PHTY306 Lecture Notes - Lecture 1: Pelvic Floor Dysfunction, Pelvic Floor, Forceps In Childbirth
Document Summary
Week 10 lecture 1: gynaecological surgery: resources to guide your practice, common surgical presentations, complications and long-term outcomes, physiotherapy implications. Pelvic organ prolapse (pop) describes the downward descent of the female pelvic organs resulting in the protrusion of the vaginal walls, uterus, bladder, rectum or vaginal vault. 1 in 11 women undergo surgery for prolapse. Exclusive cs delivery significantly reduces risk of objectively measured prolapse 12 years after delivery: vaginal delivery 29% versus cs 5% First baby over 30 years increases risk of pop. Second and subsequent babies increased risk of pop. Relative risk of pop with 4 deliveries is 0. 8. Women having only vaginal deliveries have an increased risk of pop surgery: forceps delivery versus cs 20. 9 hazard ratio, prolapse more associated more with injuries at delivery than with chronic pelvic floor strain. Incidence and prevalence increase with advancing age: obesity.
