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Bladder Infection – Diagnosis and Treatment

  Bladder infections are common in women and are cause by overgrowth of bacteria in the bladder and the urinary tract. The symptoms could vary from pain in the abdomen to a burning sensation while passing urine. One of the common symptoms of bacterial infections of the bladder is cloudy or bloody urine. Most doctors suggest a urine test to make a proper diagnosis. Diagnosis of Bladder Infection The first test that the doctors ask the patient to undergo is the Urinalysis (UA). A urine sample is collected from the patient to diagnose cystitis (bacterial bladder infection). It is then tested for the presence of white blood cells (WBCs), the nitrates or blood in the urine. The presence of white blood cells in the urine indicates an infection while the presence of nitrates indicates a bacterial infection. In certain cases the doctors might also send the urine for a urine… Read more

Improving your Postnatal recovery

Improving your Postnatal recovery Many clients ask me how soon can they commence my pelvic floor exercises after birth. There are many factors, this does depend on; your Delivery (C vs. natural), Baby Size, Baby number and Labour (episiotomy/degree of tear). If you have had a relative easy birth or caesarean commence these exercises 24 – 48 hours after delivery, provided there is no pain. Pelvic floor and deep abdominal exercises should be focussed on first as they are the most important low level muscles that help you recover faster and return to your pre-pregnancy shape sooner. Start doing these morning and night. Please refer to my foundation level in my app for correct set up and action to improve both fast twitch and slow twitch muscles of the pelvic floor. If you have experienced any urinary leakage or trouble passing urine since the birth of your baby please notify… Read more

Caesarean (C-Section) vs. Natural delivery

A small snippet of what’s known Almost one-third of all births in Australia are now caesareans. Australian rate of caesarean section remains among the highest in the world. The 2007 ABS study highlights that the increase of caesarean rates include; advancing maternal age, multiple pregnancy, low birth weight, breech presentation and private accommodation status in hospital. * *ABS 2007, Birth Method report ‘…In about half of all women after vaginal delivery, there is substantial alteration of functional anatomy…There can be no doubt that maternal birth trauma is a common enough risk (affecting 30–50 per cent of all primiparae after a (first time) vaginal delivery)…’ Pelvic Floor Trauma in Childbirth, O&G Magazine, Autumn 14. See table 1  Evolution and Childbirth The “obstetrical dilemma” hypothesis implies that when humans started walking upright on two legs, the birth canal became narrower and as infants’ brains are comparatively large, childbirth becomes problematic, and that… Read more

How much weight should I gain during pregnancy?

What we know? There is an increase in energy requirements during pregnancy for foetal development and tissue growth, but it doesn’t mean eating for 2! A lot of information suggests between 11-16kg, which is quite a sliding scale, especially for someone 5 foot! Note; that this is an average figure for a single pregnancy, but if you are concerned about falling outside this range please visit your health professional for advice. Looking at the scales at my final weigh in during my last obstetrician appointment was, well, frightening – to think I now will need to lose yet again 12kg (that’s 25% more) – holy crap! My obstetrician did mention with my BMI, current health and fitness level I would gain between 11-14kg. He did reinforce that the additional weight gain would not be linier – A sigh of relief, as I put on 5.3kg in the first 12 weeks;… Read more

Difference between Pubic Symphysis Dysfunction (PSD) Pre & Postnatal vs. in athletes; Footballers

I have spent much time trying to research the number of women who experienced Pubic Symphysis (PSD) pre or postnatal. The problem in providing a figure for Pubic Symphysis pain is the lack of research on this joint alone during pre or postnatal. When trying to research insights on this injury most medical papers and journals were on footballers diagnosed with this injury. What is PSD? For soon to be mothers – Due to the hormone ‘relaxin’ released during pregnancy, the ligaments relax at the Pubic Symphysis and Sacroilliac Joints. This causes an increase in mobility and separation in these areas, causing strain which can cause pain in these or each joint. I found an increase in specific pubic groin pain when walking or taking one foot of the ground due to the proportionally large weight of my baby. For me this was prevalent during my first pregnancy and 4… Read more

The truth about strengthening the Pelvic Floor

‘There is not yet strong evidence that exercise regimens (Pilates), other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review’ Journal of Physiotherapy Sep. 2013 Vol 59^ What is already known? Urinary incontinence is common, affecting quality of life and participation in social activities. Extensive high-quality evidence confirms that specific pelvic floor muscle training reduces stress urinary incontinence# and mixed urinary incontinence* What this study adds? Abdominal training, the Paula method, and Pilates have each been examined as adjuncts or alternatives to pelvic floor muscle training in several randomised trials, but the data does not support their effectiveness. The efficacy of yoga, Tai Chi, breathing exercises, postural training and general fitness training in treating stress urinary incontinence has not been examined in any randomised trials.’ So what? ‘…pelvic floor muscle training in isolation should be first-line treatment for stress urinary incontinence and mixed urinary… Read more