It may not be how much weight a woman gains during pregnancy, but how much she loses afterward, that affects her risk of urinary incontinence after childbirth, a new study suggests.
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Urgency Incontinence, caused by urgency and frequency affects over 33 million Americans. That’s about 1 in every 6 adults. The condition is often treated by Behavioral Modification / Training or Medications. A recent study in the Journal of Urology found that adding behavioral training to drug therapy does not improve outcomes for women with urge incontinence.
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Episiotomy during vaginal delivery was first recommended in 1920 as a way to protect the pelvic floor from lacerations and protect the fetal head from trauma. It was rapidly adopted as a standard practice and has been widely used since then. However, over the last several decades, there has been a growing body of evidence that episiotomy does not provide these purported benefits and may contribute to more severe perineal lacerations and future pelvic floor dysfunction. In this review, we examine the evidence that led to changing episiotomy practices and the debate that has surrounded episiotomy. By doing so, we can not only evaluate this specific obstetric procedure, but also gain insights into the challenge of changing medical practice as new data emerge.
Tags: Changes, Dr. Mathews, dysfunction, Episiotomy, JAMA, medical, natural childbirth, new, pelvic floor, USA, vaginal delivery, woman, women
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A Recent study from the National Health and Nutrition Examination Survey (NHANES) reported in the April issue of Obstetrics & Gynecology suggest Higher vitamin D levels are linked to a lower risk for female pelvic floor disorders. Female Pelvic Floor Disorders, or Pelvic Organ Prolapse, (Dropping of the Uterus, Vaginal, Urinary Bladder and/or Rectum) affects approximately one in three women over the age of 45.
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Even a moderate amount of weight loss can go a long way toward relieving symptoms of female urinary incontinence in obese women.
A 2009 study by the University of California, San Francisco showed that women who lost as little as eight percent of their body weight experienced an average 47% reduction in episodes of both stress incontinence and urge incontinence, with some seeing the number of incontinence episodes drop by an astounding 70%.
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