scholarly journals Effects of antenatal pelvic floor preparation techniques on the perineal integrity: a randomized controlled trial protocol

2016 ◽  
Vol 3 (4) ◽  
pp. 203 ◽  
Author(s):  
Priscila Godoy Januário Martins Alves ◽  
Ricardo De Carvalho Cavalli ◽  
Daiane Munhoz Mira Bertacini ◽  
Patricia Driusso
Keyword(s):  
Pelvic Floor ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Pelvic Floor Muscles ◽  
Perineal Laceration ◽  
Randomized Controlled ◽  
Assessment And Treatment ◽  
Gestational Week ◽  
Perineal Massage ◽  
Preparation Techniques

<p class="abstract"><strong>Background:</strong> The objective of the present study was to compare the effects of perineal massage, vaginal dilator and pelvic floor muscles training on the perineal integrity of primiparae women<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> Primigravidae women over 18 years old will be selected, from the 32th gestational week and wishing to have a vaginal delivery<span lang="EN-IN">.</span>Pregnant women will be randomly allocated from a sequence generated by a computer program into three groups: perineal massage, vaginal dilator and pelvic floor muscles training. The technique should be practiced from the 34th week of pregnancy until the beginning of labor. Randomization will be done by a researcher who was not involved with the recruitment, assessment and treatment of the participants.  All participants will undergo a clinical and functional assessment of the pelvic floor before the beginning of the technique practice, as well as a reassessment of these items and an assessment of perineal integrity between 45 and 60 days after delivery for a blind physiotherapist regarding the interventional procedures. The evaluative procedures will be done by a ‘blinded’ physiotherapist in relation to the intervention procedures.<span lang="EN-IN"> The outcome will be determined by </span>the perineal integrity by the presence or absence of perineal laceration as well as their characteristics observed immediately after delivery<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Conclusions:</strong> The knowledge of the effects of antenatal pelvic floor preparation techniques on the perineal integrity and pelvic floor muscles function after delivery, will allow a better choice about which approach is the best to pregnant women to prevent perineal trauma.</p>

scholarly journals The role of vaginal palpation in motor learning of the pelvic floor muscles for women with stress urinary incontinence: study protocol for a randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Letícia de Azevedo Ferreira ◽  
Fátima Faní Fitz ◽  
Márcia Maria Gimenez ◽  
Mayanni Magda Pereira Matias ◽  
Maria Augusta Tezelli Bortolini ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Motor Learning ◽  
Pelvic Floor ◽  
Study Protocol ◽  
Controlled Trial ◽  
Pelvic Floor Muscles ◽  
Randomized Controlled

scholarly journals Effect of Antenatal Pelvic Floor Muscle Exercise on Mode of Delivery: A Randomized Controlled Trial

2018 ◽  
Vol 4 (3-4) ◽  
pp. 187-197 ◽  
Author(s):  
Fayiz F. El-Shamy ◽  
Eman Abd El Fatah
Keyword(s):  
Randomized Controlled Trial ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Pelvic Floor Muscle ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Squeeze Pressure ◽  
Randomized Controlled ◽  
Pfm Strength

Background: Vaginal delivery is the best end of the pregnancy for the mother and the newborn. Aim: To evaluate the impacts of short-term antenatal pelvic floor muscle (PFM) exercises on a woman’s mode of delivery. Methods: This is a randomized controlled trial that recruited 20 healthy pregnant women aged between 20 and 25 years and able to contract the PFMs. The participants were included in the study at 20 weeks of gestation (WG) and were randomly allocated to one of two groups: the intervention group (n = 10) or the control group (n = 10). PFM strength was measured by vaginal squeeze pressure at 20 and 36 WG, and delivery outcomes were evaluated by a blinded searcher from the birth registry after labor. Results: There were no statistically significant changes between both groups at baseline regarding gestational age, type of labor, previous pregnancy complications, and PFM strength (p > 0.05). There was a significant change between both groups in mean PFM strength at 36 WG (p < 0.05). A significant correlation was observed between PFM strength at 36 WG and mode of delivery (vaginal delivery: r = 0.58, p < 0.05; caesarean delivery: r = –0.49, p < 0.05). Conclusions: PFM exercise is recommended for healthy pregnant women as a safe and inexpensive strategy for increasing the vaginal delivery rate.

A Pilates exercise program with pelvic floor muscle contraction: Is it effective for pregnant women? A randomized controlled trial

2017 ◽  
Vol 37 (1) ◽  
pp. 379-384 ◽  
Author(s):  
Naiara T. Dias ◽  
Letícia R. Ferreira ◽  
Mariana G. Fernandes ◽  
Ana Paula M. Resende ◽  
Vanessa S. Pereira‐Baldon
Keyword(s):  
Randomized Controlled Trial ◽  
Pelvic Floor ◽  
Muscle Contraction ◽  
Pregnant Women ◽  
Pelvic Floor Muscle ◽  
Controlled Trial ◽  
Exercise Program ◽  
Pelvic Floor Muscle Contraction ◽  
Randomized Controlled

Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial

2019 ◽  
Vol 31 (3) ◽  
pp. 613-619 ◽  
Author(s):  
Amira S. Dieb ◽  
Amira Y. Shoab ◽  
Hala Nabil ◽  
Amir Gabr ◽  
Ahmed A. Abdallah ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Perineal Trauma ◽  
Randomized Controlled ◽  
Perineal Massage ◽  
And Training

scholarly journals Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

2020 ◽  
Author(s):  
Pei Liu ◽  
Weiye Wen ◽  
Ka Fung Yu ◽  
Xiaoli Gao ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Oral Hygiene ◽  
Controlled Trial ◽  
Test Group ◽  
Control Group ◽  
Periodontal Health ◽  
Oral Health Education ◽  
Randomized Controlled ◽  
Gestational Week ◽  
Family Centered

Abstract Objectives: Poor oral hygiene and higher hormone levels during pregnancy always lead to poor periodontal health. Oral health education of the pregnant women to improve the periodontal outcomes might be ineffective and inconsistent. The aim of this study was to assess the effectiveness of a family-centered behavioral and educational counselling program on the pregnant women’s periodontal health and long-term effect after delivery. Methods: A randomized controlled trial was conducted among first-time pregnant women (10~20th gestational-week) in Hong Kong. Participating families were randomized into test and control group. The intervention in test group included: explanation on oral health education pamphlets, oral hygiene practice training by the “tell-show-do” technique, individualized feedback, and proposed solutions to overcome barriers on self-care. Reinforcement was implemented by interview, phone call or messaging to assess performance, identify barriers and to encourage participants on self-care, in around 32nd gestational-week and 6 months after delivery. Main outcomes assessed were periodontal health measurement including bleeding on probing (BOP), periodontal-pocket (Poc) and loss of clinical attachment levels (LoA); oral hygiene status was assessed by visible plaque index (VPI). The dental examinations were carried out at baseline, 32nd gestational-week and 12-months post-delivery.Results: 589 pregnant women were recruited and 369 completed all three visits (test 188; control 181). Mixed-effect model ANOVA indicated that in test group, % sites with visible plaque decreased from the baseline to the 32nd gestational-week and maintained to 12-months post-delivery while in control group the effect could not be sustained (p<0.001). Both groups showed significant decrease in BOP over time, and significantly lower % sites with BOP was found in test group than in control group at 12-months post-delivery (p<0.001). Generalized linear mixed model (GLMM) showed that there was significant less in sites with Poc and LoA in the both groups over time at 12-months post-delivery than during pregnancy (p<0.001), whereas there was no significant effect between the two groups (p>0.05). Conclusions: Providing family-centered, behavioral and educational counselling to pregnant women at early stage of pregnancy and reinforcements can improve their oral hygiene and periodontal health, the effect can be sustained over a longer period.

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