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A Journal on Obstetrics and Gynecology

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Minerva Ginecologica 1999 April;51(4):135-8

language: Italian

The role played by antenatal courses in preventing the onset of altered pelvic statics and urinary incontinence

Franchi M., Ciolli P., Greco E., Piserà A., Russo R.


Background and aims. This study was prompted by the frequent finding of urinary incontinence in peri- and postmenopausal women. In an attempt to reduce this incidence, the authors evaluated the role of antenatal courses as an important preventive and operative means of providing information aimed at preventing the onset of alterations to pelvic statics and urinary incontinence. The clinical data of 40 puerperae, of whom 45% had followed our antenatal course, were examined for this purpose.
Methods. A functional examination of the perineum was made in all subjects on discharge after birth and 6 months later.
Results. These findings appear to indicate that antenatal courses play an important role in preventing obstetric perineal complications.
Conclusions. During the courses all women were given useful advice on hygiene and diet, including guidelines for suitable regular exercise, the need to drink about 1 litre of unsweetened liquid daily, a balanced diet and advice regardingf perineal relaxation. Subsequently, all subjects were advised to continue exercising after birth to ensure the correct rehabilitation of the perineal floor and they were also given a sheet containing the different learnt during the antenatal courses. In this way these subjects increased their awareness of the need not to underestimate the early symptoms of urinary incontinence shoud they occur after birth.

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