scholarly journals Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

Author(s):  
Edilaine de Paula Batista Mendes ◽  
Sonia Maria Junqueira Vasconcellos de Oliveira ◽  
Adriana de Souza Caroci ◽  
Adriana Amorim Francisco ◽  
Sheyla Guimaraes Oliveira ◽  
...  

ABSTRACT Objectives: to compare the pelvic floor muscle strength in primiparous women after normal birth and cesarean section, related to the socio-demographic characteristics, nutritional status, dyspareunia, urinary incontinence, perineal exercise in pregnancy, perineal condition and weight of the newborn. Methods: this was a cross-sectional study conducted after 50 - 70 postpartum days, with 24 primiparous women who underwent cesarean delivery and 72 who had a normal birth. The 9301 PeritronTM was used for analysis of muscle strength. The mean muscle strength was compared between the groups by two-way analysis of variance. Results: the pelvic floor muscle strength was 24.0 cmH2O (±16.2) and 25.4 cmH2O (±14.7) in postpartum primiparous women after normal birth and cesarean section, respectively, with no significant difference. The muscular strength was greater in postpartum women with ≥ 12 years of study (42.0 ±26.3 versus 14.6 ±7.7 cmH2O; p= 0.036) and in those who performed perineal exercises (42.6±25.4 11.8±4.9 vs. cmH2O; p = 0.010), compared to caesarean. There was no difference in muscle strength according to delivery type regarding nutritional status, dyspareunia, urinary incontinence, perineal condition or newborn weight. Conclusion: pelvic floor muscle strength does not differ between primiparous women based on the type of delivery. Postpartum women with normal births, with higher education who performed perineal exercise during pregnancy showed greater muscle strength.

2016 ◽  
Vol 28 (6) ◽  
pp. 931-936 ◽  
Author(s):  
Maíra de Menezes Franco ◽  
Patricia Driusso ◽  
Kari Bø ◽  
Daniela Cristina Carvalho de Abreu ◽  
Lucia Alves da Silva Lara ◽  
...  

2017 ◽  
Vol 37 (2) ◽  
pp. 807-814 ◽  
Author(s):  
Marília Duarte Santos ◽  
Vanessa Pinho Palmezoni ◽  
Luiza Torelli ◽  
Vanessa Santos Pereira Baldon ◽  
Marair Gracio Ferreira Sartori ◽  
...  

Author(s):  
Priscila Tavares Zizzi ◽  
Karina Fernandes Trevisan ◽  
Nathalie Leister ◽  
Camila da Silva Cruz ◽  
Maria Luiza Gonzalez Riesco

Abstract OBJECTIVE To analyse pelvic floor muscle strength (PFMS) and urinary and anal incontinence (UI and AI) in the postpartum period. METHOD Cross-sectional study carried out with women in their first seven months after child birth. Data were collected through interviews, perineometry (Peritron™), and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). RESULTS 128 women participated in the study. The PFMS mean was 33.1 (SD=16.0) cmH2O and the prevalence of UI and AI was 7.8% and 5.5%, respectively. In the multiple analyses, the variables associated with PFMS were type of birth and cohabitation with a partner. Newborn’s weight, previous pregnancy, UI during pregnancy, and sexual activity showed an association with UI after child birth. Only AI prior to pregnancy was associated with AI after childbirth. CONCLUSION Vaginal birth predisposes to the reduction of PFMS, and caesarean section had a protective effect to its reduction. The occurrence of UI during pregnancy is a predictor of UI after childbirth, and women with previous pregnancies and newborns with higher weights are more likely to have UI after childbirth.AI prior to pregnancy is the only risk factor for its occurrence after childbirth. Associations between PFMS and cohabitation with a partner, and between UI and sexual activity do not make possible to conclude that these variables are directly associated.


Author(s):  
Hellen Cristina Souza de Carvalho Fusco ◽  
Marco Antônio Pontes Filho ◽  
Rafael Treitero Consolo ◽  
Adriana Claudia Lunardi ◽  
Elizabeth Alves Gonçalves Ferreira

2018 ◽  
Vol 30 (11) ◽  
pp. 1903-1909 ◽  
Author(s):  
Leticia Maciel de Freitas ◽  
Kari Bø ◽  
Ana Carolina Nociti Lopes Fernandes ◽  
Natalia Uechi ◽  
Thaiana Bezerra Duarte ◽  
...  

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