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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 09 Aug 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

[Urinary incontinence and other pelvic floor damages: ethilogy and prevention strategies] [Article in Spanish]. Rev Med Univ Navarra. 2004 Oct-Dec;48(4):18-31.

Author(s) :

Amostegui Azcue JM, Ferri Morales A, Lillo De La Quintana C, Serra Llosa ML.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

Urinary incontinence, as well as additional pelvic floor damage, such as third and fourth degree muscular lacerations, as well as fecal incontinence, genital prolapse or dyspareunia, result from obstetric trauma, and are generally linked to the first delivery. The purpose of this study is to analyze, from a physiotherapeutic point of view, and therefore from the perspective of muscular physiology and biomechanics, why this damage occurs, while studying the birth process and the way it is currently performed in most hospitals in our country. Analysis of the birth process and, in short, of the different types of positions used for the first and second stage of labor, as well as of the care provided for women in the puerperium, leads us to propose a global prevention strategy to be carried out in three stages: --Ante-natal prevention: specific preparation of the pelvic floor and abdominal musculature during pregnancy, using massage techniques and manual stretching of the perineum. In addition, the pregnant woman learns these positions and methods of pushing, which makes the first and second stage of labour easier. An osteopathic treatment of the pelvis joints is performed in order to facilitate their mobility or to liberate blockades, if they exist. --Prevention during labour: During this stage, physiology is respected and manual, position-based and breathing techniques are implemented in order to enhance the protection of the baby and of the pelvic floor. --Postpartum prevention: The action is focused on the pelvic floor, through diaphragmatic and abdominal exercises or postures and, if necessary, osteopathic treatment in the early puerperium, in order to facilitate the correct involution of all soft tissues and the pelvic joints involved in labor. Early specific physiotherapeutic treatment will be proposed for women with functional pathology six weeks after delivery.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Comment prevenir les incontinences, dechrirures, dyspareunies, d’apres les madrilenes.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ position during labor ; physiology ; prevention ; perineal/vaginal tears ; dyspareunia ; incontinence/prolapsus

Author of this record :

Cécile Loup — 09 Aug 2005
➡ latest update : Marion Corbe — 02 Dec 2007

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This database is managed by Alliance francophone pour l'accouchement respecté (AFAR,
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