Childbirth-Related Pelvic Floor Dysfunction Risk Factors, Prevention

​This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis, and management. It encompasses all relevant conditions, with particular focus on genital prolapse, urinary incontinence, and fecal inco

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Childbirth-Related Pelvic Floor Dysfunction

Diego Riva • Gianfranco Minini Editors

Childbirth-Related Pelvic Floor Dysfunction Risk Factors, Prevention, Evaluation, and Treatment

Editors Diego Riva Department of Gynecology “S. Pio X” Clinic Milan Italy

Gianfranco Minini Urogynecology "Città di Brescia" Clinic Institute Brescia Italy

ISBN 978-3-319-18196-7 ISBN 978-3-319-18197-4 DOI 10.1007/978-3-319-18197-4

(eBook)

Library of Congress Control Number: 2015949393 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

Foreword

Perineal trauma is a common event in labour, affecting up to 90 % of primigravidas and it is sometimes associated with considerable post-natal morbidity. Statistics show that one in ten women after vaginal delivery will have pelvic floor dysfunction, so severe that surgery may be required. All authors actually agree that the obstetric pelvic floor trauma is a heavy reality. Even if the topic of perineal damage following delivery is widely debated in many courses and meetings, it seems very interesting having put together different specialized approaches: I believe that this text can be very useful not only for students but even for every clinician searching for a real upgrading in this field. The strong scientific methodology and the deep analysis of the literature allow to reach a super-specialized point of view, which is necessary to look at these complex problems. This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis and management. It encompasses all relevant conditions with particular focus on genital prolapse and urinary and fecal incontinence. Risk factors for pelvic floor damage related to childbirth are identified, and a 3D simulation