Analysis of pelvic floor musculature function during pregnancy and postpartum: a cohort study

Caroci, Adriana de Souza; Riesco, Maria Luiza Gonzalez; Sousa, Wesllanny Da Silva; Cotrim, Ana Carolina; Sena, Edinéia Maria; Rocha, Nelly Lima; Fontes, Cintia Najara Caroci

doi:10.1111/j.1365-2702.2010.03289.x

Cited by 32 publications

(10 citation statements)

References 27 publications

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“…Other studies investigating dyspareunia in pregnant and postpartum women found no relationship between weak PFM and dyspareunia [24,25]. Both studies had fewer women in their analysis compared to our study, 68 and 110 respectively.…”

Section: Discussioncontrasting

confidence: 42%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Tennfjord, M. K., Hilde, G., Staer-Jensen, J., Ellstrøm Engh, M., Bø, K. (2014).Dyspareunia and pelvic floor muscle function before and during pregnancy and during pregnancy and after childbirth. ABSTRACT Introduction and hypothesis:There is limited knowledge on dyspareunia during pregnancy and postpartum and the role of the pelvic floor muscles (PFM) in women with dyspareunia. Aims of the study were to investigate presence of dyspareunia before, during pregnancy and postpartum and to compare vaginal resting pressure (VRP), PFM strength and endurance between women with and without dyspareunia. It was hypothesized that there is no difference in PFM variables between women with and without dyspareunia. Methods: Three hundred nulliparous women participated in this prospective cohort and answered questions about dyspareunia and level of bother at gestational weeks 22 and 37, 6 and 12 months postpartum and retrospectively prior to their pregnancies using ICIQFLUTSsex. PFM variables were assessed by manometer at gestational week 22, 6 and 12 months postpartum. Comparisons between groups were analyzed using independent-samples t test.Results: Twenty-eight and 30% of the women reported dyspareunia at pre-pregnancy and at gestational week 22, respectively. At gestational week 37, 6 and 12 months postpartum, the number was 40%, 45% and 33%, respectively. No difference in PFM variables were found between women with or without dyspareunia. Level of bother was higher postpartum than before and during pregnancy. Conclusion: Symptoms of dyspareunia were common at all time points. No link could be made between PFM function and dyspareunia. Women suffering from dyspareunia postpartum reported it as bothersome. Our findings suggest that women should be asked about symptoms of dyspareunia related to pregnancy, and that future research should aim for preventative and treatment strategies.

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Section: Discussioncontrasting

confidence: 42%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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“…The results of impairing PFM strength are similar to other papers' conclusions [ 18 , 20 – 22 ]. Nevertheless, some researchers reported PFM strength did not change significantly during pregnancy or after delivery [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

A Mobile Application Penyikang Applied in Postpartum Pelvic Floor Dysfunction: A Cross-Sectional Study to Analyze the Factors Influencing Postpartum Pelvic Floor Muscle Strength and Women’s Participation in Treatment

Sun

Wang

et al. 2020

BioMed Research International

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Objectives. Postpartum pelvic floor muscle (PFM) injuries are the result of pregnancy and delivery, which lead to a series of symptoms requiring long-term follow-up. Mobile health platforms are progressively used for monitoring clinical conditions in medical subjects. This survey was a cross-sectional design based on collecting data from an application (Penyikang). We retrospectively analyzed the risk factors for weak postpartum PFM and further analyzed the factors influencing women’s participation in the treatment which may help to improve the app’s application in the future. Methods. We enrolled postpartum women who gave birth at the Women’s Hospital, Zhejiang University School of Medicine from August to November 2017; trained them to use the app; and collected the demographic and clinical information. This app requires users to fill questionnaires to assess their knowledge of pelvic floor dysfunction (PFD) and pelvic floor muscle training (PFMT) and experience with PFMT, and each therapy evaluation was restored. The relationship between the knowledge of PFMT/PFD, UI symptoms, and PFM strength was analyzed. Cluster analysis was used to define the degree of participation and identify the factors influencing the patients’ participation in intensive therapy and evaluation. Results. 1982 postpartum women who enrolled in the app program were defined as weak PFM. Younger maternal age, cesarean section, and without delivery injury were found as the prognostic factors to PFM strength (both type I and type II muscle fibers) (P<0.05), and higher educational level was also in favor of type II muscle fibers (P<0.05). Patient-reported UI symptoms were associated with weak PFM strength (P<0.05); there were no significant differences between knowledge of PFMT or PDF and PFM strength. Finally, patients with a higher degree of participation were more likely to accept the treatment (P<0.05). Conclusions. The mobile app provides a new applicative way to investigate postpartum PFD. The factors influencing women’s participation can help us focus on strategies to increase the patients’ compliance, and then we will apply the app into more areas to improve the prevention and treatment of postpartum PFD.

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“…Caroci et al [26] demonstrated the use of perineometry and digital vaginal palpation at the beginning of pregnancy (up to 12 weeks), at the end of pregnancy (36 to 40 weeks) and during puerperium (48 hours and 42 to 60 days postpartum) in 110 primigravidae women. For the biofeedback, the study used an electronic perineometer, which registers the potential action of pelvic floor muscle contractions and translates their intensity from visual signals.…”

Section: Resultsmentioning

confidence: 99%

The characteristics of biofeedback techniques used in pelvic floor muscle training for healthy pregnant women – A narrative review

Błudnicka¹,

Piernicka²,

Szumilewicz³

2019

BJHPA

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Background: Due to the location of pelvic floor muscles, training with biofeedback for this muscle group is encouraged.The aim of this study was to characterize the use patterns of various biofeedback techniques in pelvic floor muscle training in healthy pregnant women. Material and methods:It was a narrative review study using MEDLINE database and the following keywords: 'pelvic floor', 'pregnancy' and 'biofeedback'. For the analysis we included 8 studies meeting the criteria of being experimental trials in healthy pregnant women and including the characteristics of biofeedback techniques used in pelvic floor muscle training. Results:The most commonly used technique of biofeedback was palpation (in 4 out of 8 studies). Other techniques used a perineometer, ultrasonography, electromyography or electrostimulation. The time span between pre-and post-assessment was 27 ±21 (M ± SD) weeks and the number of biofeedback sessions varied from 1 to 12 during the intervention.Conclusions: Because of different analyzed pelvic floor parameters and patterns of biofeedback applications, it was impossible to compare them. There are no clear guidelines for the use of biofeedback in pelvic floor muscle training.

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Analysis of pelvic floor musculature function during pregnancy and postpartum: a cohort study

Abstract: In clinical practice, digital vaginal palpation is effective for supporting the diagnosis of urinary, intestinal and sexual dysfunctions. Perineometry use is particularly important together with the performance of perineal exercises with biofeedback in the treatment these disorders.

Cited by 32 publications

References 27 publications

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

A Mobile Application Penyikang Applied in Postpartum Pelvic Floor Dysfunction: A Cross-Sectional Study to Analyze the Factors Influencing Postpartum Pelvic Floor Muscle Strength and Women’s Participation in Treatment

The characteristics of biofeedback techniques used in pelvic floor muscle training for healthy pregnant women – A narrative review

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