Birth trauma and incontinence

Abstract

Incontinence and birth trauma are both events seen in the literature and daily practice. Several facts render a standardization of pelvic floor protective proceedings in the course of pregnancy and delivery very difficult: urinary incontinence occurs already during pregnancy, it is not comparable to postpartum complaints.After cesarean section urinary and stool incontinence can also occur. Pelvic floor consciousness training and conditioning should be established in a standardized way before, during and after pregnancy, independent of functional disorders as the influence of giving birth continues even as late as after menopause. Delivery management must be adapted individually to each case and situation anew. Despite all attempts to protect the pelvic floor, stool and urinary incontinence cannot be avoided entirely.Even prospective randomized studies with large case numbers will be able to elucidate this subject only in part, as the genesis of stool and urinary incontinence is multifactorial.