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)
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1

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

2

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

3

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

4

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

Urinalysis

Post void residual

Visual Assessment of perineum

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

+/- assessment of flow 

 

5

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

6

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

7

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

8

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

During pregnancy and after birth

9

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