Degree of bother from pelvic floor dysfunction in women one year after first delivery

Lipschuetz, Michal; Cohen, S. M.; Liebergall-Wischnitzer, Michal; Zbedat, Kifah; Hochner‐Celnikier, Drorith; Lavy, Yuval; Yagel, Simcha

doi:10.1016/j.ejogrb.2015.05.015

Cited by 59 publications

(41 citation statements)

References 42 publications

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“…Pelvic floor dysfunction affects around 25% of adult females 1,2 , and this can rise to 50-60% in women who have experienced child birth 3 or who are over 60 years of age 4 .…”

mentioning

confidence: 99%

Randomized Controlled Trial of the Effect of a Brief Telephone Support Intervention on Initial Attendance at Physiotherapy Group Sessions for Pelvic Floor Problems

Osborne

Whittall

Emanuel

et al. 2017

Archives of Physical Medicine and Rehabilitation

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“…Pelvic floor dysfunction affects around 25% of adult females 1,2 , and this can rise to 50-60% in women who have experienced child birth 3 or who are over 60 years of age 4 .…”

mentioning

confidence: 99%

Randomized Controlled Trial of the Effect of a Brief Telephone Support Intervention on Initial Attendance at Physiotherapy Group Sessions for Pelvic Floor Problems

Osborne

Whittall

Emanuel

et al. 2017

Archives of Physical Medicine and Rehabilitation

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“…Moreover, they had shortened levator ani muscle at mid-pregnancy and at 37 weeks of gestation. Lipschuetz et al [ 18 ] observed 198 primiparous women who had delivered their children 10 to 14 months ago using the questionnaire of PFBQ (the Pelvic Floor Symptom Bother Questionnaire) by phone and found the probability for at least 1 symptom of PFDs being reported was 64%. The results of this paper also showed that the incidences of SUI and POP at postpartum 6 to 8 weeks were negatively correlated with the scale of PFM strength, which means if a woman's PFM strength is weaker, she will have more chance to develop SUI/POP in postpartum period.…”

Section: Discussionmentioning

confidence: 99%

The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period

Zhao¹,

Xiao²,

Tang³

et al. 2017

Medicine

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Background:Water immersion delivery is a non-pharmacological approach to ease labor pain. This paper aims to investigate the effect of water immersion delivery on increasing strength of pelvic floor muscle (PFM) and relieving pelvic floor disorders (PFDs) during postpartum period.Methods:A total of 2749 vaginal-delivery primiparas in postpartum 6-8 weeks were selected as research objects. Based on the modes of delivery, 600 patients were assigned into water immersion delivery group, 2149 were assigned into conventional delivery group. The scales of PFM strength and pelvic organ prolapsed (POP) were determined by specially trained personnel using digital palpation, and the symptoms of stress urinary incontinence (SUI) were investigated by questionnaire survey. The weak PFM strength was improved by doing Kegel exercise at home for 6-8 weeks.Results:We found that ①The rate of episiotomy in water immersion delivery group was 77.50% (465/600), which was lower than that in conventional delivery group (84.69%, 1820/2149) (P < .01); The primiparas without having an episiotomy have higher PFM strength than those having an episiotomy for both groups (P < .01). ②There was a negative correlation between the scale of PFM strength and SUI or POP, wherein the r-values were −0.135 and −0.435, respectively (P < .01). ③The rate of SUI was 6.50% (39/600) in water immersion delivery group and 6.89% (148/2149) in the conventional delivery group, wherein the intergroup difference was not significant (P > .05); ④The rates of vaginal wall prolapsed and uterus prolapsed were 29.83% (179/600) and 2.83% (17/600) in water immersion delivery group and 30.95% (665/2149) and 4.37% (94/2149) in the conventional delivery group, wherein the intergroup difference was not significant (P > .05). ⑤After Kegel exercise, the strength of PFM was promoted (P < .01).Conclusion:Water immersion delivery has been proved to a beneficial alternative method for conventional delivery method. This delivery mode is associated with fewer episiotomy rate, and avoiding episiotomy is beneficial for maintaining PFM strength of women in postpartum 6-8 weeks. The strength of PFM during postpartum period can be improved by doing Kegel exercise at home.

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“…No segundo trimestre pós-parto é comum o relato de problemas de saúde sexual, relacionado à perda de interesse sexual, falta de lubrificação e dor durante a relação sexual, manifestando um ou mais desses sintomas simultaneamente [22]. Desordens do assoalho pélvico, nos compartimentos anterior ou posterior, e/ou na função sexual podem persistir até um ano após o parto e podem estar associadas a sutura perineal intraparto, dispareunia e incontinência urinária de esforço [23], embora nem sempre pareça haver associação entre o modo de parto e lesão perineal [25].…”

Section: I S C U S S ã Ounclassified

“…Após a cesariana, as queixas de dispareunia podem ser menores [23]. No entanto, estudos sugerem que mulheres primíparas e aqueles que tiveram cesariana são mais propensas a relatar dor durante a relação sexual no período pós-parto [21], não havendo evidências de que as mulheres que passaram por cesariana tiveram menos problemas de saúde sexual, ao contrário, observa-se maior probabilidade de sintomas do que mulheres que tiveram parto vaginal espontâneo com pouco ou nenhum trauma perineal, incluindo dispareunia moderada [26].…”

Section: I S C U S S ã Ounclassified

Dispareunia relacionada à via de parto: uma revisão integrativa

et al. 2019

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No pós-parto, pode haver dor durante a relação sexual e disfunções do assoalho pélvico, que são associadas ao parto vaginal pela possibilidade de lesões perineais ou episiotomia, levando a indicações de cesariana eletiva como fator de proteção da função sexual. Assim, este estudo propõe analisar a relação entre parto por vaginal ou cesárea e a presença de dispareunia no período pós-parto. Foi realizada uma revisão integrativa nas bases de dados Lilacs e PubMed utilizando os descritores “Sexual Dysfunction, Physiological” e “Postpartum Period”. Foram encontrados 28 artigos, sendo incluídos 13 por se encaixarem nos critérios de elegibilidade. Os resultados mostraram que a dispareunia pode ocorrer em 24,0 a 85,7% das puérperas. Após o primeiro parto vaginal, 21,0% apresentam avulsão dos levantadores do ânus, mas 62,0% não são evidentes após um ano. A alteração do corpo perineal não está relacionada a laceração ou a função sexual, mas 32,5% das mulheres que relataram dor perineal no primeiro mês relataram dispareunia aos 6 meses. 85,7% relatam dor na primeira relação pós-parto e as que tiveram cesariana foram mais propensas a dispareunia seis meses após o parto. 31,5% das lactantes aos 6 meses e 24,1 a 28,3% das que apresentaram queixas psicossocias relataram dispareunia. Concluiu-se que a disfunção sexual pode ocorrer nos primeiros meses tanto no pós-parto por via vaginal quanto cesariana, mas após o primeiro ano do parto, a função sexual parece se restabelecer independente da via de parto, com exceção dos traumas perineais severos.

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Degree of bother from pelvic floor dysfunction in women one year after first delivery

Cited by 59 publications

References 42 publications

Randomized Controlled Trial of the Effect of a Brief Telephone Support Intervention on Initial Attendance at Physiotherapy Group Sessions for Pelvic Floor Problems

Randomized Controlled Trial of the Effect of a Brief Telephone Support Intervention on Initial Attendance at Physiotherapy Group Sessions for Pelvic Floor Problems

The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period

Dispareunia relacionada à via de parto: uma revisão integrativa

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