Correlation between Duration of the Second Stage and Pelvic Floor Muscle Strength in Primiparous Women Following Vaginal Delivery and Caesarean Section

Objective: At present, intramural block anesthesia is mostly used clinically for vaginal delivery, but it is unclear whether intraocular block anesthesia has an effect on postpartum pelvic floor muscles and immune function after vaginal delivery. Therefore, this study investigated the effect of intraspinal block anesthesia on vaginal delivery parturients and its effect on postpartum pelvic floor muscle strength and immune function.Patients and Methods:A total of 182 parturients with vaginal delivery were selected as the study subjects. They were admitted in our hospital from March 2015 to January 2017. Among them, 92 parturients receiving intraspinal block anesthesia were enrolled in the study group and 90 parturients without intraspinal block anesthesia in the control group. The pelvic floor muscle damage and muscle strength recovery in the two groups were measured 3 months after delivery. The peripheral blood T lymphocyte subsets of parturients at different time points in the two groups was detected to investigate the effect of intraspinal block anesthesia on pelvic floor muscle strength and immune function after vaginal delivery. Results: The pain degree during delivery in the study group was significantly lower than that in the control group (p<0.05). The pelvic floor muscle damage, pelvic organ prolapse, pelvic floor function damage and stress urinary incontinence in the study group were all lower than those in the control group (p<0.05). The recovery of postpartum pelvic floor muscle strength in the study group was significantly better than that in the control group(p< 0.05). Both the first and second labor durations in the study group were significantly lower than those in the control group (p<0.05).Conclusion:lntraspinal block anesthesia has a better analgesic effect on the vaginal delivery parturients,can effectively shorten the labor. It also has a certain improvement effect on the recovery of postpartum pelvic floor muscle and immune function of parturients.

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Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study

Clinics ◽

10.1590/s1807-59322011000800014 ◽

2011 ◽

Cited By ~ 5

Author(s):

Mônica Orsi Gameiro ◽

Vanessa Oliveira Sousa ◽

Luiz Felipe Gameiro ◽

Rosana Carneiro Muchailh ◽

Carlos Roberto Padovani ◽

...

Keyword(s):

Muscle Strength ◽

Prospective Study ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Pelvic Floor Muscle Strength ◽

A Prospective Study ◽

Primiparous Women

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Comparison of pelvic floor muscle strength in nulliparous women and those with normal vaginal delivery and cesarean section

International Urogynecology Journal ◽

10.1007/s00192-016-3239-6 ◽

2016 ◽

Vol 28 (8) ◽

pp. 1171-1175 ◽

Cited By ~ 6

Author(s):

Poorandokht Afshari ◽

Fariba Dabagh ◽

Mina Iravani ◽

Parvin Abedi

Keyword(s):

Muscle Strength ◽

Cesarean Section ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Muscle ◽

Normal Vaginal Delivery ◽

Pelvic Floor Muscle Strength ◽

Nulliparous Women

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Comparing Motor Control of the Lumbosacral Region and Pelvic Floor Muscle Strength and Performance in Women with C-Section and Vaginal Birth

Modern Care Journal ◽

10.5812/modernc.107291 ◽

2020 ◽

Vol 17 (4) ◽

Author(s):

Elnaz Rajabi-Shameli ◽

Rahman Sheikhhoseini ◽

Mahnaz Akbari Kamrani

Keyword(s):

Motor Control ◽

Muscle Strength ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Muscle ◽

Vaginal Birth ◽

Lumbosacral Region ◽

Pelvic Floor Muscle Strength ◽

The Mean ◽

And Performance

Background: Delivery is a physiological process that may cause neurophysiological changes in the lumbosacral region. Objectives: The current study aimed to compare motor control of the lumbosacral region and pelvic floor muscle strength and performance in women with C-section and vaginal birth. Methods: In this cross-sectional study, 120 prim parous women referring to healthcare centers in Karaj (Iran) during 2019 are studied. The participants were selected using convenience sampling. The motor control of the lumbosacral region was examined by four clinical tests (standing bent, active straight leg raising, bent knee fall out, and knee lift abdominal test) using a pressure biofeedback unit. Muscle strength and performance were measured using the Oxford scoring system and the PFPI-20 questionnaire, respectively. Data were analyzed using independent t-test, Mann-Whitney, and Chi-square tests. Statistical significance was considered when P value < 0.05. Results: Based on the standing bent test, a significant difference was found between those in vaginal delivery and C-section groups (P = 0.011). Also, the mean scores of muscular strengths (P = 0.009) and pelvic floor muscular function (P = 0.01) in the vaginal delivery group were significantly higher than the C-section group. Conclusions: the mean scores of pelvic floor motor control, pelvic floor muscular strength, and function in the C-section group were higher than those in the vaginal delivery group. This study demonstrated the necessity of postpartum pelvic floor muscle rehabilitation, especially in vaginal delivery.

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

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.0926.2758 ◽

2016 ◽

Vol 24 (0) ◽

Cited By ~ 1

Author(s):

Edilaine de Paula Batista Mendes ◽

Sonia Maria Junqueira Vasconcellos de Oliveira ◽

Adriana de Souza Caroci ◽

Adriana Amorim Francisco ◽

Sheyla Guimaraes Oliveira ◽

...

Keyword(s):

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Postpartum Women ◽

Cross Sectional ◽

Pelvic Floor Muscle Strength ◽

Normal Birth ◽

Primiparous Women ◽

Delivery Type

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.

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