Pelvic floor muscle function and quality of life in postmenopausal women with and without pelvic floor dysfunction

Frota, Isabella Parente Ribeiro; Rocha, Adriana Bombonato Oliveira; Neto, José Ananias Vasconcelos; Vasconcelos, Camila Teixeira Moreira; Magalhães, Thaís Fontes de; Karbage, Sara Arcanjo Lino; Augusto, Kathiane Lustosa; Nascimento, Simony Lira do; Haddad, Jorge; Bezerra, Leonardo Robson Pinheiro Sobreira

doi:10.1111/aogs.13305

Cited by 19 publications

(14 citation statements)

References 33 publications

(62 reference statements)

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“…As expected, the CG presented higher values of PFM endurance compared with the PMG. The literature reports a relationship between menopause and PFM dysfunctions [28] caused among other factors, by hormonal reduction [30]. Moreover, the relationship between the decrease in PFM endurance values and the increase in age observed in the present study is in agreement with the literature [30].…”

Section: Discussionsupporting

confidence: 93%

“…Although the values obtained at the peak of the contractions were significantly higher than the rest, they represented on average, 44 % of the maximum HR in the CG and 49 % of maximal HR in PMG. None of the participants showed 85 % of HR peak, so these exercises were considered low intensity [28]. Moreover, the PFM endurance was significantly higher in CG during the 5-s and 10-s series.…”

Section: Resultsmentioning

confidence: 97%

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Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

Bastos

Catai

Jürgensen

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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Analyze the acute heart rate and blood pressure responses to two protocols of pelvic floor muscles contractions in premenopausal and postmenopausal women. Methods: Fifty-four women without pelvic floor muscles disorders were eligible and allocated into two groups: premenopausal and postmenopausal. The groups underwent two protocols and the pelvic floor muscle endurance, heart rate, and blood pressure values were monitored. Both protocols included 10 pelvic floor muscles contractions; one series contained contractions lasting 5 s with 5 s of rest between each contraction and the other series contained contractions lasting 10 s with 10 s of rest. Results: In both groups, there was a significant increase in the heart rate during pelvic floor muscles contractions (premenopausal: 71.0 AE 7.3 and 80.3 AE 7.7; postmenopausal: 65.4 AE 6.6 and 73.6 AE 6.6, at rest and contractions peak, respectively) and in systolic blood pressure immediately after the contractions. The observed values during exercise returned to basal values seconds after the contractions. A positive correlation between heart rate and vaginal squeeze pressure (r = 0.45, p = 0.0007 and r = 0.48, p = 0.0003, 5-and 10-s series, respectively) was observed. Conclusion:The proposed protocol of isometric pelvic floor muscles contractions caused an increase in heart rate and blood pressure within the normal range and might not represent a cardiovascular risk for healthy postmenopausal women without urinary incontinence and without cardiovascular dysfunctions.

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Section: Discussionsupporting

confidence: 93%

Section: Resultsmentioning

confidence: 97%

Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

Bastos

Catai

Jürgensen

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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“…The levator ani muscle participates in the support and function of the pelvic organs. 1 Hence, levator ani muscle injury is related to the appearance of pelvic organ prolapse [1][2][3] (affecting mainly the anterior and middle compartments 4,5 ) as well as to fecal incontinence during the postpartum period [6][7][8] and in elderly women. 9 Levator ani muscle avulsion, defined as the disconnection of levator muscle fibers from their insertion on the inferior pubic ramus, 10 is present in 10%-35% of women after a vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

A comparable rate of levator ani muscle injury in operative vaginal delivery (forceps and vacuum) according to the characteristics of the instrumentation

García‐Mejido

Fernández‐Palacín

Barby

et al. 2019

Acta Obstet Gynecol Scand

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Abbreviations: CI, confidence interval; LAM, levator ani muscle; OR, odds ratio. AbstractIntroduction: Forceps delivery is associated with a high rate of levator ani muscle (LAM) trauma (avulsion) at 35%-65% whereas data on avulsion rates after vacuum delivery vary greatly. Nevertheless, a common characteristic of all previous studies carried out to evaluate the association between instrumental deliveries (forceps and vacuum) and LAM avulsion, is the fact that characteristics of the instrumentation have not been described or evaluated. The objective of this study is to compare the rate of LAM avulsion between forceps and vacuum deliveries according to the characteristics of the instrumentation. Material and methods: Prospective, observational study, including 263 nulliparous women, who underwent an instrumental delivery with either Malmström vacuum or Kielland forceps. The characteristics of the instrumentation, position (anterior position and other position) and height of the fetal head at the moment of instrumentation (low instrumentation [vertex at +2 station] and mid-instrumentation [head isinvolved but leading part above +2 station]) were assessed. Evaluation of LAM avulsion was performed at 6 months postpartum by three-/four-dimensional transperineal ultrasound. Using the multi-view mode, a complete avulsion was diagnosed when the abnormal muscle insertion was identified in all three central slices, that is, in the plane of minimal hiatal dimensions and the 2.5-mm and 5.0-mm slices cranial to this one. To detect a 30% or 15% difference in the LAM injury rate, with 80% power and 5% α-error, we needed, respectively 42 and 99 women per study group.Results: In all, 263 nulliparous individuals have been evaluated (162 vacuum deliveries, 101 forceps deliveries). Instrumentation in an occipito-anterior position was more frequent in vacuum deliveries (75.3% vs 56.4%, P = .002), whereas other positions were more frequent in the forceps deliveries group (24.7% vs 43.6%). No statistically significant differences were noted regarding the height of the fetal head at the moment of instrumentation. No statistically significant differences were found in the presence of LAM avulsion (41.4% vs 38.6%) between vacuum and forceps deliveries.The univariate analysis of the crude odds ratio was 1.17, 95% CI 0.67-1.98, P = .70 for

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“…Entre os resultados, destaca-se a alta prevalência de disfunções dos músculos do assoalho pélvico, em que mais da metade da amostra avaliada apresenta algum tipo de disfunção (70,3%). Em recente estudo realizado por Frota et al [16] em uma amostra de 216 mulheres com média de idade de 58 anos, a prevalência de DMAP foi de 58,33%. Além disso, nesse mesmo estudo observaram que com o avanço da idade esses sintomas tendem a aumentar.…”

Section: Discussionunclassified

Disfunções dos músculos do assoalho pélvico em mulheres que realizam o exame preventivo de câncer de colo de útero

et al. 2019

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Introdução: As disfunções dos músculos do assoalho pélvico (DMAP) ocorrem devido a alterações das estruturas da região pélvica. A identificação de sintomas no exame preventivo de câncer de colo de útero é importante para aprimorar políticas públicas de atenção à saúde da mulher. Objetivo: Analisar a prevalência de DMAP em mulheres que realizam exame preventivo de câncer de colo de útero. Métodos: Tratou-se de um estudo transversal cuja população foi composta por 64 mulheres adultas. Os instrumentos de pesquisa utilizados foram ficha de identificação de DMAP e ficha de identificação de fatores associados as DMAP. Resultados: Constipação (40,6%), incontinência urinária (IU) (39,1%) e dispareunia (23,4%) foram as mais prevalentes, com 39,1% das mulheres apresentando sintomas de uma única disfunção, 21,9% duas disfunções e 9,4% associação de três disfunções, 44% das mulheres com IU também apresentam constipação e 28% com IU apresentavam dispareunia. Nenhum fator demonstrou associação à constipação, IU demonstrou uma tendência à associação ao consumo de cafeína e dispareunia ao uso de medicamentos Inibidores da Enzima Conversora de Angiotensina. Conclusão: Observou-se maior prevalência de constipação, IU e dispareunia destacando-se a sobreposição de sintomas, enfatizando a importância da detecção precoce das DMAP ainda na atenção primária.Palavras-chave: assoalho pélvico, constipação intestinal, incontinência urinária, dispareunia.

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Pelvic floor muscle function and quality of life in postmenopausal women with and without pelvic floor dysfunction

Cited by 19 publications

References 33 publications

Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

A comparable rate of levator ani muscle injury in operative vaginal delivery (forceps and vacuum) according to the characteristics of the instrumentation

Disfunções dos músculos do assoalho pélvico em mulheres que realizam o exame preventivo de câncer de colo de útero

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