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Obstetrical Management Following Incontinence Surgery
Author(s) -
Casper Fritz W.,
Linn Jürgen F.,
Black Peter
Publication year - 1999
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1999.tb01122.x
Subject(s) - medicine , urinary incontinence , pregnancy , stress incontinence , third trimester , pelvic floor , retrospective cohort study , obstetrics , surgery , gestation , biology , genetics
Objective: To analyze in a retrospective fashion our experiences with obstetrical management following previous incontinence surgery. Methods: Between 1990 and 1997 4 women presented to our institution in the third trimester of pregnancy with a history of colposuspension performed 3 months to 4 years before onset of pregnancy for second degree stress incontinence. Three of 4 patients experienced recurrent incontinence during the third trimester. Results: A cesarean section was performed before the onset of labor in all 4 patients. Postpartal pelvic floor exercises were prescribed and a follow‐up ensued after 6 and 11 months in the form of a questionnaire. While incontinence persisted in 2 patients for 6 months, all 4 patients demonstrated complete continence after one year. Conclusions: We consider an elective cesarean section to be the optimal mode of delivery in women with a history of incontinence surgery.