaires showed no significant differences between the groups after 12 months. A significant stronger pelvic floor muscle strength was found for the intervention group after 12 months. The improvement of the pelvic floor and sexual function over the time showed a significant improvement in both groupsConclusionSupervised pelvic floor muscle training did not improve both the pelvic floor and the female sexual function in comparison to the control group. After 12 months the pelvic floor and sexual function improved significant in all women.Trial registration numberGerman Clinical Trials Register (DRKS00024725), retrospectively registrated


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