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Pelvic Relaxation

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121. Examining the Effects of Prenatal Education

questions. • For the first question, we identified 10 systematic reviews which found prenatal education on pelvic-floor training, nutrition and physical activity, and identifying true labour all had positive effects for women with low-risk pregnancies, while mixed effects were found for additional prenatal education on breastfeeding. • An additional seven systematic reviews examined outcomes for particular populations of women with high-risk pregnancy and found positive effects from interventions (...) of these reviews summarized in the narrative below are provided in Table 1 with further information available in Appendix A. Effectiveness of prenatal education for women with low-risk pregnancies Ten systematic reviews addressed interventions for women with low-risk pregnancies. Of these, four addressed maternal physical health outcomes. One older medium-quality systematic review found that pelvic- floor training before and after birth helped to reduce incontinence,(3) while the other three systematic reviews

2020 McMaster Health Forum

122. Recommendations for good practice in Ultrasound: Oocyte retrieval Full Text available with Trip Pro

patients, transabdominal US facilitated access when the ovaries were transposed or enlarged above the pelvic brim. Transabdominal-guided oocyte retrieval continues to be used at some centres for rare patients who have ovaries inaccessible by transvaginal US. Nowadays, transvaginal oocyte retrieval is a widely performed procedure, with a low complication rate ( ). In this paper, recommendations for different steps of transvaginal oocyte retrieval will be described. Laparoscopic oocyte retrieval (...) pathologies and cautions during OPU Complications and risks Future developments Training and competence Quality assurance and performance. Some general aspects of the OPU technique are outlined in . Prior to OPU Pelvic US – An US evaluation should be performed before starting an ART treatment: to decide the ovarian stimulation protocol; to determine whether there is any anatomical abnormality or a malposition of the ovaries ( ) and to assess ovarian placement and ovarian/follicular accessibility after

2020 European Society of Human Reproduction and Embryology

123. Pelvic girdle pain

Pelvic girdle pain Pelvic girdle pain - Wikipedia Pelvic girdle pain From Wikipedia, the free encyclopedia Pelvic girdle pain OB/GYN Pelvic girdle pain (abbreviated PGP ) is a that causes , instability and limitation of mobility and functioning in any of the three pelvic joints. PGP has a long history of recognition, mentioned by and later described in medical literature by Snelling. The affection appears to consist of relaxation of the pelvic articulations, becoming apparent suddenly after (...) Relaxation Symptom Giving Pelvic Girdle Relaxation Posterior Pelvic Pain Pelvic Arthropathy Inferior Pubic Shear/ Superior Pubic Shear /Symphyseal Shear Symphysiolysis (usually postpartum) One-sided Sacroiliac Syndrome /Double Sided Sacroiliac Syndrome "The classification between hormonal and mechanical pelvic girdle instability is no longer used. For treatment and/or prognosis it makes no difference whether the complaints started during pregnancy or after childbirth." Mens (2005) Signs and symptoms

2012 Wikipedia

124. Chronic prostatitis/chronic pelvic pain syndrome Full Text available with Trip Pro

relaxation" to prevent chronic tensing of the pelvic musculature. Medication [ ] A number of medications can be used. or appear to be the most effective, with such as providing lesser benefit. Treatment with antibiotics is controversial. Some have found benefits in symptoms, while others have questioned the utility of a trial of antibiotics. Antibiotics are known to have anti-inflammatory properties and this has been suggested as an explanation for their partial efficacy in treating CPPS. Antibiotics (...) Chronic prostatitis/chronic pelvic pain syndrome Chronic prostatitis/chronic pelvic pain syndrome - Wikipedia Chronic prostatitis/chronic pelvic pain syndrome From Wikipedia, the free encyclopedia This article is about one kind of chronic pelvic pain in males. For females, see . Chronic nonbacterial prostatitis Other names Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), prostatodynia, painful prostate Causes Unknown , , , Frequency ~4% Chronic nonbacterial prostatitis , also known

2012 Wikipedia

125. Axonics sacral neuromodulation system for overactive bladder and faecal incontinence

echnologies, Inc.) is an implantable SNM therapy for bladder or bowel control in people with urinary retention, symptoms of overactive bladder or chronic faecal incontinence. SNM (also called sacral nerve stimulation) is a treatment that uses electrical impulses to stimulate the sacral nerves, located in the pelvic floor or groin area. The Axonics SNM system includes an implantable neurostimulator, tined lead, programmers for use by the clinician and patient, and an external trial system. A wireless (...) recommends starting treatment with a combination of conservative interventions (including dietary changes, addressing bowel habits, identifying coping strategies and medication) followed by specialist conservative management (such as pelvic floor muscle training, bowel retraining, specialist dietary assessment and management, biofeedback, electrical stimulation and rectal irrigation) if symptoms persist. If faecal incontinence continues after conservative management, specialist assessments should be done

2018 National Institute for Health and Clinical Excellence - Advice

126. Optimisation of RIZIV – INAMI lump sums for incontinence

of conflict of interest to the main topic of this report’ Membership of a stakeholder group on which the results of this report could have an impact: Veerle Decalf (Urobel), Anja Declercq (fellow of InterRAI, research about BelRAI), Ronny Pieters (Urobel) Fees or other compensation for writing a publication or participating in its development: Els Bakker (courses pelvic re-education) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Veerle Decalf (...) -profit organisations), Ronny Pieters (College Ghent symposium fee Coloplast, College Odisee) Presidency or accountable function within an institution, association, department or other entity on which the results of this report could have an impact: Els Bakker (president BAPRA – Belgian Abdominal Pelvic Reeducation Association), Anja Declercq (board member BelRAI), Ronny Pieters (Urobel) Layout: Ine Verhulst, Joyce Grijseels Disclaimer: • The external experts were consulted about a (preliminary

2020 Belgian Health Care Knowledge Centre

127. Sexual Misconduct

used gestures and language may trigger memories of past physical or sexual abuse and may cause discomfort or fear during a clinical encounter. Because traumaoften involvesanexperience ofpowerlessness, itis important to refrain from behaviors that a patient may perceive as overpowering or threatening (30–33). Com- mon triggers include leaning over a patient during a dis- cussion or pelvic examination, using commands such as “try to relax” before an internal examination, and expos- ing or touching

2020 American College of Obstetricians and Gynecologists

128. Surgical mesh repair of primary inguinal hernia in men

without surgical mesh (non- mesh/suture repair). In particular, we were asked to consider safety and patient aspects relating to surgical mesh repair of inguinal hernias. Why is this important? Surgical mesh has become an important topic in the last few years following women’s experiences of severe, chronic pain after surgical mesh was used to treat pelvic organ prolapse. In Scotland, inguinal hernia repair using surgical mesh is a common procedure accounting for around 5,000 surgeries per year (...) ). The cumulative cost of mesh is lower with a mean saving of £134 per patient, 95% CI £81 to £192. This reduction in costs is because the costs of treating additional recurrent hernias after open non-mesh repair more than outweigh the higher initial material cost of open mesh repair. The cost saving remains robust when the assumption that all recurrences result in a repeat procedure is relaxed to as low as 5% of those having a recurrence. Over the same 5-year time horizon, laparoscopic mesh repair compared

2020 SHTG Advice Statements

130. Recommendations for good practice in Ultrasound: Oocyte retrieval

instead of general anaesthesia; • decreased risk of intestinal trauma; • it can be easily learned, especially by operators trained in US; • decreased costs for patients; • and quick post-interventional recovery. However, in some patients, transabdominal ultrasound facilitated access when the ovaries were transposed or enlarged above the pelvic brim. Transabdominal-guided oocyte retrieval continues to be used at some centres for rare patients who have ovaries inaccessible by vaginal ultrasound (...) fertilisation IVM In vitro maturation LH Luteinizing hormone OHSS Ovarian hyperstimulation syndrome OPU Oocyte pick-up PACS Picture archiving and communication system PCOS Polycystic ovary syndrome PCSA Patient controlled sedation/analgesia PID Pelvic inflammatory disease RCOG Royal College of Obstetricians and Gynaecologists TVOR Transvaginal oocyte retrieval TV-US Transvaginal ultrasound US Ultrasound VA Verbal anaesthesia WG Working group WHO World Health Organisation Submitted for publication in HROpen

2019 European Society of Human Reproduction and Embryology

131. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

of other elements, such as relaxation techniques and educational sessions, were inconsistent. The median duration was 4 weeks (range 1–10 weeks) with a frequency of 5 sessions per week (range 2–14 weeks) of moderate to high intensity, generally tailored to the patient’s tolerance. Studies report an improvement in peak oxygen consumption or in functional capacity (measured with the 6-min walk test) from baseline to postintervention [ ]. Lung function is also enhanced after prehabilitation compared

2020 ERAS Society

133. Guidelines For Professional Ultrasound Practice

2.7.5 Pelvic ultrasound reporting 57 2.7.6 Reporting Examples 57 2.8 ABDOMINAL ULTRASOUND EXAMINATIONS 59 2.8.1 General principles 59 2.8.2 Ultrasound examination of the liver 63 2.8.3 Ultrasound examination of the gallbladder and biliary tree 65 2.8.4 Transabdominal ultrasound examination of the pancreas 66 2.8.5 Ultrasound examination of the spleen 68 2.8.6 Ultrasound examination of the abdominal aorta 71 2.8.7 Ultrasound examination of the bowel 72 2.9 URO-GENITAL SYSTEM INCLUDING TESTES

2019 British Medical Ultrasound Society

134. Non-clinical interventions for reducing unnecessary caesarean section. Full Text available with Trip Pro

for couples may reduce caesarean section (RR 0.59, 95% CI 0.37 to 0.94) and may increase spontaneous vaginal birth (RR 2.13, 95% CI 1.09 to 4.16). We judged this one study with 60 participants to have low-certainty evidence for the outcomes above.Nurse-led applied relaxation training programmes (RR 0.22, 95% CI 0.11 to 0.43; 104 participants, low-certainty evidence) and psychosocial couple-based prevention programmes (RR 0.53, 95% CI 0.32 to 0.90; 147 participants, low-certainty evidence) may reduce (...) the certainty of evidence to be low.We studied the following interventions, and they either made little or no difference to caesarean section rates or had uncertain effects.Moderate-certainty evidence suggests little or no difference in caesarean section rates between usual care and: antenatal education programmes for physiologic childbirth; antenatal education on natural childbirth preparation with training in breathing and relaxation techniques; computer-based decision aids; individualised prenatal

2018 Cochrane

135. Chronic pain syndromes

, and chronic headache syndromes. One in 3 patients over the age of 65 years is affected by chronic pain, often due to arthritis, osteoporosis with fractures and/or lumbar spinal stenosis. These conditions are treatable and should not be considered part of the normal ageing process. Untreated chronic pain in geriatric patients can result in depression, poor quality of life, and loss of independence. Some treatments, such as stretching exercises, relaxation techniques, antidepressants, and antiepileptic (...) . Chronic pain occurs due to persistent activation of neural pain pathways and muscle spasm. Chronic pain is discussed here as a syndrome and includes non-malignant conditions without localised or regional causes (such as abdominal pain or pelvic pain). [Figure caption and citation for the preceding image starts]: Acute pain occurs with trauma or illness, decreasing during healing and resolving within 3 months. Chronic pain persists after healing is completed, due to continued activation of neural pain

2018 BMJ Best Practice

136. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

or spinal cord tumour, cauda equina syndrome, transverse myelitis, multisystem atrophy, pelvic nerve injury, and diabetes. It is well-described that neurological disorders can lead to urological complications, including: urinary incontinence, urinary tract infections (UTIs), urolithiasis, sepsis, ureteric obstruction, vesicoureteric reflux (VUR), and renal failure. 2 Due to the potential morbidity and even mortality, initial investigation, ongoing management, and surveillance is warranted (...) , renal function) Review of relevant systems Bowel function Sexual function Coexisting non-NLUTD dysfunction (prostatic enlargement, stress incontinence) Gross hematuria Gynecological/pregnancy history Genitourinary/pelvic pain Motor abilities (hand function, ability to transfer) Cognitive function Support systems/caregivers CIC: clean intermittent catheterization; MS: multiple sclerosis; NLUTD: neurogenic lower urinary tract dysfunction; SCI: spinal cord injury; UTI: urinary tract infection.CUAJ

2019 Canadian Urological Association

137. Hysterectomy

. Leiomyomas: For symptomatic fibroids, hysterectomy providesa permanent solution to menorrhagia and the pressure symptoms related to an enlarged uterus (I-A). 2. Abnormal uterine bleeding: Endometrial lesions must be excluded and medical alternatives should be considered as a first line of therapy (III-B). 3. Endometriosis: Hysterectomy is often indicated in the presence of severe symptoms with failure of other treatments and when fertility is no longer desired (I-B). 4. Pelvic relaxation: A surgical (...) solution usually includes vaginal hysterectomy, but must include pelvic supporting procedures (II-B). 5. Pelvic pain: A multidisciplinary approach is recommended, as there is little evidence that hysterectomy will cure chronic pelvic pain. When the pain is confined to dysmenorrhea or associated with significant pelvic disease, hysterectomy may offer relief (II-C). Preinvasive Disease 1. Hysterectomy is usually indicated for endometrial hyperplasia with atypia (I-A). 2. Cervical intraepithelial

2018 Society of Obstetricians and Gynaecologists of Canada

138. Diazepam

Diazepam is a long-acting benzodiazepine used as a hypnotic, anxiolytic, anticonvulsant and muscle relaxant. Its actions are mediated (...) by enhancement of the activity of gamma-aminobutyric acid (GABA), a major inhibitory neurotransmitter in the brain. Data on the risk of congenital malformation following use of diazepam in pregnancy are highly confounded by the research techniques employed in the majority of the available studies. Evidence is therefore conflicting; with some older studies (...) of orally administered diazepam . The evaluation of the overall sedative effects of the diazepam and nitrous oxide together were better than the sedative effects of diazepam alone. Best Evidence (you may view more info by clicking 2013 20. Intra-vaginal diazepam for high-tone pelvic floor dysfunction: a randomized placebo-controlled trial. 23681047 2013 10 21 2014 06 23 2013 10 21 1433-3023 24 11 2013 Nov International urogynecology journal Int Urogynecol J Intra-vaginal diazepam for high-tone pelvic

2018 Trip Latest and Greatest

139. Constipation

. This is the third blog in our new series Evidence for Everyday Health Choices. Constipation is a miserable condition which can worsen co-morbidities like low back pain, muscle (...) can cause constipation , particularly in children – it’s best to move your bowels when you feel the first urge. Poo position You can help reduce the stress on the tissues and reduce straining by squatting to pass a bowel movement. This position encourages the pelvic floor to relax. This can be mimicked on a Western style toilet (...) in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button 2018 10. Easing the strain: put your feet up for constipation Easing the strain: put your feet up for constipation - Evidently Cochrane Search and hit Go By February 24, 2016 // In this guest blog, pelvic physiotherapist and comedian Elaine Miller tells us what we need to know to avoid constipation and when the going gets tough

2018 Trip Latest and Greatest

140. Tizanidine

Study to Assess the Pharmacokinetics, Safety and Tolerability, and Pharmacodynamics of Tizanidine at 4 Different Oral Dose Levels in Pediatric Subjects 2 2011 6. A double-blind comparative trial of new muscle relaxant, tizanidine (DS 103-282), and baclofen in the treatment of chronic spasticity in multiple sclerosis. 7016449 1981 08 20 1981 08 20 2014 11 20 0300-7995 7 6 1981 Current medical research and opinion Curr Med Res Opin A double-blind comparative trial of new muscle relaxant, tizanidine (...) (DS 103-282), and baclofen in the treatment of chronic spasticity in multiple sclerosis. 374-83 A double-blind trial with two parallel groups was carried out (...) to compare the antispastic effect and tolerability of a new muscle relaxant, tizanidine (DS 103-282), with those of baclofen in the treatment of spasticity due to multiple sclerosis. Twenty-one hospitalized patients with stable spasticity participated in the 6-week trial. Eleven received tizanidine and 10 baclofen in gradually

2018 Trip Latest and Greatest

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