PGP and/or LBP during pregnancy are common in the United States, the United Kingdom, Norway, and Sweden. Severity, concern, and treatment experiences differed across countries. The majority of women who received treatment reported a positive effect.
A 37-year-old woman previously treated with TVT-O developed recurrent symptoms of stress urinary incontinence during pregnancy. Symptoms started to develop later in the second trimester and progressed gradually to affect her quality of life at the end of pregnancy. In the event she had a very quick spontaneous vaginal delivery at 40 weeks' gestation. Postnatal physiotherapy successfully controlled the incontinence symptoms and urodynamic studies demonstrated no incontinence with a stable bladder and a normal flow rate. The patient remains well 2 years following delivery with no further treatment.
A consultation was held to seek children's views on how to make better children's nurses to influence a new curriculum. In one-to-one sessions, ten hospitalised children were asked to complete body outlines of 'good' and 'not so good' nurses. Based on this the children were asked about how good children's nurses could be made. They agreed that although children's nurses are special people with some innate characteristics, they also needed education to make them good at nursing children. The children were able to identify three areas of learning that could help to make a good children's nurse. The researchers categorised these as: attitudinal and professional persona; Cognitive and psychomotor learning; experiential learning. The consultation highlighted methodological issues in consulting children about curriculum development, as well as drawing our attention to how children are represented in the children's nursing curriculum. Child nurse lecturers should work in collaboration with clinical colleagues and, more importantly, children to develop teaching and learning in children's nursing.
A urethral plug appears to be an effective means of restoring or improving continence in women with persistent urinary incontinence following successful repair of obstetric VVF although data on long-term outcome were not available for analysis. Success rates may be lower if women have a significantly reduced bladder capacity or a new or wide urethra.
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