090 Effects of Bipolar Radiofrequency Treatment on Subjective and Objective Endpoints in Post-Partum Pelvic Floor Disorders

Berman, Joseph; Dayan, Erez; Theodorou, Spero; Westfall, Lacy; Ramirez, Henry

doi:10.1016/j.jsxm.2019.03.531

Cited by 1 publication

(3 citation statements)

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“…Most studies evaluating PFD lack data about involuntary loss of flatus or stool during late pregnancy and postpartum and PFMT effect on this condition. POP reduction in RCT control groups shows that regeneration after delivery improves this condition even without PFMT in a short period (6 weeks to 1 year after delivery), but what is still unclear is whether there a difference between PFMT groups and control groups after a longer time [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 43 ]. Pelvic-floor rehabilitation including various rehabilitation methods and PFMT is recommended as a POP treatment, and there were more severe degrees of POP prevention method in middle-aged women with asymptomatic or mildly symptomatic minor degree POP [ 73 , 74 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other possible reason is follow-up period; if patients start training about 6 weeks postpartum and the last follow-up point is 6 months postpartum, the time interval is too short to evaluate the preventative effect of PFMT. There is also a lack of studies with PFMT and perineal rehabilitation timing; according to one trial, there might be a positive effect in POP prevention when PFMT is started very early—second day after delivery—regarding the episiotomy or perineal lacerations [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 74 ].…”

Section: Discussionmentioning

confidence: 99%

“…One RCT analyzed the PFMT effect on prevention of POP postpartum, but there was no significant improvement [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ].…”

Section: Pfmt and Pelvic-floor Dysfunctionmentioning

confidence: 99%

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Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods

Romeikienė

Bartkevičienė

2021

Medicina

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Every woman needs to know about the importance of the function of pelvic-floor muscles and pelvic organ prolapse prevention, especially pregnant women because parity and labor are the factors which have the biggest influence on having pelvic organ prolapse in the future. In this article, we searched for methods of training and rehabilitation in prepartum and postpartum periods and their effectiveness. The search for publications in English was made in two databases during the period from August 2020 to October 2020 in Cochrane Library and PubMed. 77 articles were left in total after selection—9 systematic reviews and 68 clinical trials. Existing full-text papers were reviewed after this selection. Unfinished randomized clinical trials, those which were designed as strategies for national health systems, and those which were not pelvic-floor muscle-training-specified were excluded after this step. Most trials were high to moderate overall risk of bias. Many of reviews had low quality of evidence. Despite clinical heterogeneity among the clinical trials, pelvic-floor muscle training shows promising results. Most of the studies demonstrate the positive effect of pelvic-floor muscle training in prepartum and postpartum periods on pelvic-floor dysfunction prevention, in particular in urinary incontinence symptoms. However more high-quality, standardized, long-follow-up-period studies are needed.

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