ABSTRACT
This chapter explores the aim of facilitating the midwife to provide information when engaging in a shared decision-making approach with women. Stress urinary incontinence (SUI) is defined as the involuntary loss of urine on effort or physical exertion, or on sneezing or coughing. For women around the world, SUI is more common than urgency incontinence. Approximately 80% of pregnant women, primigravidae and multigravidae, experience increased micturition frequency at some time during pregnancy. In general, incontinence in women is typically related to dysfunction of the bladder or pelvic floor muscles. Such dysfunction often arises during pregnancy or childbirth, or during menopause. A model of decision-making that might help facilitate this is the Three-Talk Model for Shared Decision-Making. Women need to be the final decision-makers in their care, and to enable these midwives need to engage in shared decision-making and provide evidence-informed information so an informed choice can be made.
