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On June 5–7, 2005, sixty leaders from around the world gathered at Wye River, Maryland for a path breaking meeting entitled “Innovations in Supporting Local Health Systems for Global Women’s Health: A Leader’s Symposium.” This diverse group of participants, ranging from cabinet ministers to advocates, academics to local practitioners, shared a common goal: to shine a bright spotlight on urgent challenges in global women’s health and the critical need to pioneer innovations in strengthening local health systems to address those challenges. The diverse group focused on learning from one another and identifying areas for further action with a particular focus on the role that political lead- ers can play. | Women s Health Physiotherapy Information and advice for women Clkxst Chelsea Old Westminster Chelsea and Westminster Hospital NH5 Foundation Trust Women s Health Physiotherapy This booklet is designed to help you better understand some of your gynaecological problems and symptoms. It contains advice and exercises which will form the basis of your physiotherapy treatment. As part of your assessment your physiotherapist may complete a vaginal examination. This will be fully discussed with you at your appointment. If you would like any further information after reading it please contact Women s Health Physiotherapy Ground Floor Lift Bank C Chelsea and Westminster Hospital 369 Fulham Road London SW10 9NH T 020 3315 8404 Notes 2 How common is urinary incontinence Estimates vary about 10-30 of all women have some incontinence but only a quarter of these women seek help. Types of incontinence Stress leakage with effort exertion lifting running jumping or with sneezing coughing Urge leakage with or immediately preceded by urgency often you can t make it to the loo in time Mixed leakage associated with urgency and with exertion effort sneezing coughing Other urinary problems Frequency complaint of urinating too often in the daytime more than 8 times 24 hours Urgency sudden compelling desire to urinate which is hard to put off Nocturia getting up at night one or more times to urinate Combination of all three problems Facts and figures Normal bladder size volume 400-600mls Recommended fluid intake 1.5-2 litres 24 hours 3- 4 pints 24 hours Average n of times to pass urine 4- 8 times 24 hours Average n of times to open bowels From 3 times 24 hours to 3 times week Food and drink that may irritate the bladder and increase your urgency to urinate Coffee tea caffeine Carbonated fizzy drinks especially those with caffeine Alcohol Citrus juice eg orange grapefruit Low fluid intake concentrated urine Some spicy foods Nicotine Drinks that do not irritate the bladder Water Squashes in
