A 34-year-old woman, 6 weeks postpartum, presents to the GP with urinary incontinence. She leaks urine when coughing, sneezing, or lifting her baby. S...

Question

A 34-year-old woman, 6 weeks postpartum, presents to the GP with urinary incontinence. She leaks urine when coughing, sneezing, or lifting her baby. She had a vaginal delivery with a second-degree tear. Which is the single most appropriate initial management?

Accepted Answer

Advise pelvic floor muscle exercises for at least 3 months

Answer

Refer for urodynamic studies

Answer

Prescribe oxybutynin 5 mg twice daily

Answer

Refer for surgical continence procedure

Answer

Reassure that nothing can be done until 12 months postpartum

uk-drcog MCQ (SBA): Postnatal Stress Urinary Incontinence

A 34-year-old woman, 6 weeks postpartum, presents to the GP with urinary incontinence. She leaks urine when coughing, sneezing, or lifting her baby. She had a vaginal delivery with a second-degree tear. Which is the single most appropriate initial management?