Clinical: Pelvic Floor Dysfunction Flashcards Preview

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Flashcards in Clinical: Pelvic Floor Dysfunction Deck (19)
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1

what does the pelvic floor acts to support?

the pelvic viscera, and assist in their functions

2

what happens if the muscles of the pelvic floor become damaged?

dysfunction of the pelvic viscera can occur

3

what are the levator ani muscles involved in?

supporting the foetal head during cervix dilation in childbirth

4

what happens to the levator ani muscles during the second phase of childbirth?

the levator ani muscles and/or the pudendal nerve are at high risk of damage

5

which muscles are most prone to injury during childbirth? why?

Pubococcygeus and puborectalis are the most prone to injury due to them being situated most medially

6

what is the function of the pelvic floor muscles?

role in supporting the vagina, urethra and anal canal

7

what can damage to pelvic floor muscles lead to?

a number of problems

8

what are the primary problems from damage to the pelvic floor muscles?

urinary stress incontinence and rectal incontinence

9

when is urinary incontinence most noticeable?

during activities where there are increased abdominal pressure – coughing, sneezing and lifting heavy objects

10

when can prolapse of the pelvic viscera (e.g. bladder and vagina) occur?

if there is trauma to the pelvic floor or if the muscle fibres have poor tone

11

when can prolapse of the vagina occur?

if there is damage to the perineal body in childbirth

12

how can prolapse of the vagina (from damage to the perineal body in childbirth) be avoided?

by episiotomy

13

what is episiotomy?

surgical cut in the perineum

14

what can episiotomy cause?

can cause damage to the vaginal mucosa and submucosa but helps prevent uncontrolled tearing of the perineal muscles

15

when can rectal herniation occur?

If the medial fibres of the puborectalis are torn within the perineal body

16

what are the risk factors which can increase the chances of prolapse?

Age
Number of vaginal deliveries
Family history of pelvic floor dysfunction
Weight
Chronic coughing (e.g from a lung disorder)

17

how can the pelvic floor be repaired?

surgically

18

what is a way to generally strengthen the muscles of the pelvic floor?

carry out pelvic floor exercises on a regular basis

19

what are pelvic floor exercises called?

Kegel exercises