scholarly journals Pelvic floor dysfunction in primiparous women up to 6 months after delivery: cohort study

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Sheyla Guimarães Oliveira ◽  
Adriana Caroci-Becker ◽  
Edilaine de Paula Batista Mendes ◽  
Maria Luiza Gonzalez Riesco ◽  
Robson da Costa Oliveira ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Muscular Strength ◽  
Pelvic Floor Dysfunction ◽  
Cesarean Sections ◽  
Delivery Methods ◽  
Period 2 ◽  
Significant Difference ◽  
The Difference ◽  
Primiparous Women ◽  
Type Of Delivery

ABSTRACT Objective: To analyze pelvic floor muscular strength (PFMS), urinary (UI) and anal (AI) incontinence and dyspareunia in primiparous women up to 6 months after normal or cesarean delivery. Methods: this is a prospective cohort with 169 women (128 normal births, 41 cesarean sections), followed between 50-70 and 170-190 days postpartum, when PFMS was measured using perineometry, and UI and AI and dyspareunia, through interview. Results: PFMS, UI and dyspareunia were similar between types of delivery. The difference was significant only for the time elapsed, with improvement in the studied period (2 and 6 months postpartum). Regarding AI, there was a significant difference between 2 and 6 months postpartum, with an interaction between type of delivery and time (p=0.022). Conclusion: the type of delivery did not show any influence on pelvic floor dysfunctions, except for AI. For all outcomes, there was an improvement in the period studied.

The role of prepregnancy pelvic floor dysfunction in postnatal pelvic morbidity in primiparous women

2014 ◽  
Vol 25 (10) ◽  
pp. 1363-1374 ◽  
Author(s):  
C. M. Durnea ◽  
A. S. Khashan ◽  
L. C. Kenny ◽  
S. S. Tabirca ◽  
B. A. O’Reilly
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Primiparous Women

scholarly journals MRI comparative study of levator ani muscle changes in nulliparous and multiparous females

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Heba Azzam ◽  
Manal Halim ◽  
Hany El-Assaly ◽  
Aya Heiba
Keyword(s):  
Pelvic Floor ◽  
Treatment Plan ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Control Group ◽  
Puborectalis Muscle ◽  
Levator Ani Muscle ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
Muscle Changes

Abstract Background Pelvic floor dysfunction is known to be among the principal factors influencing public health, regarding frequency, cost and effect on women’s quality of life. Radiographic assessment of the pelvic floor function and anatomy plays a vital role in the recognition of pelvic floor defects. The aim of this study is to detect the postpartum-related levator ani muscle changes thus defining the relationship between the vaginal deliveries and the etiology of pelvic floor dysfunction in order to provide guidelines to decrease the incidence of pelvic floor injuries during parturition and guide the treatment plan. Results There was a significant difference in the puborectalis muscle thickness between the case and control groups in the right puborectalis (P value ≤ 0.001) and in the left puborectalis (P value (≤ 0.001) as well as significant midpoint thickness (P value = 0.03) with 46.2% puborectalis muscle injury in the case group compared with none in the control group. Conclusion Pelvic floor MRI is highly recommended as it is a contrast-free modality that allows for both anatomical and functional analysis. Its incorporation in the routine postpartum assessment will allow early detection of abnormalities even in asymptomatic cases thus ensuring proper management and preventing the development of pelvic floor dysfunction predisposed to by repeated vaginal deliveries.

scholarly journals Análise epidemiológica dos partos em uma região do nordeste brasileiro

2019 ◽  
Vol 9 (28) ◽  
pp. 64-73
Author(s):  
Eláine Da Costa Ribeiro ◽  
Ana Carolina Patrício de Albuquerque Sousa ◽  
Lívia De Azevedo Dantas ◽  
Samilania Almeida Marcelino ◽  
Lizandra Torres Lima ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Rio Grande ◽  
Health Status Indicators ◽  
Cesarean Sections ◽  
Natural Childbirth ◽  
Normal Delivery ◽  
Epidemiological Analysis ◽  
Significant Difference ◽  
Las Mujeres ◽  
Type Of Delivery

Verificou-se os partos realizados na 4ª região de saúde do Rio Grande do Norte, possíveis relações entre variáveis sóciodemográficas, obstétricas e condições de saúde do nascido vivo. Estudo epidemiológico. Com registro dos partos, de 2011 a 2015. Há predominância de parto cesáreo. Mulheres que se submeteram ao parto cesáreo apresentaram maior assiduidade no pré-natal, os índices foram semelhantes nas vias parto na gravidez única, o sexo masculino predominante nas cesarianas e feminino no vaginal; na variável cor, não houve diferença significante. O peso foi um fator considerável para o tipo de parto; não houve disparidades entre as vias de nascimento para anomalia congênita e APGAR. Nas mulheres com idade abaixo de 20 anos, prevaleceu o parto normal, já as com idade superior a 20 anos, o parto cesáreo se sobressaiu. O estado civil e o grau de instrução influenciaram a via de parto. Vários achados corroboram com outras pesquisas semelhantes.Descritores: Indicadores Básicos de Saúde, Saúde Materno Infantil, Parto Normal, Cesárea. Epidemiological analysis and parts in a northeast brazilian regionAbstract: The births performed in the fourth health region of Rio Grande do Norte were analyzed, possible relationships between sociodemographic, obstetric variables and health conditions of the live birth. Epidemiological study. With registration of deliveries, from 2011 to 2015. There is predominance of cesarean delivery. Women who underwent cesarean delivery had higher prenatal attendance, rates were similar in the single-pregnancy delivery, the predominant male cesarean and the vaginal female; in the color variable, there was no significant difference. Weight was a considerable factor for the type of delivery; there were no differences between the birthpaths for congenital anomaly and APGAR. In women under 20 years of age, normal delivery prevailed, while those over 20 years of age, the cesarean section was prominent. Marital status and education influenced the way of delivery. Several findings corroborate other similar research.Descriptors: Health Status Indicators, Maternal and Child Hearth, Natural Childbirth, Cesarean Sections. Análisis epidemiológico de los partos en una región del nordeste brasileñoResumen: Se verificaron los partos realizados en la cuarta región de salud de Rio Grande do Norte, posibles relaciones entre variables sociodemográficas, obstétricas y condiciones de salud del nacido vivo. Estudio epidemiológico. Con registro de los partos, de 2011 a 2015. Hay predominio de parto cesáreo. Las mujeres que se sometieron al parto cesáreo presentaron mayor asiduidad en el prenatal, los índices fueron similares en las vías parto en el embarazo único, el sexo masculino predominante en las cesáreas y femeninas en el vaginal; en la variable de color, no hubo diferencia significativa. El peso fue un factor considerable para el tipo de parto; no hubo disparidades entre las vías de nacimiento para la anomalía congénita y APGAR. En las mujeres con edad inferior a 20 años, prevaleció el parto normal, ya las con edad superior a 20 años, el parto cesáreo se sobresalió. El estado civil y el grado de instrucción influenciaron la vía de parto. Varios hallazgos corroboran con otras investigaciones similares.Descriptores: Indicadores Básicos de Salud, Salud Materno Infantil, Parto Normal, Cesárea.

scholarly journals The diagnostic value of four-dimensional ultrasound examination of perineum in the diagnosis of postpartum pelvic floor dysfunction

2021 ◽  
Vol 271 ◽  
pp. 03061
Author(s):  
Wenfang Wu ◽  
MeiYuan Li ◽  
Kanghong Wu ◽  
Yiyun Xu ◽  
Yan Cai
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Pubic Symphysis ◽  
Diagnostic Value ◽  
Control Group ◽  
Levator Ani Muscle ◽  
Lower Margin ◽  
Reliable Technique ◽  
Short Period ◽  
The Difference

Objective to explore the diagnostic value of perineal four-dimensional ultrasound (4D-US) in postpartum pelvic floor dysfunction (PFD) disease. 328 postpartum PFD patients diagnosed by clinical pelvic floor palpation from June 2018 to December 2020 were selected as the PFD group, and 328 patients without PFD were selected as the control group. All participants underwent perineal 4D-US, the indicators were statistically analyzed. The results showed that the LAT of left and right, LHLR, LHAP, LHA, resting state and holding the breath in the PFD group were higher than those in the control group, and the difference was statistically significant (P<0.05). From cervix to lower margin of pubic symphysis, bladder to lower margin of pubic symphysis of the pubic symphysis, and from the ampulla of the rectum to the lower margin of the pubic symphysis, the PFD group was larger than the control group, but the result of urethral rotation was reversed, and the difference was statistically significant (P<0.05). The morphologic features of the levator ani muscle and pelvic fissure can be detected early using 4D-US, which is a reliable technique that can be learned in a short period of time.

Study protocol of virtual childbirth preparation courses to reduce the fear of childbirth and improve the pregnancy experience in pregnant women: A semi-experimental clinical trial (Preprint)

2019 ◽  
Author(s):  
Leila Amiri Farahani ◽  
Soroor Parvizy Sr ◽  
Eesa Mohammadi ◽  
Mohsen Asadi-Lari Sr ◽  
Ziba Taghizadeh
Keyword(s):  
Clinical Trial ◽  
Pregnant Women ◽  
Intervention Group ◽  
Control Group ◽  
Fear Of Childbirth ◽  
The Difference ◽  
Group 2 ◽  
Childbirth Preparation ◽  
Primiparous Women ◽  
Type Of Delivery

BACKGROUND Background and Aims: Childbirth preparation courses are the most important educational components during pregnancy. There have been changes in the health-related educational approaches and an increase in the tendency of pregnant women to acquire information from online resources so far. OBJECTIVE the current study aimed to compare the effect of childbirth preparation education using two methods of in-person and social networks on the experience of pregnancy, fear of childbirth, the birth preference, and type of delivery among pregnant women. METHODS In total, 165 primiparous women referring to the prenatal clinic affiliated to Milad Hospital in Tehran, Iran, will be done in this study. The sampling has been fulfilled through convenience sampling method and the participants will be divided into three groups of control and intervention 1 and 2 weekly. The intervention begins in 20th weeks of gestation and lasts until 37th gestational weeks. The intervention group 1 is subjected to educational content based on Mayer's Principles of multimedia learning using PDF files, images, videocasts, and podcasts. On the other hand, the subjects in the intervention group 2 will receive the same content using the in-person method through textbooks, movies, and medical moulages. The pretest will be performed at 18-20 weeks of gestation using a demographic characteristics form, Pregnancy Experience Scale (PES), and version A of Wijma Delivery Expectancy/Experience Questionnaire (WDEQ-A). In addition, at 36-38 weeks of gestation, the posttest will be carried out using PES, WDEQ-A, and birth preference. The type of delivery will be recorded a few days postpartum. RESULTS it is a protocol study. no result CONCLUSIONS This semi-experimental clinical trial with a control group tests the effect of virtual childbirth preparation courses on primiparous women. The expected outcomes included the improvement of pregnancy experience measured by the shortened form of PES, a decrease in the fear of childbirth measured by WDEQ-A, and the difference between the birth preference and type of delivery. CLINICALTRIAL IRCT20180427039436N2

scholarly journals Influence of a protocol of Pilates exercises on the contractility of the pelvic floor muscles of non-institutionalized elderly persons

2017 ◽  
Vol 20 (4) ◽  
pp. 484-492 ◽  
Author(s):  
Ligia Muniz de Souza ◽  
Ana Beatriz Gomes de Souza Pegorare ◽  
Gustavo Christofoletti ◽  
Suzi Rosa Miziara Barbosa
Keyword(s):  
Pelvic Floor ◽  
Elderly Women ◽  
Paired Comparison ◽  
Pelvic Floor Dysfunction ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Elderly Persons ◽  
Mato Grosso ◽  
Significant Difference ◽  
Pilates Method

Abstract Objective: To investigate the influence of a protocol of Pilates exercises on the functionality and contractility of the pelvic floor muscles (PFM) of older women living in the city of Campo Grande, Mato Grosso, Brazil. Method: Ten women (median age of 63.4±4.5 years) with little or no pelvic floor dysfunction were subjected to 24 sessions of Pilates exercises lasting one hour each, for 12 weeks. The pressure of the pelvic floor muscles (PFM) was assessed using a perineometer (cmH20) and contractility was assessed with the PERFECT scheme. Data were described as median ± interquartile range and inferential analysis was performed using the Wilcoxon paired test, with a significance level of 5%. Results: In view of the proposed treatment, the degree of voluntary contraction of the PFM of the participants increased from 79.0±83.5 to 90.0±82.0 cmH20, with a statistically significant difference in paired comparison (p=0.012). According to the PERFECT scheme, there was an increase in contraction time (from 5.0±0.1 to 7.0±4.7 seconds) and in the number of fast repetitions (from 7.0±4.5 to 8.0±4.7), with a statistically significant difference for both variables (p=0.017 and p=0.008, respectively). Conclusion: The results indicate that the Pilates method increased the contractility and pressure of the PFM of elderly women with little or no PFM impairment. Further studies are required to determine whether the Pilates method is an effective method for the treatment of women with severe pelvic floor dysfunction.

Pelvic Floor Health in Women with Parkinson’s Disease

2021 ◽  
Vol 11 (2) ◽  
pp. 857-864 ◽  
Author(s):  
Ankita Gupta ◽  
Kathrin LaFaver ◽  
Kevin R. Duque ◽  
Anushree Lingaiah ◽  
Kate V. Meriwether ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pelvic Floor ◽  
Rating Scale ◽  
Short Form ◽  
Pelvic Floor Dysfunction ◽  
Measurement Information ◽  
Cognitive Score ◽  
Patient Reported ◽  
The Difference

Background: Urinary dysfunction and constipation, manifestations of pelvic floor dysfunction are common sources of disability and impaired quality of life in women with Parkinson’s disease (PD). Objective: We sought to evaluate the pelvic floor health amongst women with PD and their reporting of bladder and bowel symptoms. Methods: We surveyed women with PD and age-matched controls about pelvic floor health using validated questionnaires. All participants completed the Pelvic Floor Disability Index (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Patient-Reported Outcomes Measurement Information System (PROMIS) short form version 2.0 Cognitive Function 8a. Additionally, PD patients underwent the Movement Disorders Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) scale and the Montreal Cognition Assessment (MoCA). Results: Women with PD (n = 59; age, 70.4±8.6 years, PROMIS cognitive score, 52.0±7.8) self-reported urinary symptoms to a greater extent than controls (n = 59; age, 70.2±8.7 years, PROMIS cognitive score, 51.0±10) (68% vs 43%, p < 0.01). The difference was mirrored by higher (worse) scores on both PFDI-20 (35.4 vs 15.6; p = 0.01) and PFIQ-7 (4.8 vs 0; p < 0.01) for PD women compared to controls. Only 63% of all participants with self-reported pelvic floor symptoms had previously reported these symptoms to a health care provider. There was no difference in utilization of specialty care between the two groups (30% vs 46%, p = 0.2). Conclusion: Pelvic floor dysfunction, more common amongst women with PD, is underreported and undertreated. Our study identifies a key gap in care of women with PD.

scholarly journals Clinical and Ultrasonographic Evaluation of the Pelvic Floor in Primiparous Women after Normal Vaginal Delivery with Episiotomy and without Episiotomy

2020 ◽  
Vol 7 (1) ◽  
pp. 4-8
Author(s):  
Nora H. K. Elabady ◽  
◽  
Ahmed M. Awara ◽  
Amr M. El-Badry ◽  
Nareman El-Hamamy ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Levator Ani ◽  
Clinical Findings ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Primiparous Women

Objective The aim of this prospective study is clinical and ultrasonographic evaluation of the pelvic floor in primiparous women after normal vaginal delivery with episiotomy and without episiotomy. Methods This is a cross-section study of primiparous women with a history of delivery at Tanta University Hospital from August 2018 to August 2019. The sample power was calculated based on avulsion (major and minor) in two groups (vaginal delivery with episiotomy and without episiotomy) of total forty-primiparous women with an interval after delivery (20 cases after normal vaginal delivery with episiotomy and 20 cases after normal vaginal delivery without episiotomy). Results Twenty-four hours of delivery there was a highly significant difference between group A (with episiotomy) and group B (without episiotomy) regarding to ultrasound abnormalities, degree of tear, blood loss, hemoglobin concentration and clinical findings, while no difference regarding levator ani weakness. Two months later from delivery there was no significant difference between group A and group B regarding to ultrasound abnormalities and levator ani weakness while there was a difference between the two groups in regarding with clinical findings. Conclusion Normal vaginal delivery without episiotomy in primiparous women is better than normal vaginal delivery with episiotomy as there is no perineal tenderness, no dyspareunia. Low incidence of urinary, rectal incontinence, tear and perineal infection.

scholarly journals Comparing the effect of in-person and virtual childbirth preparation trainings on the fear of childbirth (FOC) and pregnancy experience of pregnant women: protocol for a quasi-experimental feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Seyedeh Robab Mousavi ◽  
Leila Amiri-Farahani ◽  
Syedeh Batool Hasanpoor-Azghady ◽  
Soghra Omrani Saravi
Keyword(s):  
Pregnant Women ◽  
Study Groups ◽  
Control Group ◽  
Fear Of Childbirth ◽  
Quasi Experimental ◽  
The Difference ◽  
Childbirth Preparation ◽  
And Control ◽  
Primiparous Women ◽  
Type Of Delivery

Abstract Background Childbirth preparation trainings are an important component of prenatal education, and pregnant women are increasingly interested in seeking information from online sources. The aim of this study is to compare the feasibility and the effects of in-person and virtual childbirth preparation training courses on the pregnancy experience, fear of childbirth (FOC), birth preference, and type of delivery among pregnant women. Methods In total, 165 primiparous women referring to a prenatal clinic at Milad Hospital in Tehran, will be included in this study. The subjects will be selected using the convenience sampling method and will be divided into three groups of study A, study B, and control. The study groups A and B will receive virtual and in-person childbirth training with similar content, respectively. The control group will receive only routine prenatal care. In the 18th and 20th weeks of pregnancy, the demographic information, pregnancy experience scale (PES), and version A of the Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed, and in the 36th and 38th weeks of pregnancy, the PES and WDEQ-A questionnaires, as well as birth preference form will be completed. The type of delivery will be recorded in the first few days of postpartum. Conclusion This quasi-experimental clinical trial will investigate the effect of virtual childbirth preparation training on primiparous women. The expected outcomes will include the difference in pregnancy experience measured by the brief version of PES, the difference in FOC measured by WDEQ-A, the birth preference, and the type of delivery. Trial registration IRCT.ir: IRCT20180427039436N2;

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