Early Diagnosis and Treatment of Genuine Stress Urinary Incontinence in Women After Pregnancy: Midwives as Detectives

Authors

  • Iréne Peeker RNM,

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      Lejdaregatan 2, 426 53 Västra Frölunda, Göteburg, Sweden.
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    • practices at the Department for Obstetrics and Gynaecology, High Risk Obstetrics Unit, Sahlgrenska University Hospital, Göteburg, Sweden.

  • Ralph Peeker MD, PhD

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    • practices at the Department for Obstetrics and Gynaecology, High Risk Obstetrics Unit, Sahlgrenska University Hospital, Göteburg, Sweden.

    • Associate Professor of Urology and Senior Consultant at the Department of Urology, Sahlgrenska University Hospital, Göteburg, Sweden.


Lejdaregatan 2, 426 53 Västra Frölunda, Göteburg, Sweden.

Abstract

Genuine stress incontinence is often a hidden problem in that many women suffering from genuine stress incontinence after delivery do not seek medical advice. This article reviews signs and symptoms of genuine stress incontinence that, when identified, may enable midwives to initiate or suggest treatment as needed. A comprehensive literature search was performed in relevant medical databases. The following adverse risk factors for the development of genuine stress incontinence are vaginal delivery, multiparity, and obesity, with an increased risk for women who did not actively exert pelvic floor training. Prolonged second stage of labor and heavier babies were two factors associated with an increase in the risk of damage to the pelvic floor innervation as well as genuine stress incontinence. Several conservative treatment options, such as special instructions for pelvic floor training, the use of weight cones, and electrical stimulation, are reported to alleviate genuine stress incontinence symptoms.

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