Subspecialty care for peripartum pelvic floor disorders.
Anal Canal
/ injuries
Delivery, Obstetric
/ adverse effects
Dyspareunia
/ therapy
Fecal Incontinence
/ therapy
Female
Humans
Lacerations
/ etiology
Obstetrics
Patient Care Team
Pelvic Floor
/ injuries
Pelvic Floor Disorders
/ etiology
Pelvic Organ Prolapse
/ therapy
Pelvic Pain
/ therapy
Perineum
/ injuries
Peripartum Period
Physical Therapy Modalities
Postnatal Care
/ organization & administration
Pregnancy
Prenatal Care
/ organization & administration
Referral and Consultation
Urinary Incontinence
/ therapy
birth trauma
female pelvic medicine and reconstructive surgery
obstetrical anal sphincter injury
obstetrical laceration
patient education
pelvic floor disorder
pelvic floor physical therapy
peripartum
Journal
American journal of obstetrics and gynecology
ISSN: 1097-6868
Titre abrégé: Am J Obstet Gynecol
Pays: United States
ID NLM: 0370476
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
10
06
2020
revised:
10
08
2020
accepted:
10
08
2020
pubmed:
6
9
2020
medline:
1
12
2020
entrez:
5
9
2020
Statut:
ppublish
Résumé
Obstetrical perineal and anal sphincter lacerations can be associated with considerable sequelae. The diagnosis of short-term bowel, bladder, and healing problems can be delayed if patients are not seen until the traditional postpartum visit at 4 to 6 weeks. Specialized peripartum clinics create a unique opportunity to collaborate with obstetrical specialists to provide early, individualized care for patients experiencing a variety of pelvic floor issues during pregnancy and in the postpartum period. Although implementation of these clinics requires thoughtful planning and partnering with care providers at all levels in the obstetrics care system, many of the necessary resources are available in routine gynecologic practice. Using a multidisciplinary approach with pelvic floor physical therapists, nurses, advanced practice providers, and other specialists is important for the success of this service line and enhances the level of care provided. Overall, these clinics provide a structured means by which pregnant and postpartum women with pelvic floor symptoms can receive specialized counseling and treatment.
Identifiants
pubmed: 32888923
pii: S0002-9378(20)30843-7
doi: 10.1016/j.ajog.2020.08.015
pmc: PMC7720615
mid: NIHMS1647186
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
709-714Subventions
Organisme : NICHD NIH HHS
ID : K12 HD065257
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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