Distúrbios evacuatórios em primigestas após parto normal: estudo clínico

Cesar, Maria Auxiliadora Prolungatti; Leite, Júlia Mota; Muniz, Rafaela Cristina Coelho; Ortíz, Jorge

doi:10.1590/s0101-98802011000200003

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…No que concerne à dor, tanto a literatura nacional quanto a internacional apontam elevada frequência deste sintoma associado à perineorrafia, que varia de 18,5% a 90% [13][14][15][16][17][18][19][20][21] .…”

Section: Discussionunclassified

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Associação entre perineorrafia e problemas perineais, atividades habituais e necessidades fisiológicas afetadas

Santos

Brandão

et al. 2018

Rev Cuid

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Section: Discussionunclassified

“…Outro problema que pode ser causado pelo traumatismo perineal é o distúrbio evacuatório, caracterizado pela perda involuntária das fezes sólidas e líquidas associada ao escape de flatos, tendo a episiotomia como fator de risco para disfunção do diafragma pélvico 13 .…”

Section: Introductionunclassified

Associação entre perineorrafia e problemas perineais, atividades habituais e necessidades fisiológicas afetadas

Santos

Brandão

et al. 2018

Rev Cuid

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“…Greater longevity and the search for a better quality of life in a population that remains active for longer leads to the search for more effective treatments for these problems, which have a major negative impact on this quality. [1][2][3] There are several factors related to aging that worsen the evacuation functions: deterioration of the muscles, inadequate diet, physical inactivity, alteration in peristalsis caused by several diseases (neurological, diabetes, menopause, for instance) and several medications (commonly used at this age). The obstetric history, with late and prolonged births and previous pelvic surgeries, such as hysterectomy, aggravate the problem.…”

Section: Introductionmentioning

confidence: 99%

Repair of the middle and posterior compartments of the pelvic floor via perineal and vaginal routes without the use of mesh - technique description and case series

Nogueira

Macedo

Leite

2020

Journal of Coloproctology

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Introduction Currently, problems such as constipation due to outlet obstruction, rectal/vaginal prolapse and fecal and urinary incontinence have become increasingly more frequent because of the population aging process, with great impact on the quality of life. Objective To describe a technique for surgical repair of middle/posterior pelvic floor compartments and extra-mucosal rectal wall treatment by transperineal and vaginal approach, using native tissues and present the results in twenty patients submitted to this surgical technique. Method Patients with symptoms secondary to middle/posterior pelvic floor descent and anatomical changes confirmed by proctological exam and pelvic MRI defecography. Results were evaluated through the Agachan constipation score, using pre- and post-operative questionnaires. Results Immediate repair of rectocele and musculature, with prompt improvement of constipation, sustained by 42 months. There were no severe complications in the postoperative period. Conclusion This is an effective technique, with adequate anatomic repair, improvement of constipation scores and with low risk.

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“…Em 2010, realizou-se um estudo epidemiológico, transversal, sobre os fatores relacionados à IU com 288 mulheres com até seis meses de parto. Os resultados demonstraram que o percentual de primíparas que autorreferiram IU foi de 53,5% e de não primíparas 46,5% (Cesar et al, 2011;Lopes, Souza, 2010).…”

Section: Introdução Introduçãounclassified

Avaliação dos resultados das condições perineais após o reparo de trauma perineal com cola cirúrgica ou fio de sutura até 8 meses de pós-parto

Brunelli¹

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Introduction: In literature, there are few studies about the use of surgical glue for perineal repair after delivery. Objectives: To compare the intensity of perineal pain, the occurrence of urinary incontinence (UI), the pelvic floor muscle strength (PFMS), the sexual function (SF) and the satisfaction of women after perineal repair with surgical glue or suture yarn in the first 8 months after delivery. Methodology: Longitudinal study linked to a randomized controlled trial (RCT). The population was consisted of women attending a RCT who had normal delivery, underwent repair of first and/or second-degree perineal lacerations or episiotomy with Glubran 2 ® surgical glue (Experimental Group-EG) or with Vicry l® suture yarn (Control Group-CG) in a maternity hospital located in Itapecerica da Serra, São Paulo, and returned for evaluation or accepted to be evaluated in their homes. The women were followed-up during the first 8 months after delivery in six stages, with the first 3 stages corresponding to the RCT database, stage 4 to a cross-sectional study and stages 5 and 6 data to the current study. Stage 1: soon after normal delivery; stage 2: between 12 and 24 hours; stage 3: between 36 and 48 hours; stage 4: between 10 and 20 days; stage 5: between 50 and 70 days; stage 6: between 6 and 8 months after delivery. This study was approved by the Research Ethics Committee of EEUSP, under registration number 2.44.813. Results: A total of 140 women were evaluated in the first three stages, 110 women between 10 and 20 days after delivery (stage 4), 122 women between 50 and 70 days (stage 5) and 54 women between 6 and 8 months after delivery (stage 6). When comparing the intensity of perineal pain over time in the two types of perineal repair, EG presented better results than CG (p=0.001). However, there was no significance when comparing UI in the first five stages (p=0.699) and the use of ICIQ-SF in the sixth stage (p=0.835). Regarding PFMS, there was a difference of 4.96 points between the means of EG (mean 32.39; SD 14.03) and CG (mean 27.43; SD 12.75), but with no significance (p=0.331). As for SF, it was noticed that the EG women presented higher mean scores in all domains, but there was no significance (p=0.504). EG also presented better means in relation to women's satisfaction with perineal repair, but also with no significance (p=0.068). Conclusion: The use of surgical glue showed significantly lower perineal pain intensity in the first 8 months after delivery and better means related to PFMS, SF and women's satisfaction with perineal repair. Surgical glue may be a viable option to decrease the negative outcomes of perineal repair after normal delivery, as well as to increase women's satisfaction.

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Distúrbios evacuatórios em primigestas após parto normal: estudo clínico

Cited by 3 publications

References 13 publications

Associação entre perineorrafia e problemas perineais, atividades habituais e necessidades fisiológicas afetadas

Associação entre perineorrafia e problemas perineais, atividades habituais e necessidades fisiológicas afetadas

Repair of the middle and posterior compartments of the pelvic floor via perineal and vaginal routes without the use of mesh - technique description and case series

Avaliação dos resultados das condições perineais após o reparo de trauma perineal com cola cirúrgica ou fio de sutura até 8 meses de pós-parto

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