Physio Management of Obstetric and Gynaecological Disorders Flashcards Preview

Y4 Neonatology > Physio Management of Obstetric and Gynaecological Disorders > Flashcards

Flashcards in Physio Management of Obstetric and Gynaecological Disorders Deck (9)
Loading flashcards...

Pelvic floor dysfunction is an umbrella term give an overview of the wide range of symptoms/problems pelvic floor can cause 

  • Urinary symptoms - incontinence 
  • Pelvic organ prolapse 
  • Vulvodynia - chronic pain affecting vulva area without identifiable cause 
  • Faecal symptoms
  • Defaecatory dysfunction


What is the role of physiotherapists the in treating pelvic floor dysfunction ?

Work as part of the wider MDT

Assess and treat patients with pelvic floor/bladder/bowel dysfunction in primary care

Refer on to secondary services as appropriate


What is done in the history part for the assessment of pelvic floor dysfunction ?

  • Past medical history (lung disease, surgery, diabetes, neurological)
  • Lifestyle – smoking, weight etc
  • Drug history
  • Obstetric & Gynaecological history
  • Social history
  • Bladder symptoms – including bladder diary
  • Bowel symptoms – including constipation
  • Quality of life measures
  • Patient set goals


What investigations/examinations are done for the assessment of pevlic floor dysfunction ?


Post void residual

Visual Assessment of perineum

Vaginal +/- rectal examination – pelvic floor assessment checking for things such as Pelvic organ prolapse

+/- assessment of flow 



Go over the grading of pelvic floor dysfunction set by oxford and international contience society (ICS)


What is the treatment provided for bladder symptoms (incontience) in pelvic floor dysfunction in general?

  • Caffeine reduction
  • Bladder training
  • Voiding/ double voiding techniques
  • Pelvic floor exercises
  • Reduce/avoid constipation


What is the treatment for bowel symptoms in pelvic floor dysfunction ?

  • Regulate stool to ‘goldilocks poo’
  • Pelvic floor exercises
  • Difficulty wiping clean – lepicol or similar
  • Urge : holding on programme
  • Frequency: holding on programme and caffeine reduction


When are women encouraged to do pelvic floor exercises (PFE)?

During pregnancy and after birth


In NHS tayside when/why would a women following delivery see a physio in regards to pelvic floor exercises and other treatment ?

Women who have had a forceps delivery or third/fourth degree tear (involving anal sphincter complex) have one-to-one contact where exercise technique is discussed

Follow-up clinic for third/fourth degree tears at 10-12/52 postnatally, complete assessment and more tailored programme of exercises and further treatment if indicated