Empowering YOU to be in control

The Bladder and Caesars

Originally posted on sue croft physiotherapist blog:

I recently read some research (BMJ Open 2013:3:e002789)  looking at the Caesarean rate in public and private hospitals in Western Australia. It looked at births to nulliparous women during 1996-2008 (155646). The study looked at the Caesar rate depending on the source of funding (private versus public hospital) and found 29% ( 45903) in total were performed. 24803 were performed in-labour meaning that because of foetal or maternal distress, and 21100 were performed pre-labour, meaning they were  planned C section. The study concluded that an increase in the pre-labour caesarean delivery rate for private patients has been driving the increase in C section rate for nulliparous women since 1996.

Now the point of this blog is not to draw attention to the many pelvic floors that are not undergoing the potential damage that pushing a baby out may cause ie the Caesar rate, but rather to reiterate the importance of all women undergoing any gynaecological surgeryincluding Caesareans, to…

View original 322 more words

Dr Arabin Cerclage Pessary

Dr Arabin Cerclage Pessary

Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant

women with a history of preterm birth and a sonographic short cervix.
Reference: Ultrasound Obstet Gynecol 2013; 41: 146–151 Published online 17 January 2013 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/uog.12300
and M. GOYA‡
*Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK; †Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, University of Alabama, Birmingham, AL, USA; ‡Maternal Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain; §Department of Biostatistics, University of Alabama, Birmingham, AL, USA
Objective To compare the outcome of pregnancy in cohorts of women with singleton pregnancy and history of preterm birth and sonographic short cervix managed with different treatment protocols, namely cerclage, vaginal progesterone or cervical pessary.
This was a comparison of three management protocols for women with singleton pregnancy and a high risk of preterm birth because of a prior spontaneous preterm birth before 34 weeks and a shortened cervical length detected by transvaginal ultrasound. The study included 142 women who were initially treated with cerclage (USA), 59 with vaginal progesterone (UK) and 42 with cervical pessary (Spain). Perinatal outcomes were compared between the three cohorts.
There were no statistically significant differences in perinatal losses, neonatal morbidity and preterm births among the three groups, apart from a higher rate of preterm birth before 34 weeks’ gestation after treatment with vaginal progesterone in comparison with treatment with cervical pessary (32% vs 12%; relative risk (RR)=2.70; 95% CI, 1.10–6.67). When only the
subgroups of women with cervical length <25 mm, irrespective of gestational age, were compared, the difference between these two cohorts was not statistically significant (RR=2.21; 95% CI, 0.83–5.89).
Cerclage, vaginal progesterone and pessary appear to have similar effectiveness asmanagement strategies
in women with singleton pregnancy, previous spontaneous preterm birth and short cervix. Direct randomized comparisons of these strategies, or combinations thereof, are needed to determine optimal management.
Cerlage Dr Arabin in position


Excellent article. I love their blog

Originally posted on Holistic Health & Living:

sri_lanka_gingerBy Josh Smith

No cure for hemorrhoids would be complete without the ingredient known as, ginger. It is more often recognized as a cooking spice rather than an herbal ingredient that can naturally heal your body of its many ailments. Regardless of your preconceived notions, ginger is a great addition to any solution or formula that you may be entertaining.

Ginger has many purposes as soon as it is used as part of a cure for hemorrhoids. This great herb serves a couple primary functions for your body.

Both functions are extremely essential to your optimal health and well being. The function it serves is to increase the circulation of the blood. By doing so, it is one of the best ways to cleanse the body of excess waste as a part of your hemorrhoids cure.

You see, bad blood circulation means poor ability to get rid of waste…

View original 302 more words

Vitamin A

Vitamin A.

APOPS new logo jpgCredit to Sherrie Palm founder Associateion for Pelvic Organ Prolapse Support

It’s flu season; you’re hacking and hacking until you feel like your bottom end is going to blow out. And it just might be. if you’re like me you start to ramp up the germ-phoebe aspect of your personality around this time of year. We all start paying more attention to washing our hands, get nervous about grabbing the door at stores we shop at, walk the other way when we hear someone  coughing. No one wants to get the flu. Yet despite the extra protective measures we take, we somehow manage to contract it. The majority of us are exposed to hundreds of germ infested surfaces every day; there’s just no way to get around it beyond wrapping ourselves in one of those protective bubbles. Not a very user friendly way to avoid getting sick.

I recently returned from a trip overseas and had concerns about being in airplanes and airports, knowing that the odds of my catching a bug were increased by being exposed to so many people in an enclosed environment. Every time someone coughed on the plane I thought to myself “keep your hands off your face, keep your hands off your face,” reciting it to myself like some kind of magical mantra that would protect me. Although I felt badly for the young child coughing non-stop a few rows up from me on the airbus, I equally worried that somehow the germs would float back to me in the recycled air of the plane.

Somehow I managed to make the long journey in both directions and come home with my body flu-free. Lucky me, I figured now I could relax. Then the inevitable happened-……read more Read the rest of this entry »

Natural Sea Sponges

Natural Sea Sponges

Natural Sea Sponges The Story

History | Processing | Usage | Environment | Features & Benefits | Natural vs Synthetic | How they work


Earliest documented use by Romans C2-3BC – National Geographic report back 635 million years

Commercial trading since mid C19

Early years, crews were press ganged in to joining the ships

Heroes of the time, brought wealth to the Islands

Collection was very dangerous, many divers became very ill, crippled or died at sea

The collection ships and crew would gather in the village square and be blessed by a priest for safety

Earliest divers would go in naked and strapped to heavy rocks to help them submerge

Collection and processing skills passed through families, who still operate today

Early Europeans used natural sponges for crash helmets, drinking utensils and municipal water filters

Used by athletes in the ancient Olympic games for applying perfume and olive oil

Homer (classic ancient Greek poet) in The Iliad (an ancient Greek poem) is said to have given God Hephastus a natural sponge to bath himself, 8Century BC


Sponges collected from ocean floor, cut off above the roots allow them to re grow

They grow in Greece, Florida, Cuba, Bahamas

Majority coming from Greek Mediterranean and Florida Keys

Stones, algae and marine debris removed

Multi 10 stage cleaning and preparation process


Fully sustainable and eco friendly

Cut, leaving the roots behind which enables new sponges to grow

Sponges re grow stronger each time

Have been known to live up to 100 years, grow up to 2m diameter

Sponges 100% natural, organic. Nothing added to the growing process

Can regenerate from fragments naturally broken off in their habitat

Government legislation prevents collection below certain sizes

Also geographical constraints on where sponges can be collected from

Around 5000 different documented species of sponge, only about 7 can be commercially harvested

Regrown sponges from cut roots are documented as being larger and stronger than previous

Sponge divers require government certification to protect the environment

Crop rotation helps to maintain the sponge population

pure natural luxury sea sponge

Natural silk sea sponge


The make up of the sponge removes dead skin cells when washing

Reveals the fresh new skin beneath, free of impurities

Natural sponges contain microbial symbionts to may be used to control viruses, bacteria and tumours

Creates an improved lather better than synthetic sponges

Natural silk sea sponges

Natural silk sea sponges

Natural vs Synthetic

Synthetic sponges impregnated with antibacterial chemicals / Natural sponges naturally resist bacteria

Antibacterial chemicals can irritate sensitive skin / No irritants in natural sponge

Synthetic sponges can be abrasive and ‘drag’ on the skin / natural sponges do not have any friction or drag

Synthetic sponges will discolour and corrode in a short time / natural sponges will last and maintain the function for much longer – potentially years if looked after

Natural sponge much more absorbent

Synthetic usually manufactured in huge factories by massive companies / natural brings work and income to villages and islands highly reliant on these.

How they work

Sponges have a series of microscopic pores and channels allowing water to run through and impurities to be separated

Water travels through a complex system of canals and chambers within the body, and expelled cleansed at the exit of the natural plumbing

Endulge in skin so soft natural silk sea sponges

Endulge in skin so soft natural silk sea sponges

Features & Benefits

Fibre compounds in sponges include

Collagen protein………….


Compounds in specific sponges are used to kill cells in lung, breast and pancreatic cancer

Toxin free and hypo-allergenic

Creates a thicker improved lather

Toxin Free and hypo-allergenic

Natural sponges are a rich source of compounds used in the fight against cancer and infectious disease

Natural silk sea sponges

Natural silk sea sponges

Endulge in skin so soft natural silk sea sponges

Endulge in skin so soft natural silk sea sponges

pure natural luxury sea sponge

Natural silk sea sponge

This months pessary lesson is the Shaatz Pessary.

For whom is the Shaatz pessary suitable for ?

The Shaatz pessary is ideally recommended for women who have a first or second degree prolapse (mild – moderate) which has complications of a mild cystocele.

I can’t retain a ring pessary so will this help?

Possibly, as the Shaatz is ideal for the patient that has a shallow pubic notch.

How does this work with someone that has very little pubic notch to support a pessary?

The Shaatz uses the levator muscles to hold it in place, so good pelvic muscle structure is a great help in this case.

Can I build up muscle structure?

Through regular kegel exercises and physiotherapy, women have built up a good pelvic floor muscle strength leading to good structure.

I have pressure sores on the pubic notch can I use the Shaatz?

Yes it is designed to alleviate pessary pressure on the pubic notch.

What are the holes in the pessary for?

The holes in the pessary allow for drainage of any vaginal fluids.

How do I know what size to use?

Your doctor or women’s health physiotherapist will be able to measure you. The width of the vaginal vault helps determine the size of the Shaatz needed. The Shaatz requires a roomy vaginal vault.

With my uterine prolapse, will the cervix push out the Shaatz?

No, if the shaatz is positioned correctly then there shouldn’t be any movement of this pessary as the cervix rests behind the disc of the pessary.

Can the Shaatz restrict bowel movements?

It is possible if the shaatz is the wrong size or in the wrong position. But it could also restrict if you have a rectocele regardless.

How do I remove the Shaatz pessary?

Insert one finger into the large hole to bring the pessary down toward the introitus (opening of the vagina) . Turn the pessary so that the rim is almost parallel to the introitus. With one or two fingers of the other hand, press down on the perineum and slide the pessary out.

What about cleaning the Shaatz?

Its like any other pessary, wash under clean water, you can boil it, autoclave it but its just as easy to wash well. If you use soap remember to remove ALL soap residue before re-inserting. Do not towel dry as tiny fibres can get stuck to the silicone and may cause infection. Just air dry or even reinsert when wet.


Shaatz for prolapse and cystocele     Shaats pessary for prolapse and cystocele


Diagram credit to www.louisedouse.com

Diagram credit to http://www.louisedouse.com


Get every new post delivered to your Inbox.

Join 1,542 other followers

%d bloggers like this: