A total of 110 women who had reported urinary incontinence to their general practitioners were randomly assigned a treatment or control group. Treatment consisted pelvic floor exercises in the case stress and bladder training urge incontinence. The results measured after 3 12 months by research assistant on basis constructed severity scale, an diary, comparison patients themselves previous current conditions. After group given same treatment. further months, they assessed exactly way as...

Scand J Caring Sci; 2013; 27; 406–413 Women’s perception of postpartum pelvic floor dysfunction and their help‐seeking behaviour: a qualitative interview study Aims: To explore women’s behaviour. Methods: We interviewed 26 patients from two family practitioners’ populations in the Netherlands 1 month to year after vaginal delivery. The semi‐structured interviews were independently encoded analysed by three researchers according scoring list on determined topics. Three coded themes discussed...

For most women, participation in decision-making during maternity care has a positive impact on their childbirth experiences. Shared (SDM) is widely advocated as way to support people healthcare choices. The aim of this study was identify quality criteria and professional competencies for applying shared care. We focused everyday practice healthy women.An international three-round web-based Delphi conducted. panel included experts SDM care: mostly midwives, additionally obstetricians,...

Summary— What is the value of case history in diagnosing urinary incontinence general practice? A total 103 women with presented to their practitioner (GP) and underwent a standard history‐taking, physical examination urodynamic testing. The diagnoses were analysed against symptoms symptom complexes. Symptoms stress absence urge had sensitivity 78%, specificity 84% predictive 87%. excluded genuine incontinence. Information on age, parity, enuresis, nocturia, frequency, urgency, cystocele,...

In 1998, gaps were found to exist in the basic medical curriculum of Radboud University Nijmegen Medical Centre regarding health-related gender differences terms biological, psychological and social factors. After screening for language, content context, adjustments aimed at incorporating issues proposed. The aim this study was evaluate those adjustments, as well investigate whether had been successfully incorporated into curriculum, identify factors that played a role this.The education...

Objectives To compare, in a randomized trial, the effects of individual and group physiotherapy for urinary incontinence women referred by their general practitioner (GP). Patients methods The study included all ages (mean 47.8 years) with stress, urge or mixed incontinence; 126 received 404 treatment. Both groups undertook same pelvic floor exercises bladder training, information. were measured soon after treatment again 9 months later. main outcome measures objective changes severity...

Objectives: The intrauterine device (IUD) is still related to pelvic inflammatory disease (PID), pregnancy, expulsion, perforation and menstrual problems, particularly in nulliparous women. We aimed study the complications symptoms of general practice, women.Methods: used a retrospective cohort four practices participating Nijmegen Continuous Morbidity Registration. Selected women had one or more IUDs inserted between 1981 2000. Data on complications, removal IUD were obtained from medical...

Background Sexual Assault (SA) affects overall health due to its somatic, psychological and social consequences. Many survivors will present their issues general practitioners (GPs) unaware of the relationship between symptoms history. Studies on Intimate Partner Violence (IPV) show that GPs often lack competencies recognize discuss IPV, which leads substandard care. This research question whether this also applies SA. Aim To explore GPs’ experiences regarding identification discussion...

To determine the 12-month, societal cost-effectiveness of involving urinary incontinence (UI) nurse specialists in primary care compared to care-as-usual by general practitioners (GPs).From 2005 until 2008 an economic evaluation was performed alongside a pragmatic multicenter randomized controlled trial comparing UI patients receiving with GPs Netherlands. One hundred eighty-six adult stress, urgency, or mixed were randomly allocated intervention and 198 care-as-usual; they followed for 1...

Abstract Background To examine the episiotomy incidence and determinants outcomes associated with its use in primary care midwifery practices. Methods Secondary analysis of two prospective cohort studies ( n = 3,404). Results The was 10.8 percent (20.9% for nulliparous 6.3% parous women). Episiotomy prolonged second stage labor (adj. OR 12.09 [95% CI 6.0–24.2] adj. 2.79 [1.7–4.6] women) hospital birth 1.75 [1.2–2.5] Compared episiotomy, perineal tears were a lower rate postpartum hemorrhage...

Empathy is regarded by patients and general practitioners (GPs) as fundamental in patient–GP communication. Patients do not always experience empathy GPs encounter circumstances which hamper applying it. To explore why receiving offering during the practice does meet wishes of both GPs. A qualitative research method, based on focus group interviews with in-depth GPs, was carried out. Within process, iterative data collection analysis were applied. Both perceive a gap between what they wish...

Adolescents and young adults (AYAs) are of special interest in a group children exposed to family violence (FV). Past-year prevalence exposure FV is known be highest AYAs has severe consequences. Peer support an effective approach behavior change the Internet considered suitable as mode delivery. The study aimed evaluate both effectiveness feasibility randomized controlled trial (RCT) Internet-based self-support method "Feel ViBe" (FtV) using mixed-methods fully understand strengths...

Given the increase in skin cancer (SC) it seems inevitable that general practitioners (GPs) will play a larger role SC care near future.To obtain insights into opinion of GPs with respect to their care, and knowledge skills.A self-administered questionnaire was sent region Nijmegen, Netherlands.In total 268 (49%) responded. An overwhelming majority were willing extend care. Furthermore, we noted following results: (i) > 50% requested additional knowledge; (ii) often treat actinic keratosis...

In recent years, primary health care for the ageing population has become increasingly complex.This study sought to explore views and needs of healthcare professionals older patients relating in order identify focal areas improving people.This research was structured as a mixed interview with focus groups individual interviews. Participants were made up patients. Patients recruited from five elderly homes small city southern part Netherlands.All interviews transcribed verbatim analysed by...