The more I see patients with urinary incontinence the more I wonder how can we get the right information out there. I see patients of all ages but what really frustrates me is when women come to me only after years, and years of experiencing incontinence. Why did they wait so long? Why they didn't ask for help sooner. Ladies, I have news for you: leaking urine is NOT normal and it is treatable. And of course the sooner you seek treatment the more chances you have to improve.
Going back to our healthcare system. Why are the population not receiving the proper information, and getting immediate treatment for incontinence? And the population in question here is the post-partum women. Here in Canada vaginal delivery is the standard procedure. Vacuum, episiotomy, forceps are used to facilitate delivery and avoid cesarean section. Then these women after hours and hours of labour, sometimes days, are sent home with instructions on how many Tylenol and ibuprofen pills to take to ease the pain. They have no idea of the possible side effects of delivery, which can include urinary incontinence, pelvic organ prolapse, urgency, frequency, etc. What should they be avoiding? Where can they seek treatment? What are the signs and symptoms of prolapse?
I heard in Australia every women that had delivered a baby in one of their main hospitals are seen by a pelvic floor physiotherapist before discharged, or being referred by a pelvic floor program/ information session. Why aren't we doing the same here?