Conservative management of postnatal incontinenece
Dear sir This study highlighted the existing cochrane data information about using conservative treatment for postnatal incontinenece.As we are aware that there are not only longterm physical but also social & psychological problems associated with incontinence.
The risk of sphincter injury is increased at first delivery , forceps delivery, fetal birth-weight greater than 4,000 g and prolonged second stage of labour, occipito-posterior position, and midline episiotomy.
Injury can be prevented or minimized by appropriate training for the instrumental deliveries, optimizing perineal repair technique, and by appropriate postnatal assessment of symptomatic women. The dictum that`Prevention is better than cure` still stands.
Competing interests: None declared
Competing interests: No competing interests