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

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Childbirth-Related Pelvic Floor Dysfunction

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Abstract

Pregnancy and childbirth are well-known risk factors for pelvic dysfunction. Great attention was paid in the later years to urinary incontinence, as many women report this distressing condition in the first year after delivery. So, many studies were published in the attempt of correlating urinary incontinence with risk factors either inherent maternal or fetal or delivery factors. Despite its frequency, urinary incontinence is not the only possible unwished consequence of delivery. Other dysfunctions can affect women, but they are often less investigated by professionals and reported by women. Minor prevalence, or greater shame in complaining of these other symptoms, and moreover no knowledge about available treatment could account for this disparity of approach.

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Author information

Authors and Affiliations

  1. Neurologic and Autonomic Dysfunctions Rehabilitation Unit, San Giovanni Bosco Hospital, Turin, Italy

    Antonella Biroli

Authors
  1. Antonella Biroli
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Correspondence to Antonella Biroli .

Editor information

Editors and Affiliations

  1. Department of Gynecology, "S. Pio X" Clinic, Milan, Italy

    Diego Riva

  2. Urogynecology, "Città di Brescia" Clinic Institute, Brescia, Italy

    Gianfranco Minini

Appendices

Appendix A.1

figure a

Appendix A.2

figure b
figure c
figure d
figure e
figure f

15.2.1 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

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Biroli, A. (2016). A Practical Approach to Pelvic Floor Dysfunctions After Childbirth: Diagnostic and Therapeutic Flowcharts. In: Riva, D., Minini, G. (eds) Childbirth-Related Pelvic Floor Dysfunction. Springer, Cham. https://doi.org/10.1007/978-3-319-18197-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-18197-4_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18196-7

  • Online ISBN: 978-3-319-18197-4

  • eBook Packages: MedicineMedicine (R0)

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