https://www.kimblepelvichealth.com/about daily 0.75 2020-05-25 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec045f85dc93e2a8c6fe40c/1589659136585/HeadShot_Kimble.jpg About https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ccf282aeb3931597f964775/1557080110745/Screen+Shot+2019-05-05+at+11.12.40+AM.png About https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ccf27379e9eea00011a9300/1557079869399/Screen+Shot+2019-05-05+at+11.10.56+AM.png About https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ccf25fc6e9a7f37d530f4dd/1557079555679/Screen+Shot+2019-05-05+at+11.05.05+AM.png About https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ccf2625c83025561ce537c3/1557079595318/Screen+Shot+2019-05-05+at+11.06.21+AM.png About https://www.kimblepelvichealth.com/providers daily 0.75 2020-05-19 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e502d9406f7816642b91332/1582312917172/ for providers - Incorporating Pelvic Health Into Your Practice https://www.kimblepelvichealth.com/clients daily 0.75 2020-05-19 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e502e7e25166418f2f29579/1582313101963/ for Clients - Information is Power https://www.kimblepelvichealth.com/home daily 1.0 2020-06-07 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec04797b9557a14274f6516/1589659558175/ Common is not normal https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec04800ac35107c14b87e14/1589659696248/ Common is not normal - Areas of Evidence Risk of Incontinence Managing Incontinence The Standard of Care Impact of Incontinence References https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5cc0cd3fe79c7001e47b5095/1469729761345/hero_pattern.png Common is not normal https://www.kimblepelvichealth.com/ppra daily 0.75 2020-05-17 https://www.kimblepelvichealth.com/basic-pelvic-health daily 0.75 2020-02-20 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5df6b7474b14fd7c6898821e/1576449867521/Picture1.png Pelvic Floor Muscles of the female pelvic floor. Reprinted from OpenStax Anatomy and Physiology, OpenStax CNX, 2017, Retrieved fromhttp://cnx.org/contents/14fb4ad7-39a1-4eee-ab6e-3ef2482e3e22@8.108. https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5df6b77b1bd90e41f951f03e/1576449920512/ Pelvic Floor Digital palpation of the deep pelvic floor muscles. Reprinted from “Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction” by S.S. Faubion, L.T. Shuster, & A.E. Bharucha, 2012, Mayo Clinic Proceedings, 87(2), 187-193. https://www.kimblepelvichealth.com/risk-of-incontinence daily 0.75 2020-05-19 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec043e81eba8512a9116c92/1589658646665/ Risk of Incontinence - Prognostic Risk Factors Overall, the literature supports the assumption that pelvic floor dysfunction and stress-urinary incontinence are undeniably attached to childbearing, but a primary risk is pregnancy because cesarean section is not fully protective against PFD and incontinence. Pregnancy hormones and the growing weight of the fetus and uterus influence structural changes that occur in early pregnancy. Structural Changes Include: - Levator hiatal dimensions increase - Contractility and distensibility of pelvic floor muscles increases - Bladder neck position changes, hypermobile - Functional urethral length increases https://www.kimblepelvichealth.com/pfd-assessment daily 0.75 2020-05-16 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec040e057dcf4405a3a049c/1589657860633/ Current (mis)Management - Community Midwifery A different style of maternity care that may offer more https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec03fd9377f3d1b4392b2dc/1589657714935/ Current (mis)Management - Why Aren’t Providers Talking about Pelvic Health? - Lack of time in visits - Lack of knowledge about the subject - Assuming the client already understood the risk and connection between PFD and childbirth - A mistaken belief in a low-incidence of PFD - A concern that discussing PFD would encourage more patients to request cesarean sections https://www.kimblepelvichealth.com/impact-of-incontinence daily 0.75 2020-05-16 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec042d5cf4bbe0d08bbc244/1589658343889/ Impact of Incontinence - Living with Incontinence Lowers quality of life and decreases satisfaction with the birth https://www.kimblepelvichealth.com/managing-incontinence daily 0.75 2020-05-16 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec049c21eba8512a9126633/1589660109924/ Managing Incontinence - Pelvic Floor Muscle Training https://www.kimblepelvichealth.com/what-is-it daily 0.75 2020-05-19 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec420d788741724e27930dd/1589911897851/pelvic+floor.jpg What Is It Minnesota Women’s Care. (n.d.) Pelvic organ prolapse. https://mnwcare.com/our-services/treatment-incontinence-pelvic-floor-disorders/pelvic-organ-prolapse https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec4210118f0173350469d4e/1589911852616/Pelvic-floor-top-down.png What Is It https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec42138df567d2af8241f93/1589911888821/wo00119_im01396_mcdc7_femalekegelexercisesthu_jpg.jpg What Is It Mayo Foundation for Medical Education and Research. (n.d.) IMG-20006566 female pelvic floor muscles [jpg]. https://www.mayoclinic.org/healthy-lifestyle/womens-health/multimedia/female-pelvic-floor-muscles/img-20006566 https://www.kimblepelvichealth.com/pelvic-floor-dysfunction daily 0.75 2020-05-16 https://www.kimblepelvichealth.com/contact daily 0.75 2020-02-20 https://www.kimblepelvichealth.com/race daily 0.75 2020-05-16 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e4c77231558b66c93371acf/1582069551576/ Race https://www.kimblepelvichealth.com/evidence-based-guideline daily 0.75 2020-05-30 https://www.kimblepelvichealth.com/app-version daily 0.75 2020-02-21 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e502a1154d84d59031dadb9/1582311965241/ App Version https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e5023eeb85139133070484d/1582310396664/ App Version https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5e50272acd8c5a1d2319c7aa/1582311311857/ App Version - More Instructions Here https://www.kimblepelvichealth.com/references daily 0.75 2020-05-16 https://www.kimblepelvichealth.com/find-pelvic-pt daily 0.75 2020-05-28 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec4072d2cfeed46d8fb0c72/1589905209204/ Client Resources - Find a Pelvic Floor Physical Therapist https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec40c8a08ff5c6ac06f97fb/1589906596226/ Client Resources - Video Tutorials https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec414ec51b9d87ac1a6afad/1589908731166/ Client Resources - Additional Pelvic Resources https://www.kimblepelvichealth.com/provider-resources daily 0.75 2020-05-19 https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec426afd43a2833c7a8e75b/1589913278321/ Provider Resources https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec42df1d6efc87af63e5b74/1589915130295/Screen+Shot+2020-05-19+at+2.05.12+PM.png Provider Resources https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec4287c11f4d87d21a2ebce/1589913867054/Screen+Shot+2020-05-19+at+1.41.52+PM.png Provider Resources https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec42897f863f12ae4da8eb3/1589913766956/ Provider Resources https://static1.squarespace.com/static/5cc0c74093a6320bee32cfea/t/5ec429c57740b12f93a91507/1589914065292/ Provider Resources