News
NHS England to launch nationwide pelvic health service
The service aims to work alongside maternity and physiotherapy services to support women during and after pregnancy

NHS England is to launch a nationwide pelvic health service to support pregnant women and women who have gone through traumatic births.
Roughly one in three women in the UK experience urinary incontinence three months after pregnancy and around one in seven experience anal incontinence six months after birth.
One in 12 women report symptoms of pelvic organ prolapse, a condition that occurs when the muscles and tissues supporting the pelvic organs become weak or loose.
England’s nationwide pelvic health service aims to better support women during and after pregnancy.
Backed by £11m of government funding, the plans include offering women a self-assessment of their pelvic health early in pregnancy, educating women on the risk of pelvic floor dysfunction and birth injuries, providing support to those at higher risk of pelvic health problems, reducing NHS waiting times and allowing women to access physiotherapy assessment and treatment.
“For too many women, the joy of pregnancy and birth is tarnished by trauma and pelvic health problems can have devastating ramifications for women’s lives,” said Women’s Health Minister, Maria Caulfield.
“It’s vital women receive appropriate support, treatment and information. From initial antenatal appointments, right through to mental health care after birth, we are determined to support women throughout their pregnancy and birth journey.”
Kate Brintworth, NHS England’s chief midwifery officer, said: “For any women that have experienced a traumatic birth, timely access to support is crucial to help address any issues that can occur.
“To increase the support available, the NHS is rolling out dedicated pelvic health clinics nationally, bringing together expert clinicians under one roof, so women can seek help quickly and easily – and already thousands of women have been supported through our pilot sites.”
Perinatal pelvic health services (PPHS) – run by specialist midwives and pelvic health physiotherapists – are already being implemented as pilots right across England. All areas in England are on track to implement these services by March 2024.
These services aim to work alongside maternity and physiotherapy services to support the prevention, identification and timely treatment of pelvic health problems around birth.
They also aim to reduce the risk of these injuries happening in the first place through close work with midwives and obstetricians and through support for the implementation of the obstetric anal sphincter injury (OASI) care bundle.
The care bundle is a set of interventions likely to improve outcomes for women. Analysis of the effectiveness of this care bundle based on over 50,000 vaginal births found that women’s risk of obstetric anal sphincter injuries decreased by 20 per cent.
“Too many women currently suffer pelvic injuries during childbirth, which can mean long-term complications including difficulty controlling the bladder and bowel, chronic pain and painful intercourse,” said Dr Ranee Thakar, president of the Royal College of Obstetricians and Gynaecologists (RCOG).
“This guidance represents an important milestone in the development of vital perinatal pelvic health services, created to improve access to early intervention and support for women and people experiencing symptoms of pelvic floor dysfunction.
“We are delighted that this service specification sets out how PPHS will work with maternity units to implement the joint RCOG and Royal College of Midwives’ OASI care bundle.”
She added: “As a college we look forward to supporting the implementation of this important guidance, working with our membership and our NHS partners to help ensure all women have access to high-quality pelvic floor health information, education and care.”
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Pregnancy
Pregnancy complications may increase risk for artery disease, study finds

Pregnancy complications may increase women’s risk of peripheral artery disease later in life, new research suggests.
The study analysed data from more than two million women in Sweden who gave birth to single babies between 1973 and 2015.
Led by Casey Crump, the research examined the long-term risk of peripheral artery disease among women who experienced preterm delivery, pre-eclampsia, gestational diabetes or other adverse pregnancy outcomes.
Crump, professor in the department of family and community medicine at McGovern Medical School at UTHealth Houston, said: “Our prior work has already shown that adverse pregnancy outcomes are associated with long-term risks of heart disease, stroke, and heart failure.
“This study builds on that work by showing that these women have an increased risk of peripheral artery disease, an important but understudied cardiovascular condition.”
Peripheral artery disease is often a precursor to long-term cardiovascular complications, including stroke, ischaemic heart disease and premature death.
The condition affects millions of people worldwide and occurs when narrowed arteries reduce blood flow, most commonly to the legs and feet.
Ischaemic heart disease occurs when the heart does not receive enough blood and oxygen, usually because the arteries have narrowed.
Symptoms of peripheral artery disease can include leg pain, cramps while walking, numbness, cold feet and sores on the feet or legs that are slow to heal.
Crump said women who experience pregnancy complications have an important opportunity after giving birth to make plans with their primary care doctor to monitor long-term risks.
Women who have experienced complicated pregnancies should speak with their doctor about possible future cardiovascular health risks.
Checks for blood pressure, diabetes and cholesterol are important.
While the period after childbirth is an important time for women to monitor their health, Crump said it is never too late to lower the risk of peripheral artery disease.
He said: “Women with a history of adverse pregnancy outcomes who seem to be doing well may still have a higher risk that can emerge later in life.”
Crump also suggested preventive steps such as avoiding smoking, maintaining a healthy weight and following a healthy lifestyle.
He stressed the importance of long-term follow-up care and conversations with healthcare providers to help protect cardiovascular health later in life.
Wellness
PMOS could increase heart disease risk, study finds

Women with PMOS may have a fourfold higher risk of heart disease, new research suggests.
PMOS, or polyendocrine metabolic ovarian syndrome, is a complex hormone condition affecting about one in eight women in the UK.
It can affect hair growth, periods, fertility and mood.
US researchers analysed health insurance data collected between 2000 and 2022 from 413,450 women with PMOS aged 18 to 50.
They compared the group with more than two million women who did not have the condition.
The study found that women with PMOS had a fourfold higher risk of heart disease than those without it.
The increased risk remained after researchers accounted for other factors linked to heart disease, including high blood pressure and diabetes.
International PMOS guidelines recommend screening all patients for heart disease risk at diagnosis and providing advice on lifestyle changes.
However, researchers said patient surveys “report delayed diagnosis and substantial dissatisfaction with counselling regarding long-term comorbidities”.
Comorbidities are additional health conditions that occur alongside a main condition.
Researchers added: “Our results emphasise the need for physician education and patient awareness of cardiovascular disease risk to improve implementation of early preventive interventions.”
The team called for further studies following women through menopause, when periods stop.
They also called for research into whether treatments such as GLP-1 drugs or hormonal contraception affect the link between PMOS and heart disease.
GLP-1 drugs are medicines used for conditions including type 2 diabetes and weight management.
The main symptoms of PMOS include irregular periods or long gaps between periods, excessive hair growth or hair loss, weight gain or difficulty losing weight, and difficulty becoming pregnant.
Other symptoms include depression or anxiety, oily skin and acne, tiredness, and thick, dark patches of skin on the neck or armpits, known as acanthosis nigricans.
Until recently, PMOS was known as polycystic ovarian syndrome, or PCOS.
Experts called for the name change after highlighting that misunderstandings about cysts and too much focus on the ovaries were delaying diagnoses.
Earlier this month, the National Institute for Health and Care Excellence said women with PMOS should be seen by health professionals annually to monitor symptoms and manage long-term risks.
NICE said the condition affects between three and four million women in the UK but is “frequently underdiagnosed and inconsistently managed”.
News
Zero Candida market set to reach over US$2 billion by 2030 – report

A market analysis made by Moore Financial Consulting estimates the global market for Zero Candida Technologies, Inc. (TSXV: ZCT) (OTCQB: ZCTFF) (FSE: 9L2) (the “Company” or “ZCT”), a FemTech medical device company advancing next-generation solutions for women’s health, will reach over USD 2 billion by 2030, with a compound annual growth rate of 5.25 per cent globally and 3.9 per cent in North America and 4.2 per cent in Europe.
The analysis emphasis that up to 75 per cent of women will have at least one vaginal yeast infection in their life.
Moreover, recurrent VVC (Vulvovaginal Candidiasis) affects nearly 8 per cent of women globally (for women above the ages of 15-60).
According to the data, 100 per cent of women with Recurrent VVC will purchase a combination of over-the-counter and prescription antifungal treatments, usually with the common use of oral agents.
Compared to women with non-recurrent VCC, 55.2 per cent will purchase prescription antifungal treatment, 37 per cent over-the-counter antifungal, 5.6 per cent will purchase a combination of both treatments, and the rest will not purchase any treatment.
Eli Ben Haroosh, founder & CEO, Zero Candida Technologies, said: “Moore’s market analysis matches our estimations, Zero Candida is a groundbreaking and game-changing company in the world of women’s medicine, and we look forward to be one of the leading companies offering AI-driven, tampon-like device, helping women suffering from VVC .
Zero Candida announced recently that its shares are now successfully listed on the Frankfurt Stock Exchange (FSE).
This listing marks a significant milestone for the Company as it expands its global presence, now cross-listed on both the TSX Venture Exchange and the FSE, providing increased visibility and access to a broader pool of international investors.
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