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Improving continence service standards within midwifery
1Continence Advisory Service, Hertfordshire and Essex Hospital, Hertfordshire.
British Journal of Nursing (Mark Allen Publishing)
|October 22, 2002
Summary
This study highlights improved postnatal bladder management for women in west Essex. Early detection and specialized care through the Continence Advisory Service (CAS) enhance recovery and understanding of postpartum urinary issues.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Women's Health
Background:
- Postnatal urinary dysfunction affects many women.
- Effective management requires specialized continence services.
- Midwifery and continence services collaboration is crucial.
Purpose of the Study:
- To describe the development and impact of new guidelines for postnatal bladder management.
- To assess the effectiveness of the Continence Advisory Service (CAS) in west Essex.
- To improve care for women experiencing urinary difficulties post-labour.
Main Methods:
- Development and review of guidelines for bladder management during and after labor.
- Referral of women with urinary issues to the Continence Advisory Service (CAS).
- In-house education for healthcare professionals on early detection of voiding difficulties.
Main Results:
- Established guidelines emphasizing regular bladder emptying, especially after epidural analgesia.
- Improved understanding and management of anal sphincter trauma for affected women.
- Enhanced early detection of voiding difficulties leading to a more efficient service.
Conclusions:
- The integrated approach involving midwifery and the CAS improves postnatal bladder care.
- Proactive education and early intervention are key to managing postpartum urinary dysfunction.
- Specialized continence services provide essential support and continuity for women's recovery.