Obstétrique

Incontinence

Sphincter deficiency.

Urinary incontinence can be so-called “stress incontinence" (coughing, exercising, carrying heavy loads) or 
“urge incontinence" (the person has sudden urges), or a mixture of both aspects can be present.

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Hysterectomy

Surgical procedure involving removing all or part of the uterus.

It is total if it includes the body and the cervix of the uterus.

It is called subtotal if the cervix is left in place.  

Hysterectomy can be "conservative" or "interannexial" if the ovaries and fallopian tubes are left in place.  

It may be performed through the abdomen (midline abdominal incision or Pfannenstiel incision), by laparoscopy (where the uterus is cut into smaller pieces to allow its extraction) or vaginally (where the uterus is extracted through natural channels).

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Hemorrhoids

I have hemorrhoids, what should I do?

Pregnancy can lead to hemorrhoids. They are due to the compression of the uterus on the large blood vessels, a hormone (progesterone) and constipation. Hemorrhoids can be painful and can result in bleeding, but they do not represent a risk to your baby.

Talk to your physician.

Practical advice:

  • Avoid constipation
  • Your physician may prescribe a hemorrhoid cream
  • Avoid prolonged standing

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Buttock pain (sciatica)

I have a pain in my buttock extending to the thigh, is this normal?

Pain that starts in the lower back and radiates to the buttock and down the leg is a sign of sciatica. It is due to compression of the sciatic nerve. In severe cases your physician may prescribe physiotherapy sessions.

Practical advice:

  • Rest, leaning back supported by cushions
  • Hot baths

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Vaginal itching

I have vaginal itching, what should I do?

Vaginal itching accompanied by yellowish, greenish, foul smelling discharge: please consult your attending physician. 
Taking an antibiotic treatment can encourage a fungal infection to develop.

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Burning urination

It burns when I urinate, what should I do?

Burning upon urination, lower abdominal pain and/or fever; Consult your physician, this can indicate urinary infection. It is rather common during pregnancy due to hormonal changes (progesterone causes stasis/urinary retention) and compression by the uterus.

Practical advice :
Drink plenty of water.

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