Are pelvic floor muscle exercises (PFMEs) beneficial in the prevention of urinary incontinence?
Arnold Kegel, a gynecologist from the University of Southern California, was the first one who highlighted the importance of pelvic floor muscles. The aim of Pelvic floor muscle Exercises (PFMEs) is to condition and strengthen the striated pelvic floor muscles through regular exercise in order to improve the urethral sphincter closure. Celiker Tosun O et al had done randomized controlled clinical trial on 130 women with stress and mixed urinary incontinence after random allocation of participants for pelvic floor muscle training (PFMT). The symptoms of urinary incontinence were significantly reduced in the patients that had reached pelvic floor muscle strength of grade 5 and continued the pelvic floor muscle training.49 García-Sánchez E et al presented a 10 years of data on effectiveness of pelvic floor muscle exercises and found that pelvic floor muscle training programmes are very effective even in preventing UI especially
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NICE guidelines now recommend that the first line treatment for UI should be provided in primary care.70 Implementation of nurse delivered PFMT in primary care can significantly reduce burden of this disabling condition in women. The Waterfield’s study reported good outcomes with practice nurse delivery of PFMT and if this were to be implemented widely would reduce the need for referral to secondary care71 and Midwives might be the ideal group to offer this to all women in pregnancy. Otherwise, women identified as high risk (factors shown above) can be referred to physiotherapist or continence advisor for intensive
Supports and enhances urinary flow. Say goodbye to the weak stream you have been having lately and experience relief as you urinate without the straining and the
The Bishop score is a pelvic scoring system developed to make it easier to determine whether a multiparous woman was a suitable candidate for induction of pregnancy. Although the information in the Bishop score was known by many obstetricians for many years, Edward H. bishop is credited because he pulled the pieces together and formed an organized system accompanied by research and statistics to back up his findings. His paper is called the “Pelvic Scoring for Elective Induction”. In this paper, Bishop describes basic minimal requirements that must be met before any patient can be considered for elective induction of labor (1964).
Kinesiology can be defined as the study of mechanics of body movements, so I think that is very important to know the meaning of movement when studying kinesiology. Everything in kinesiology has to do with the movement. Every action the body takes is a movement which is what kinesiology is. You cannot be successful in the field of kinesiology no matter what you are doing if you do not understand what movement is. It is the study of human movement, performance, and function by applying the sciences of biomechanics, anatomy, physiology, and neuroscience. It looks at movement and which muscles are involved to create movement relating to strength exercising and sports technique. Movement is an act of changing physical location or position or of
The opportunity to bring life into the world is a priceless moment, and for that to be threatened by a disease; such as Placenta Previa, is heartbreaking. Placenta previa is commonly described as the imbedding of the placenta over or close to the cervix. According to the Permanente Medical Group, during a normal pregnancy the placenta forms at the top part of the uterus far from the cervix. However in placenta previa, the placenta tends to attach to the lower section of the uterus either covering or partially over the cervix, making it almost impossible for a normal delivery (vaginal birth) to take place (Placenta Previa). Placenta previa complicates about 1 in every 200 deliveries and is one of the top leading causes of vaginal bleedings for the second and third trimester (Getahun). It is also related with the escalation of risks of maternal and infant illness and death (Getahun). Instead of there being a specific or many solutions over the years, doctors have come to agreement with different treatments for placenta previa. The obvious solution to placenta previa is to reduce your risks by avoiding cigarettes and any type of drugs, try to reduce your use of abortions an cesarean section, meaning no elective C-sections (The Bump). However, because the reduction in the things above is unlikely due to the mind-frame and unawareness of today’s women, the medical board has to think of alternative treatments to placenta previa, such as bed rest, constant monitoring through-out the pregnancy, and cesarean section. In this essay, I will evaluate the above listed treatments, which stage the doctor will suggest the treatment and explain which I believe is best.
Wilson, Ronald W. and Elmassian Bonnie J., The American Journal of Nursing , Vol. 81, No. 4 (Apr., 1981), pp. 722-725
...ith prolapsed organs. Maintaining a healthy diet to include lots of fruits and vegetables and fiber is the best way to prevent constipation as well as drinking plenty of fluids. It has been recommended to drink half your body weight in ounces every day to maintain a healthy inner eco system. Drinking plenty of water helps maintain balance of hormones, bowel functions and cellular health. Other preventive measures can be taken when heavy lifting is required, be sure to used legs when lifting heavy objects or while working out. Proper lifting techniques will also prevent other injuries. By maintaining a healthy weight you will also prevent undue pressure on lower pelvic floor muscles. By practicing good prevention techniques not only will the pelvic floor be in good health but the rest of the body will benefit as well. Here’s to pelvic floor health! W/C 1184
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
Gabboth, Tim. "Journal of Strength & Conditioning Research (Lippincott Williams & Wilkins). Feb2012, Vol. 26 Issue 2, P487-491. 5p." N.p., n.d. Web.
I am a registered staff nurse who prior to commencing my midwifery training was working on a surgical ward facilitating pre and postoperative care for critically and chronically ill patients. I was fortunate that during my nursing training I had an opportunity to be assigned practice placement with the community midwives and visit the labour ward. After this learning experience I was able to make a decision to undertake midwifery training after completing the required period of post registration experience. While with the community midwife I attended antenatal clinics where I practiced midwifery skills, namely palpation and auscultation with a Pinard’s stethoscope and enhanced my communication skills. Unfortunately I was unable to hear anything through a Pinard’s stethoscope and so when I made a decision to pursue midwifery tr...
...ed clinical trials: part 1-the efficacy of psychosocial interventions for male sexual dysfunction. The Journal of Sexual Medicine, 9(12), 3089-3107. doi:10.1111/j.1743-6109.2012.02970.x
Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby.
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
Potter, P. A., & Perry, A. G. (2005). Fundamentals of nursing (6th ed.). St. Louis, MO: Mosby,
A lot of pregnancies have led to maternal mortality and maternal morbidity. This area of concern is often situated with MFM subspecialists, in order to reduce the rate of maternal mortality and maternal morbidity (Haywood, B., 2012). The Society for Maternal-fetal Medicine also strives to improve maternal and child birth outcomes by standards of prevention, diagnosis and treatment through research, education and training. (Schubert, K. & Cavarocchi, N., 2012) In order for MFM subspecialists to help reduce the rate of maternal deaths, they must receive adequate training and education, including research, which is very essential for treatment. The main focus of the MFM subspecialist is early diagnosis of fetal abnormalities, pathogenesis, and early diagnosis and treatment of pre-eclampsia and fetal growth restriction. In ...