This consultation mainly attends to patients with dysfunctions of the pelvic floor. stress urinary incontinence, overactive bladder and mild pelvic organ prolapse. It is a multidisciplinary team, in collaboration with the medical consultation where the diagnosis of the different pathologies, pharmacological treatments or surgical solutions are carried out.
Today, Thursday, May 5, International Midwifery Day is celebrated. This day was declared by the World Health Organization (WHO) in recognition of the work of midwives and midwives who, for centuries, have accompanied women and newborns. This year marks the International Confederation of Midwives’ 100th anniversary of its recognition in Belgium, hence the motto 100 years of progress.
The midwives of the Pelvic Floor Re-education Consultation of the Canary Islands University Hospital Complex (HUC), attached to the Ministry of Health of the Government of the Canary Islands, join in the celebration of this day. They also carry out obstetric care work in the delivery room.
This consultation, from the Obstetrics and Gynecology service of the hospital center, cares for patients with pelvic floor dysfunction, stress urinary incontinence, overactive bladder and mainly mild pelvic organ prolapse. Scientific evidence supports that conservative treatment should be the first line of treatment for pelvic floor dysfunction.
Conservative treatment consists of diagnosing the dysfunction and planning individualized strategies for each patient. The patient is taught training to strengthen the muscles of this area, bladder re-education and voiding habits, and strategies to change lifestyles that can harm the health of her pelvic floor, such as smoking, being overweight, constipation and sports. of impact.
It is a multidisciplinary team, in collaboration with the medical consultation of the Pelvic Floor Unit, where the diagnosis of the different pathologies, pharmacological treatments or surgical solutions are carried out. From the consultation, the midwife provides care from a holistic perspective. “We cannot treat dysfunction only from a physical dimension, care is necessary that includes the emotional and social factor of the patient” point out Isabel Mondéjar and Yari Díaz, midwives of these consultations.
Patients with perineal trauma after childbirth with more serious perineal tears are also treated. Midwives accompany women in this vulnerable period such as the puerperium, they treat the recovery of the perineum, monitor sexual dysfunctions associated with childbirth and support breastfeeding.
In this consultation doubts about childbirth are resolved, the patient shares her fears, her uncertainty in this period of upbringing. Midwives need the patient’s story, listen to them and help them from their strengths. “Knowing their experience in childbirth, we can improve our obstetric assistance” point out these professionals.
They also carry out support in grief, in early or late gestational losses, related to dysfunctions of the pelvic floor. “We cannot just treat an incontinence problem if the woman has lost her child, as midwives we feel that we must give visibility to these losses and help these couples from the health system, from families and from society in general. ”
For the midwives who run this practice, “the quality of life of women with pelvic floor dysfunctions can be greatly improved by following a re-education program. The key to success is the motivation and commitment of the patient to carry out the proposed program.”
They are the professionals who develop their skills accompanying women throughout their sexual and reproductive cycle, during pregnancy, childbirth, postpartum, in contraception programs, sexual education for young people and menopause.
They also participate in programs for the prevention of breast and cervical cancer, in the re-education of the pelvic floor, as well as in the care of migrant women. A special recognition to the midwives who provide their services in situations of catastrophes or wars as is happening in Ukraine today.
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The HUC Pelvic Floor Reeducation Consultation joins…