Objective: To discuss the management of a postpartum patient presenting with stress urinary incontinence (SUI) symptoms.
Clinical features: A 28-year-old Caucasian female, 26 weeks pregnant (third pregnancy), presented with symptoms of SUI. Symptoms started lightly after her first pregnancy and became more serious after her second pregnancy.
Intervention and outcome: The patient received an individual session of coaching pelvic floor muscle training (PFMT) according to the "Approche posturo-respiratoire" (APOR) method. This session included abdominal breathing techniques incorporating pelvic floor muscle (PFM) and transversus abdominus (TrA) contraction, false thoracic inspiration, postural recommendations, and lifestyle recommendations. A follow-up at 6 weeks, and 9, 12, and 18 months postpartum revealed no more symptoms of stress urinary incontinence.
Conclusion: This case suggests that the APOR may be helpful in the conservative treatment of stress urniary incontinence in postpartum women.
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