Physiotherapy in Obstetrics and Gynaecology 2nd ed. - J. Mantle, et. al., (B-H, 2004) WW.pdf - książki - Bio Med 26 - bibiariel

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Agency, 90 Tottenham Court Road, London W1T 4LP.

First edition 1990

Second edition 2004

ISBN 0 7506 2265 2

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A catalog record for this book is available from the Library of Congress

Note

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Dedication

This second edition of Physiotherapy in Obstetrics and Gynaecology is dedicated to the memory of Margaret

Polden, co-author of the first edition, who tragically died in 1998 just as work on this second edition

began.

Margie was renowned internationally for her passion for the promotion of the health and well-being

of women, for her clinical excellence, particularly in the obstetric field, and for her easy style of writing.

The Council of the Chartered Society of Physiotherapy formally recognised this by awarding her the first

posthumous Fellowship in 1999.

Through the first edition of Physiotherapy in Obstetrics and Gynaecology the essential essence of Margie’s

knowledge, wisdom and experience was made available to physiotherapists internationally. The

contributors to this second edition all knew Margie and were influenced by her. They have sought to

revise the text in the light of contemporary evidence, as Margie would have wished, and they offer this

volume as a tribute to her – a true friend, colleague and outstanding human being.

For Butterworth Heinemann:

Senior Commissioning Editor: Heidi Allen

Associate Editor: Robert Edwards

Project Manager: Samantha Ross

Design: George Ajayi

Illustrations Manager: Bruce Hogarth

vii

Contributors

Sue Barton MSc DipEd MCSP DipTP DipRG&RT

DipTHRF SRP

Health Senior Lecturer, School of Health Studies,

University of Bradford, England , UK

Jill Mantle BA FCSP DipTP

Senior Visiting Fellow, University of East London,

London, England, UK

Pauline Walsh MCSP SRP

Clinical Specialist Physiotherapist in Obstetrics and

Gynaecology, Mount Alvernia Hospital, Guildford,

Surrey, England, UK; Royal Surrey County Hospital

NHS Trust, Guildford, Surrey, England, UK

Teresa Cook GradDipPhys MCSP SRP

Clinical Specialist, Physiotherapist in Women’s

Health, James Paget Hospital, Great Yarmouth,

Norfolk, England, UK

Jo Fordyce GradDipPhys MCSP SRP

Clinical Specialist, Physiotherapist in Women’s

Health, St George’s Hospital, London, England, UK

Jeanette Haslam MPhil GradDipPhys MCSP SRP

Senior Visiting Fellow, University of East London,

London, England, UK

Foreword to the second edition

Since 1995 it has been a great pleasure, privilege

and honour to serve as the President of the

Association of Chartered Physiotherapists in

Women’s Health (ACPWH). This has enabled me to

attend council meetings as well as the Annual

Meeting of the Association on several occasions.

The ACPWH is an active, enthusiastic group of spe-

cialist physiotherapists who promote the impor-

tance of physiotherapy in all aspects of obstetrics

and gynaecology.

It is well recognised that antenatal education

facilitates easier childbirth and a faster return to

‘normal’ in the post partum period. However

many under estimate the value of physiotherapy

throughout a woman’s life in the promotion of

good health by preventing or ameliorating a wide

range of physical problems. For example urinary

incontinence and pelvic organ prolapse are exceed-

ingly common with a life-time risk of approxi-

mately 11% requiring surgery for one or other of

these conditions, a third of whom will require

re-operation. Thus a huge proportion of the adult

female population suffer from symptoms which,

although not life threatening, undoubtedly signifi-

cantly impair quality of life and lead to embarrass-

ment and inability to perform routine activities of

daily living. Approximately two thirds of women

with urinary incontinence will benefit from physio-

therapy and, whilst this may not provide a com-

plete cure, it is likely to avoid or defer the need for

surgery until a suitable time e.g. when a woman’s

family is complete and she is fit and willing to

undergo surgical intervention.

All women with lower urinary tract problems

and pelvic organ prolapse benefit from the advice

of a physiotherapist who can not only provide the

appropriate exercises to strengthen the pelvic floor

but can advise on life style interventions in order to

improve symptoms and help individual women to

lead a normal lifestyle. Unfortunately, at present,

there are not enough physiotherapists trained in

women’s health to take care of the needs of all those

women who would benefit from such advice and

treatment.

The second edition of Physiotherapy in Obstetrics

and Gynaecology is an excellent book written by

dedicated women’s health physiotherapists specifi-

cally for physiotherapists. However it will also be

of use to all midwives, health visitors, obstetricians

and gynaecologists and others who are involved in

the care of women before, during and after preg-

nancy and who share the management of women

with the common sequelae of childbearing. The

text has been written in an ‘easy to read’ style and is

well referenced and will, I am sure, be used as a ref-

erence book for many of us dealing with problems

related to women’s health. I am sure that this book

will continue to be the authoritative work on the

subject until the third edition of Physiotherapy in

Obstetrics and Gynaecology is published!

Linda Cardozo, 2004

Foreword to the first edition

The physiotherapist has been an important member

of the maternity team for years, in fact since at least

1912. Then, the physiotherapist Minnie Randall

together with the obstetrician J. S. Fairbairn at St.

Thomas’ Hospital developed special interests in

the management of pregnancy, labour and the puer-

perium. Later the scope was extended to gynaeco-

logical cases.

Out of this has grown the Association of

Chartered Physiotherapists in Obstetrics and

Gynaecology. Its special contribution was recog-

nised in the joint statement by the Royal College of

Midwives, the Health Visitors’ Association and

the Chartered Society of Physiotherapy.

This recognition makes this new book espe-

cially timely. The training of a physiotherapist

does not necessarily include the role in obstetrics

and gynaecology. The book is a definitive state-

ment. It therefore includes chapters on all aspects

of the physiotherapist’s role in obstetrics and

gynaecology, from the basic sciences through to

incontinence, a symptom which causes great dis-

tress and restriction of life to so many women and

one which can so often be helped by the skills of

the physiotherapist.

On a personal note I am happy to say that

throughout my professional life in obstetrics and

gynaecology I was always conscious of the contri-

bution physiotherapists could bring to our work.

I was privileged to know and to work with Helen

Heardman who did so much to promote prepar-

ation for childbirth and the relief of discomfort.

The obstetric physiotherapist was always a valued

member of the team attending teaching rounds and

of course conducting antenatal classes for mothers,

and fathers. They have a special role which cannot

be properly undertaken by others not trained in

their methods.

I am therefore very glad to welcome this

book with all the care and effort that has gone into

its production, not least in the excellent illustr-

ations and the bibliography which follows each

chapter and which makes it an excellent work of

reference.

The book has a scope and interest far beyond its

authors’ intention.

Dame Josephine Barnes, 1990

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