Clinical Cases
Fig. 16.1 Position used to relax and stretching pelvic floor muscles 6. Results At 5 months since the beginning of pelvic floor physical therapy and rehabilitation, the patient…
Perineal Care During Pregnancy, Delivery, and Postpartum
Fig. 10.1 PMFT in pregnancy In conclusion, continent pregnant women having their first baby should be offered a supervised and intensive antepartum PFMT program to prevent postpartum UI/AI (Grade A…
A Practical Approach to Pelvic Floor Dysfunctions After Childbirth: Diagnostic and Therapeutic Flowcharts
Appendix A.2 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…
Combined Three-Dimensional Transperineal Ultrasonography (3-D TPUS) and Magnetic Resonance Imaging (MRI) After Vaginal Delivery
Fig. 6.1 3-D rendering of anal sphincter complex performed 1 week after vaginal delivery with image display on the axial (a) and sagittal (b) plane: arrows point to a hypoechoic…
Fecal Incontinence After Childbirth: Diagnostic and Clinical Aspects
First degree laceration of the vaginal epithelium or perineal skin only Second degree involvement of the perineal muscles but not the anal sphincters Third degree disruption of the anal sphincter…
The Controversial Role of Episiotomy
Ref n° Pts n° Selective MLE (4°DT%) Routine MLE (4°DT%) OR 5 181 0 5.6 0.12 6 2,606 1.2 1.5 0.78 7 698 6.6 6.6 1 8 881 0.45 0…
Genital Prolapse and Urinary Incontinence After Childbirth
Grade of recommendation Level of evidence Actions before pregnancy Stop smoking B 2 Age (<35 at pregnancy) A 2 Overweight reduction A 2 Actions during pregnancy Reducing constipation B…
Principles and Methods of Physiotherapy After Delivery
© Springer International Publishing Switzerland 2016Diego Riva and Gianfranco Minini (eds.)Childbirth-Related Pelvic Floor Dysfunction10.1007/978-3-319-18197-4_13 13. Principles and Methods of Physiotherapy After Delivery Simonetta Minoli1 (1) UOC di Medicina Riabilitativa, Centro di Riabilitazione “Villa Beretta” dell’Ospedale Valduce,…
Surgery for Urinary Incontinence and Prolapse Shortly After Childbirth
© Springer International Publishing Switzerland 2016Diego Riva and Gianfranco Minini (eds.)Childbirth-Related Pelvic Floor Dysfunction10.1007/978-3-319-18197-4_14 14. Surgery for Urinary Incontinence and Prolapse Shortly After Childbirth Luisa Ricci1 (1) Department of Obstetric and Gunecologic, Ospedale Montecchio E. (RE),…
Clinical Approach to the Evaluation of Pelvic Floor Dysfunctions
Fig. 4.1 e-PAQ-PF The questionnaires are largely designed as outcome measures and are most useful in a research setting. The benefit to the practitioner not in a research environment is…
