Posts filed under 'Kesihatan'

Citer PenGalaman KengKawan BerSalin – by Aweng

Bagi menghormati kawan kita cik Suhai yg asik kene sound dgn boss dier sebab mailbos penuh, aku tlg pastekan email2 kiter ke sini (klu korang nk tahu, sue memang manusia paling malas manage mailbox dier, tuh yg penuh sgt sampai slalu kene sound dgn bos dier tuh.. ekekekekke…. syg cik suhai!)

dlm nih mana yg masih ada dlm mailbox aku lah.. yg mana dah delete… hi hi bye bye…

aku saja paste kan sebab nk simpan pengalaman kg kwn utk dibuat panduan di masa hadapan… ehehehhehe… halal yer kwn2ku?

dpd puan mastur:

mari kita kasik aweng takut sket..

sebenarnya, kalo ko tgk yg real punya lagi bagus.. ini juga bagus utk org yg
beranak ikut tingkap.. e.g ieca.. hehehehe.. sebaiknya, kalau suami boleh
masuk (dan dia tak takut darah) lagi bagus.. biar dia menginsafi kejadian
Allah sikit.. barulah dia sayang kita lebih!! hehehe..

sebenarnya aweng, kita kena teran masa nak keluarkan kepala n bahu je..
lepas tu dr dah tolong dah.. yang aku nak tergelak time aku nak teran tu
tangan dr ada kat lubang.. hahaha.. dia cakap “mas, boleh rasa tak tangan
saya? okey.. sekarang, cuba teran untuk tolak tangan saya..” huhu.. tarik
nafas dalam2, teran, biar dagu kita sampai dada.. jangan jerit.. (aku pagi
tu jadi takut nak beranak sebab dengar org bilik sebelah menjerit2.. ish)
sebab nanti hilang tenaga.. lepas tu, waktu teran jangan tarik nafas pulak..
kang kepala baby masuk sikit balik.. Alhamdulillah, aku dapat rasa semua..
(walaupun ade bantuan epidural, tp sakit bersalin masih rasa) dan harris
memang betul2 membantu.. dia tengok kepala baby semua.. dan dia senyum kat
aku bgtau.. “sikit lagi je sayang.. boleh ni” hehehehe.. lepas bb keluar..
semua rasa sakit ilang.. (kecuali time jahit tu aa.. aku geli.. hoho)..
belum lagi ko rasa dr seluk sebab nak keluarkan placenta.. dan dia nak check
dah kosong ke belum…

hahahahha,, takut x????

dpd aweng:

aku stuju mas ckp kasik laki tgk…
tapi, laki aku awal2 dah sound dier xkn tgk kt bawah tuh.. nk dok tepi jer..
sebab, rupa2nye, dier pun takut tgk bende2 mcm tuh…
x sangka aku!

excited aku dgr pengalan mas nih!
tuh yg buat kita syg anak lbh dpd laki kan?
so sweeet!

chema:

haahahah…nak tergelak baca  kat bawah tuu..teringat masa bersalin dulu..izni pun tak berani tgk kat bwh. dia dok urut2 kepala n pegang tgn aku je..takut darah konon. tapi bile dah kuar je kepala baby, dia pulak yg suka giler…aku rasa…semua suami kene ada time kite bersalin tu. nak dia rasa betapa susahnya nak melahirkan.biar dia tau pengorbanan kite..lps je aku bersalin tu, aku rasa betapa berdosa nya kat mak aku selama ni…patut la Allah kata syurga terletak di bawah kaki ibu…

dpd azah:

eh..aku nk citer jugak la pengalaman giving birth to heidi..
aku masuk ward dr kul 7 pg smpai kul 7 mlm..
epidura doc cucuk 2x..satu x msuk..2nd time bru ok..
mase nk bsalin aku mmgla x rase pape..rase nk berak jer..
bile doc soh push pon aku x rase pape..
tp bile da push baper kali..heidi x kuar skit2..
dia meloncat trus kluar..
mase tu ade dekat 7 org doc tmasuk trainee doc..
lps bsalin doc pilin kuar plasenta..ttbe ade bleeding la pulak..
byk giler drh kuar..sume org klam kabut..aku tgk jer..
tgn aku smpai dua2 kne cucuk msuk air..sblh tu siap drh msuk beg air balik..
then aku da longlai giler..tp sgt sedar mase doc nk jait balik..
aku siap ckp kt dia..bius aku dlu bru jait..
dia ckp “kn epidural tu ade lg..” aku kate..”x..sy xkira..doc bg sy bius gak”
lps tu dia buatla mcm nk bg aku bius..rupe2nye dia x kasi pon..
trus jait jer..nasibla aku x rase pape..kalu x mau aku trauma..hihiii..
pstu ttbe aku rase nk muntah..dn dgn slmber je aku muntah kt sorg lady doc ni..
sian dia..siap kene mandi..tp aku ckpla sorry..
tp tharu jugakla bile dia kate..”it’s ok..it’s part of my job”
aiyoh..part org muntah kene dia part of job ke..bagusla dia..(hihiii..kalu aku sure da kene da itu org…)

aweng..jgn takut tau..
tp makcik aku yg keje nurse sarankan amik epidura..sbb biasenya ibu2 yg agk x kuat smgt nk dliver normal x dpt nk deliver bb scara normal..end up kene potong gak..

owh lg satu nk share..sbnrnya nk deliver ni x sakit..cume mind set kite je yg buat bnde tu jd sakit..
so in other word kite leh deliver bb kt umah sndiri..in any way u feel cmfortable (tp of coursela dgn kehadiran bidan/personal doc)-dipetik dr 1 artikel dlm buku..x igt ape title..
ade class khas utk org yg nk deliver sndiri..nnti aku checkkn dlu..will update later..
so laki aku da bg hint soh branak kt umah 4 2nd child nnti..abesla aku..

dpd icha:

sorry aku sempat baca je kisah2 korang pg ni….ni br ada kesempatan nak reply…..
 
kat pusrawi mcm yg esah ckp tu….ktorg mmg siap kene paksa susukan baby….kalau x dorg biarkan je baby kite nangis kelaparan…..masa tu mesti la rasa mcm kene paksa gak bf kana baby….kalau tak kesian giler kat baby kite……..
 
1st time nak bf iman mmg kekok giler la….nurse tulun ajar ok la….pastu nak bg lagi dah tak pandai…..iman pun hisap2 tak dpt terus jer fed-up…..
 
pasal bersalin ni….aku setuju sgt2 ngan azah!
sebenarnya nak bersalin normal ni bukan la sakit sgt…..
walau pun aku kene operate gak at last….tp aku sempat rasa sakit cam bersalin normal ni…..
 
pengalaman aku plak….masa kene warded tu nurse check dah buka 3cm…..alhamdulillah ada progress sampai dah 5cm tu aku tak rasa sakit pun lg….bleh borak2 ngan hubby lagi….bila doc dtg pecahkan air ketuban…..masa tu baru start rasa sakit……..tambah kerap bila dia induce air masuk kat lengan……..masa tu bila dtg sakit je nurse soh sedut gas…..tp rasanya aku cuma mengantuk je bila sedut gas tu…..sakit tu tetap rasa lagi…..
 
sampai satu tahap aku rasa cam nak terberak sgt….(nurse dah bgtau kalau ada rasa nak terberak bgtau dia….) hubby aku panggil nurse….then dia dtg and check bgtau dah 7cm……
 
pastu nurse kuar n masuk balik bawak segala alatan2 utk deliver normal ni……pastu masa dia dok prepare brg2 tu….aku rasa cam nak terberak sgt2…..cam dah tak leh tahan…..bila nurse tu check lg…then dia panggil kawan dia lg sorg…..aku cuma dgr dia dok kata tak rasa kepala baby tp tali pusat dia…..
 
masa tu punye la suspen…..then doc dtg and check….doc pun jadi gabra aku tgk….dia terus ckp kat aku ngan hubby….saya kene operate awak….emergency!! baby dah tolat tali pusat keluar dulu…..bahaya!
 
terus je nurse pasang balik mesin nak monitor heartbit baby tu…..masa tu tuhan je yg tahu….betapa risaunye aku…..lebih2 lagi tgk heartbit baby makin drop…..
 
pastu doc n nurse tolak aku atas katil ngan tangan doc kat bawah tu dok tahan kepala baby takut baby keluar…..kat punggung aku dorg letak 2 bantal kasi tinggi takut baby keluar……
 
doc siap pesan jgn teran kalau rasa nak terberak…hehhehe
 
bayangkan dr floor 4….dorang tolak aku turun lift pegi ke operation room kat level 2 kalu tak silap…..cuma ni aku rasa tak best kat pusrawi……bilik bersalin normal & operation room lain floor…..kalau ada kes emergency tu cam amik masa nak transfer kite……
 
akhirnye….alhamdullah keluar gak baby aku ikut tingkap…..
 
cuma yg ke 2  ni aku hope sgt bleh bersalin normal…..bleh la pakai bengkung…..kalau masa 1st baby dulu…..perut buncit tak hilang sbb tak leh berbengkung ni…..
 
anyway jgn takut utk bakal2 ibu yg nak melahirkan anak……masa aku dulu aku dok ingatkan diri sendiri…..yg semua ibu2 kat dunia ni merasai kesakitan nak melahirkan anak…..benda ni adalah normal….bukan penyakit pun…..so hilang rasa takut tu…..yg penting kene relax menghadapi saat2 tu…..hehhehe  
dpd chema:
korang..ni aku send blk..tadi send cam tak dpt je,..kalo dpt tu abaikan je laa.
nak kongsi pengalaman bersalinkan illya.illya lahir kat queen medical center, notts.2 mlm aku dok wat. b4 and after bersalin.
mlm kamis aku dah sakit2.tapi sempat gak main snow kat luar umah ngan mak and ayah aku. lps tu g hospital.kat qmc, midwife yg sambut baby. doc utk yg ada kes2 je.so sampai je sana, midwife check, dia kata bby jauh lagi. tapi aku sakit sgt. cam nak period tu. so dia suh aku dok wat. izni temankan la.semalaman aku sakit. izni lak sibuk amik videa.aku sampai2 jauh katil tau.midwife tak bagi ape2 pun ubat..esok pagi nye, midwife tu check lg, dia kt bby still jauh. maybe aku tension sbb tu bby tak nak turun. so dia soh aku berendam dlm bathtup. dia letap la minyak2 ape tak..sejam dlm tu. nyaman dan hilang segala2nya. mcm takde ape2 yg berlaku. laki aku sedap je tidur dlm tu..tension je aku.so lps sejam tu, midwife check blk, dia kat bby dah mula turun. dan aku masuk dlm labor room.tapi air mentuban tak pecah lagi.dia suh aku pilih nak bersalin kat mna, atas katil ker, dlm air ker, atas kerusi ker..ngeri je..aku dah tak bole fikir ape..atas katil je la..dia suh aku duduk atas belon besar sbb nak lancarkan bby turun. lpst tu baring blk, yg best nya midwife tu tak de buat ape pun. siap bole baca buku, borak2 ngan laki aku, buat kan izni air dlm labor room tu..mcm aku ni tak ujud je..tibe2…spshhh….haa ko amik…air mentuban aku pecah depan muka dia. dia pun terkejut sbb dia ingat bby..aku kata sorry. dia kat no problem. thats ok..dah biasa la tu..dia cuma kata azimah..push..push..u can do it. laki aku lak..ima, jgn jerit, tutup mulut, jgn angkat punggung, selawat byk2…dia pegang kuat2 tgn aku. dan aku kemam mulut sampai berdarah bibir aku thn sakit.aku cuma amik gas je..sampai termuntah2 sbb dah lebih dos..dan akhirnya lahir la puteri ku..seberat 3.46kg. arhhhh…lega…midwife tu terus telak illya yg masih berdarah dan lendir atas dada aku.. skin to skin…tak de ape yg bole kata..syukur..tu la hadiah yg plg berharga..dan midwife suh izni ptg tali pusat illya.mula2 dia taknak…takut la tu.. tapi ptg gak…pastu darah kuar byk tak ingat. ngeri kan. tapi aku tak kene jahit. takde yg koyak.petua taknak koyak, masa bersalin tu jgn angkat punggung.. pesan pd laki..suh dia ingatkan..dan ini midwife yg sambut illya..
menurut buku2 yg aku baca., bersalin dlm buth tub la plg selamat. sbb dlm perut pun bby dlm air, ada satu kakak from mesia, masa kat uk dulu dia pun bersalin dlm air, dia kata tak sakit langsung,
dpd icha:

additional info pasal aku punye emergency kes (cord prolapse) td…..tali pusat baby keluar dulu tu…..ni aku cut from wikipedia…..just to share…..hope lepas ni jgn la jadi camni lg……

Umbilical cord prolapse is an obstetric emergency during pregnancy or labour that endangers the life of the fetus. It occurs when the umbilical cord presents itself outside of the uterus while the fetus is still inside. It can happen when the water breaks – with the gush of water the cord comes along. Usually, thereafter the fetus will engage and squash the cord, cutting off oxygen supplies and leading to brain damage of the fetus, or stillbirth. Before that happens, the baby must be delivered quickly by caesarean section. In the meantime, the woman adopts the knee-elbow position, and an attendant reaches into the vagina and pushes the presenting part (usually the head) back in so that it does not suffocate the cord. It is useless to try to push the cord back in.

dpd mas:

kawan aku cakap, lagi relax bersalin dalam air..
 
dia bersalin anak first dalam air.. dia kata best.. dia pesan kat aku, kalo bersalin kat oversea nanti biar dalam air.. hehe
 
chema, kebanyakan orang memang kena epi utk first time.. sbb pintu x bukak besar.. dan dr tak mahu amik risiko kalau jalan terkoyak2.. hehehe.. ngeri seh epi.. kira selamat la ko x rasa.. tp selalunya epi utk first child aje.. 

dpd esah:

 
mast : aku kat HUKM specialist (department private) – bersalin biasa, amik epidural, 2 kali jab utk tahan sakit waktu jahit, hospital sehari – RM2100
            overall memang best.. kecuali bab menyusu tu.. Dr memang boleh pilih.. even some of the obygn adalah yg terbaik dalam mesia.. especially obygn utk fertility
 
azah: kat Hospital Universiti 
 
ieca & esah: pusrawi. aku dr adilla. dr echa nama ape ntah, x ingat. byk la lg dr yg blh pilih. ongkosnya: klu normal delivery start dr rm1.5k (bilik 4 org), klu ceaser (bilik sorg) dlm rm7k. tp ni rate thn lps. klu ko xtau ape2 lg kan skrg ni, aku suggest ko g prenatal class skang. cam aku & icha terlambat sikit pergi class tu. kat pusrawi pon ade. masuk website die & check schedule. Class ni better pergi sbb byk benda la die bgtau. dr amalan time mengandung, bersenam, bersalin, bfeed smpi la dlm pantang. sume dorg ajar… x boring pon attend class ni. tp better g dgn husband.
aku ade tgk kat medik tv (klu x silap aku) hospital kat penang dh ade srvice tu & mmg blh kurangkan sakit bersalin.
 
Chema, ko ckp ko x jahit sbb x koyak kan…klu kat oversea mmg blh camtu sbb dorg x gunting dulu tp klu kat msia ni dorg akan gunting sikit dulu sbb nk bg kurang risiko koyak merata2 tempat..so cemane pon kena jahit jugak kot…
Chema:
mmg betul ko ckp. kat uk diaorg nak natural..takde paksa2.sbb tu aku diaorg tak bg amik ape2 ubat.masa pregnan pun takde ubat ape2. bile kaki sakit2 pun diaorg suh mkn pisang. tu je.kalo demam ke just take more water.. tu je laa..sakit hati tul…tapi risikonya kalo tak gunting..kalo koyak…haaa….mcm koyak kain la…tak cantik kan….
Puan mastur:
ye.. aku setuju.. gi prenatal kelas awal2.. kalau ko mmg bhasrat nak gi bfeeding class pun bagus gi awal2..
 
senang nak tau preparation utk menyusu dan nak kerja balik slps bsalin..
 
antenatal kelas bagu pi bila dah 2nd trimester.. sbb time tu ko dah mmg dah nak bersedia bersalin.. mana tau kut terawal.. aku pun terlewat gak..dah 8 bulan baru gi antenatal class.
 
ieca punya dr asmah yun

11 comments May 16, 2008

Apa itu pelvic floor exercise?? samb

 
Sambungan macam mana nak buat exercise tu ye.. dan FAQ (from http://www.pelvicfloorexercise.com.au/pelvicfloor.htm)

What does the pelvic floor do?
.  It supports your pelvic organs and the contents of your abdomen, especially when you are standing or exerting yourself.
.  It supports your bladder to help it stay closed. It actively squeezes when you cough or sneeze to help avoid leaking.
.  It is used to control wind and when “holding on” with your bowels.
.  It helps to increase sexual awareness both for yourself and your partner during sexual intercourse.

 


What weakens the pelvic floor muscles?
Pelvic floor muscles weaken for similar reasons to other muscles in our bodies: natural ageing and inactivity. But pelvic floor muscles are also often weakened through hormonal changes in women’s bodies, and through pregnancy and childbirth. Factors such as being overweight, ongoing constipation and a chronic cough can put extra pressure on the pelvic floor and pelvic surgery can also have damaging effects, particularly in men. 


Why do I need to do pelvic floor exercises?
A poorly toned, weak pelvic floor will not do its job properly. Women with weak pelvic floor muscles frequently experience incontinence and reduced sexual response. But research has shown that the pelvic floor responds to regular exercise. With regular exercise, it is possible for most women to reduce or completely overcome the symptoms of a weak pelvic floor muscles, no matter what their age.A regime of pelvic floor exercises, introduced earlier in life, will also prevent many of the problems associated with a weak pelvic floor muscle emerging later. It is never too early or too late to begin to exercise the pelvic floor.

Research has also shown that pelvic floor exercise can provide relief from chronic pelvic pain syndrome.

A woman with already badly weakened pelvic floor muscles may need the advice of a women’s health physiotherapist or other health professional before embarking on an exercise program, but many women with mild symptoms prefer to try a simple exercise program for themselves initially.

Pelvic floor exercises are often also called Kegel exercises, after their originator, Dr Arnold Kegel and are widely promoted as the starting point for building pelvic floor strength. Any woman can try these exercises for herself. Be aware that if they are not done correctly, they can aggravate a problem. Follow the instructions below, but seek the advice of a health professional, such as your gp or a women’s health physiotherapist, if you have doubts about your ability to do the exercises correctly. Alternatively, consider using a simple device such as the Pelvic Floor Educator, to teach yourself the correct exercise technique.



How to do unassisted pelvic floor exercises (kegel exercises)
Exercise 1
Tighten the muscles around your back passage, vagina and front passage and lift up inside as if trying to stop passing wind and urine at the same time.  It is very easy to bring other, irrelevant muscles into play, so try to isolate your pelvic floor as much as possible by

.   not pulling in your tummy,
.   not squeezing your legs together,
.   not tightening your buttocks and
.   not holding your breath.

The effort should be coming from the pelvic floor.

For how many seconds can you hold the pelvic floor tight? Try holding it as long and as hard as you can. Build up to a maximum of 10 seconds. Rest for 4 seconds and then repeat the contraction as many times as you can up to a maximum of 10 contractions.

Try to do these exercises in a slow and controlled way with a rest of 4 seconds between each muscle contraction. Practise your maximum number of held contractions (up to 10) about six times each day.

Exercise 2
The ability to work these muscles quickly helps them react to sudden stresses from coughing, laughing or exercise. Practise some quick contractions, drawing in the pelvic floor and holding for just one second before releasing the muscles. Do these steadily, aiming for a strong muscle tightening with each contraction up to a maximum of 10 times.

Try to do one set of slow contractions (exercise 1) followed by one set of quick contractions (exercise 2) six times each day.

If you do pelvic floor exercises regularly, you will see optimum results within 3 to 6 months, but you should continue them for life to fully protect your pelvic floor.

Leaflets on pelvic floor exercises are available for free from many sources including the National Continence Helpline on 1800 33 00 66.

 


How to achieve better results with your pelvic floor exercises
There is a growing amount of research showing many women achieve better results when they use pelvic floor exercise devices to assist them in doing pelvic floor exercises.Dr Kegel, the originator of the kegel exercise program, never intended his exercises to be conducted on an empty vagina. He developed an exercising product similar to the perineometers (eg PFX2 and Pelvexiser) in use today. Somewhere along the line, his message has been lost and for many years women have been encouraged to try unassisted exercising.

For many women, this presents difficulties and they may be able to achieve better results with the assistance of a pelvic floor exercise or strengthening device. Read more about the value of using a pelvic floor exercise or strengthening device.

Many good pelvic floor exercisers have been available for sometime but are often hard to track down, particularly for women who want to exercise independently at home. Pelvic Floor Exercise brings together a range of the best devices available on the Australian market, to make choosing and buying easier. Browse through our unique product range.

 


Why are women sometimes unsuccessful in strengthening their pelvic floor?
Often because they don’t exercise often enough, and for long enough. Women report that they don’t remember, they find it hard to fit exercises into daily life, they feel uncertain about whether the exercises are working and whether they are doing them correctly, particularly in the early stages. Read more about the reasons women give for not exercising the pelvic floor muscles. The use of devices can help address some of these problems and encourage women to continue their pelvic floor fitness and strengthening regimes.

Most importantly many women find that using a pelvic floor exercise device produces better results than unassisted exercising, so they are encouraged to keep going.

Read more about the value of using a pelvic floor exercise device to increase pelvic floor fitness and strength.

Browse through our unique product range.

Add comment May 15, 2008

Apa itu pelvic floor exercise??

huhu.. pengetahuan am yang baik untuk semua wanita.. tak kira la dah kawen ke, belum kawen ke..

Pelvic floor

From Wikipedia, the free encyclopedia

Jump to: navigation, search

Pelvic floor
Left Levator ani from within.
Coronal section through the anal canal. B. Cavity of urinary bladder V.D. Ductus deferens. S.V. Seminal vesicle. R. Second part of rectum. A.C. Anal canal. L.A. Levator ani. I.S. Sphincter ani internus. E.S. Sphinear ani externus.
Latin diaphragma pelvis
Gray’s subject #119 420
Nerve Sacral nerves 3-4 [1]
Dorlands/Elsevier d_15/12293527

The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch.[2] However, other sources include the fascia as part of the diaphragm. [3] In practice, the two terms are often used interchangeably.

Inferiorly, the pelvic floor extends into the anal triangle.

Contents

[hide]

[edit] Function

It is important in providing support for pelvic viscera (organs), e.g. the bladder, intestines, the uterus (in females), and in maintenance of continence as part of the urinary and anal sphincters.

[edit] Clinical significance

In women, the levator muscles or their supplying nerves can be damaged in pregnancy or childbirth. This occurs more commonly after a normal vaginal delivery, but can also occur following a c-section. There is some evidence that these muscles may also be damaged during a hysterectomy. Pelvic floor exercises, also known as Kegel exercises, may improve the tone and function of the pelvic floor muscles, which is of particular benefit for women (and less commonly men) who experience urinary incontinence. In addition to preventing or diminishing leakage it may improve vaginal muscle tone and consequent sexual sensation.

Damage to the pelvic floor not only contributes to urinary incontinence but can lead to pelvic organ prolapse. Pelvic organ prolapse occurs in women when pelvic organs (e.g. the vagina, bladder, rectum, or uterus) protrude into or outside of the vagina. The causes of pelvic organ prolapse are not unlike those that also contribute to urinary incontinence. These include inappropriate (asymmetrical, excessive, insufficient) muscle tone and asymmetries caused by trauma to the pelvis. Age, childbirth, family history, and hormonal status all contribute to the development of pelvic organ prolapse. The vagina is suspended by attachments to the perineum, pelvic side wall and sacrum via attachments that include collagen, elastin, and smooth muscle. Repair of lost vaginal support may involve surgery.

Perineology or Pelviperineology is a speciality dealing with the functional troubles of the three axis (urological, gynaecological and coloproctological) of the pelvic floor. “A unitary view of the pelvic organs function then creates a sort of superspecialty that must open new spaces to the research insuring to the patients more rational solutions. Perineology is then a medical branch of which we probably will hear talking more and more in the future.” ([G. Dodi, RICP 1990; 9: 113][1])

2 comments May 15, 2008


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