Title |
UR-CHOICE: can we provide mothers-to-be with information about the risk of future pelvic floor dysfunction?
|
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Published in |
International Urogynecology Journal & Pelvic Floor Dysfunction, April 2014
|
DOI | 10.1007/s00192-014-2376-z |
Pubmed ID | |
Authors |
Don Wilson, James Dornan, Ian Milsom, Robert Freeman |
Abstract |
Vaginal childbirth is probably the most important factor in the aetiology of pelvic floor dysfunction (PFD) and results in the combination of some or all of the following conditions: urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). Up until now, it has been difficult to counsel women antenatally regarding risk factors for subsequent PFD, as there has been little good-quality, long-term information available. We now have moderately robust epidemiological data at 12 and 20 years after delivery and objective pathophysiological data (pudendal nerve trauma and levator defects/avulsion). In this commentary, we propose a scoring system (UR-CHOICE) to predict the risk of future PFD based on several major risk factors (UI before pregnancy, ethnicity, age at birth of first child, body mass index, family history (mother and sister) of PFD and baby's weight and maternal height (if <160 cm and baby >4 kg) that have been identified for subsequent PFD risk. This scoring system will help with counselling for women regarding PFD prevention. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 44% |
Denmark | 1 | 11% |
United Kingdom | 1 | 11% |
Vietnam | 1 | 11% |
Unknown | 2 | 22% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 44% |
Practitioners (doctors, other healthcare professionals) | 3 | 33% |
Science communicators (journalists, bloggers, editors) | 1 | 11% |
Scientists | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 108 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 14% |
Other | 13 | 12% |
Student > Ph. D. Student | 11 | 10% |
Student > Postgraduate | 9 | 8% |
Student > Bachelor | 8 | 7% |
Other | 21 | 19% |
Unknown | 31 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 35 | 32% |
Nursing and Health Professions | 21 | 19% |
Psychology | 3 | 3% |
Engineering | 3 | 3% |
Unspecified | 2 | 2% |
Other | 8 | 7% |
Unknown | 36 | 33% |