A Practical Approach to Pelvic Floor Dysfunctions After Childbirth: Diagnostic and Therapeutic Flowcharts






Appendix A.2




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Summary: Selection Criteria for Management



































Dysfunction
Evaluation tool
Cut off

UI
ICI q SF
>1

AI
Wexner score
>1 if solid or liquid

and/or >2 if gas

POP
Simplified POP q staging
> or = 2

Pain/dyspareunia
VAS
If it is a problem for the woman

Pelvic floor
Oxford score
< or = 2



References



1.

van Brummen HJ, Bruinse HW, van de Pol G et al (2006) Bothersome lower urinary tract symptoms 1 year after first delivery: prevalence and the effect of childbirth. BJU Int 98(1):89–95CrossRefPubMed


2.

Chang SR, Chen KH, Lin HH et al (2014) Association of mode of delivery with urinary incontinence and changes in urinary incontinence over the first year postpartum. Obstet Gynecol 123(3):568–577CrossRefPubMed


3.

Torrisi G, Minini G, Bernasconi F (2012) A prospective study of pelvic floor dysfunctions related to delivery. Eur J Obstet Gynecol Reprod Biol 160(1):110–115CrossRefPubMed


4.

Thom DH, Rortveit G (2010) Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand 89(12):1511–1522CrossRefPubMed


5.

Johannessen HH, Wibe A, Stordahl A et al (2014) Prevalence and predictors of anal incontinence during pregnancy and 1 year after delivery: a prospective cohort study. BJOG 121(3):269–279CrossRefPubMed


6.

Fritel X, Khoshnood B, Fauconnier A (2013) Specific obstetrical risk factors for urinary versus anal incontinence 4 years after first delivery. Prog Urol 23(11):911–916CrossRefPubMed


7.

King VG, Boyles SH, Worstell TR (2010) Using the Brink score to predict postpartum anal incontinence. Am J Obstet Gynecol 203(5):486CrossRefPubMed


8.

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May 5, 2017 | Posted by in GYNECOLOGY | Comments Off on A Practical Approach to Pelvic Floor Dysfunctions After Childbirth: Diagnostic and Therapeutic Flowcharts

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