The ways how to lead a delivery and care during puerperium in relation to prevention of postpartum incontinence

Urinary incontinence is defined as the involuntary loss of urine that is objectively demonstrable. It is an increasingly prevalent problem as the ageing population expands. It is a severe social and hygienic problem. In the end of the 20th century, the specialists have started addict to questions if pregnancy and labour are related to increase incidence of urinary incontinence. There are no signifiant studies which can evidently confirm consequences of pregnancy and labour to rise of urinary incontinence. One of the mechanizm how to prepare body for labour, during pregnancy, is increasing of an elastic component part of pelvic floor. Unfortunately exactly the same mechanizm support occurance of urinary incontinence. Very important condition which is participant in incidence of postpartum incontinence is vaginal delivery. So we can see an increasing interest in describing mechanizm of traumatism pelvic floor during labour and interest in finding the ways of the optimal managment of labour to reduce harm effect on pelvic floor. Studies reveals that the more incidence of inzult of pelvic floor and anal sfincter is occured after an instrumental labour. Episiotomy is one of the most provided labours operations. The opinions to episiotomy are not uniform. Some studies reveals decreasing of third degree ruptured..