Cesarean section in the second delivery to prevent anal incontinence after asymptomatic obstetrical anal sphincter injury: the EPIC multicenter randomized trial.

CONCLUSIONS: In women with asymptomatic obstetrical anal sphincter lesions diagnosed by ultrasound, planning a CS had no significant impact on anal continence 6 months after the second delivery. These results do not support advising systematic CS for this indication. PMID: 32770616 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research

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Many women suffer from incontinence during or after pregnancy, and pelvic muscle exercises are one way to help. An updated Cochrane Review in May 2020 presents the evidence from 46 trials and we asked two of the authors, Stephanie Woodley and Jean Hay-Smith from the University of Otago in New Zealand, to tell us about the latest findings. Here ’s Stephanie to begin.
Source: Podcasts from The Cochrane Library - Category: General Medicine Authors: Source Type: podcasts
ConclusionsA moderate intensity exercise program including pelvic floor muscle training reduced prevalence of urinary incontinence three months postpartum in women who were incontinent at baseline.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
DEAR MAYO CLINIC: I am seven months pregnant with my first child. My obstetrician said I have ureterocele. He also mentioned bladder prolapse. I am not having incontinence at the moment, but I have a lot of pain and always feel like I'm on the verge of an accident. I am trying to understand the [...]
Source: News from Mayo Clinic - Category: Databases & Libraries Source Type: news
Abstract With the current issue, the journal continues to bring new insights from Cochrane Systematic Reviews to the readers of Obstetrics &Gynecology. This month, we focus on potential interventions to improve pregnancy outcomes for women with recurrent pregnancy loss and antiphospholipid antibodies, the utility of pelvic floor muscle training in the perinatal period to prevent incontinence, and the use of adhesion barriers in gynecologic surgery. The summaries are published below, and the complete references with hyperlinks are listed in Box 1. PMID: 32925632 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
AbstractPurpose of ReviewDespite available treatments for urinary incontinence, the data regarding prevention is less established. This review sought to identify prevention measures and discuss their underlying evidence base with an attempt to include the most recent updates in the field.Recent FindingsUrinary incontinence is a prevalent issue among women, particularly surrounding pregnancy and menopause. Interventions regarding pregnancy include not only general health promotion but also potentially interventions such as pelvic floor muscle training and decisions regarding method of delivery. With regard to menopause, the...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research
Conclusion: We developed predictive models of postpartum SUI for both primiparous and multiparous women. This approach may provide a useful tool for high-risk prediction of postpartum SUI before and after delivery.Urol Int
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research
CONCLUSIONS: There is insufficient evidence to make general conclusions about the effectiveness and safety of laxatives for preventing postpartum constipation. The evidence in this review was assessed as low to very low-certainty evidence, with downgrading decisions based on limitations in study design, indirectness and imprecision. We did not identify any trials assessing educational or behavioural interventions. We identified four trials that examined laxatives versus placebo, and one that examined laxatives versus laxatives plus stool bulking agents. Further, rigorous trials are needed to assess the effectiveness and sa...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Aims Assess the intrarater and interrater reliabilities and diagnostic accuracy of a new vaginal dynamometer to measure pelvic floor muscle (PFM) strength in incontinent and continent women. Methods A test-retest reliability study including 152 female patients. Exclusion criteria: history of urge urinary incontinence, prolapse of pelvic organ, pregnancy, previous urogynecological surgery, severe vaginal atrophy, or neurological conditions. The examination comprised digital assessment using the modified Oxford scale (MOS) and dynamometry measurements with a new prototype hand-held dynamometer. The MOS score ranges from...
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
To evaluate the effects of gestational diabetes mellitus (GDM) on the structural characteristics of the rectus abdominis muscle (RAM) and its indirect effects on pregnancy-specific urinary incontinence (PSUI).
Source: Diabetes Research and Clinical Practice - Category: Endocrinology Authors: Source Type: research
Some things you may need to know (two weeks'worth).COVID-19COVID-19 in Pregnant Women and Neonates: A Systematic Review of the Literature with Quality Assessment of the StudiesEffects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence?Perinatal mental healthInternet ‐based intervention for postpartum depression in China (“Mommy go”): Protocol for a randomized controlled trialPostpartumCan postpartum pelvic floor muscle training reduce urinary and anal incontinence?: An assessor-blinded randomized controlled trialLabourHealth resource utilization of labor induction versus expec...
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
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