Percepción de las puérperas y de los profesionales sanitarios sobre el embarazo y el parto como factores de riesgo de las disfunciones del suelo pélvico. Estudio cualitativo

Encabo-Solanas, N.; Torres-Lacomba, María; Vergara-Pérez, Fernando; Sánchez-Sánchez, Beatriz; Navarro-Brazález, Beatriz

doi:10.1016/j.ft.2015.10.005

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…Regarding the time when the physiotherapy program should start, the women agreed that around postpartum/first delivery could be a good time. Despite the opinions of women, qualitative studies show that postpartum women are unaware of PFD that may appear after childbirth, and that they believe it is an inevitable consequence and do not know about the treatment alternatives available [31,32]. Grant et al [33] interviewed 31 women who had given birth in the last 5 years and found that women needed more information and support for proper performance of the MSP exercises, which could also be facilitated by the use of new technologies, such as the creation of an app.…”

Section: Discussionmentioning

confidence: 99%

What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care

Navarro-Brazález

Vergara-Pérez

Prieto-Gómez

et al. 2021

JPM

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Conservative treatment of pelvic floor dysfunction (PFD) includes therapeutic exercise for pelvic floor muscle (PFM) training or other complementary exercise modalities, such as hypopressive exercises. However, the long-term effectiveness of the conservative treatment depends on a patient’s adherence to the exercises and the integration of professional health advice into their daily life. The objective of this study was to establish the adherence experience of women with diagnosed PFD in home-based exercises after an intensive face-to-face physiotherapy treatment. A qualitative study from an interpretive paradigm was developed. Semi-structured individual and group interviews were performed 6 months after finishing individual physiotherapy treatment. The interviews were recorded, fully transcribed and analyzed thematically by creating categories. Thirty-one women were interviewed. The women reported that their adherence to home PFM exercises depended on the exercise program itself, its efficacy, their personal experiences with the exercises, intrinsic factors such as self-awareness or beliefs, and extrinsic factors, such as professional or instrumental feedback. Thus, therapeutic adherence could be more likely with effective physiotherapy programs that include mutually agreed home exercises and simple movements women can build into their daily lives. Improving awareness and knowledge of the pelvic region and the importance of PFM treatment as well as consideration for potential worsening of PFD will also encourage women to adhere to the exercises.

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Section: Discussionmentioning

confidence: 99%

What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care

Navarro-Brazález

Vergara-Pérez

Prieto-Gómez

et al. 2021

JPM

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“…Por tal razón, la incorporación de un plan de entrenamiento de la musculatura pélvica podría desarrollarse como programa de promoción de la salud, debido a sus beneficios no solo durante los momentos de gestación, parto y puerperio, sino para toda la vida de la mujer, siendo necesario que dicho programa sea supervisado por un fisioterapeuta especializado [29,30].…”

Section: La Influencia Del Embarazo Parto Y Puerperio En El Piso Pélvicounclassified

Rol del fisioterapeuta y la importancia de la educación sexual integral en la mujer

Rendón-Galvez

Perdomo

2022

Rev. Investig. Innov. Cienc. Salud

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Introducción. Colombia es un país que enfrenta diversas situaciones provenientes de la falta de educación sexual y educación en salud adecuada: casos de abuso sexual, embarazos en niñas menores de catorce años y la incidencia y prevalencia de la incontinencia urinaria por afectación del piso pélvico. Objetivo. El presente artículo busca dar cuenta del desconocimiento en temas de salud sexual y sus consecuencias, evidenciar los beneficios que podrían generar las intervenciones de educación sexual integral en el país y reflexionar sobre el rol del fisioterapeuta en la rehabilitación y prevención de disfunciones del piso pélvico en las mujeres. Reflexión. Si se incorporaran procesos de fisioterapia pélvica como componente preventivo, que incluya educación, se podría reducir el desconocimiento, el riesgo de vulneración de los derechos sexuales y reproductivos y futuras disfunciones del piso pélvico. La importancia de la educación desde la fisioterapia radica en que las mujeres reconozcan que, al aumentar la fuerza de su musculatura, están cuidando de su piso pélvico hasta edades avanzadas, en las que se estima que la prevalencia de incontinencia urinaria es del 34%. Conclusiones: Un programa de educación sexual impartido desde el currículo podría disminuir las condiciones de salud del piso pélvico, así como los factores de riesgo de abuso sexual. Además, permitiría el acompañamiento médico adecuado para orientar el inicio de la vida sexual en un proceso seguro y consciente, así como la expresión de la sexualidad con libertad, al ser concebida como un derecho.

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“…During vaginal delivery, about 80% of women present some kind of morpho-functional alteration of the pelvic floor musculature (PFM), especially the levator ani [ 4 ]. This may be due to the mechanical hyper-solicitation to which the PFM is subjected [ 2 , 5 , 6 ], with an increase of up to 20–30% in the size of the urogenital hiatus and increased urethral mobility, which predisposes to the early or late onset of pelvic floor dysfunctions (PFD) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…PFD is a group of disorders resulting from an alteration in the integrity and/or function of the PFM, including urinary incontinence (UI), anal incontinence, pelvic organ prolapses, and symptoms of sexual dysfunction [ 2 , 3 , 4 , 7 ]. They constitute a well-known health problem affecting 25–30% of the adult female population and reaching up to 50% after labor, having significant repercussions on quality of life and affecting the health, social, and economic spheres [ 2 , 3 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…The etiology of PFD is complex and multifactorial, with numerous factors related to its appearance, such as gender, aging, obesity, and menopause [ 9 ]. However, the factors most strongly affecting the progression of PFD appear to be pregnancy and vaginal delivery [ 4 , 5 , 10 ] as well as physiological and pathological conditions associated with increased intra-abdominal pressure (IAP), such as constipation, coughing, and high-impact activities [ 6 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Bladder Base Displacement during Abdominal Muscles Contraction and Functional Activities in Primiparous Women Assessed by Transabdominal Ultrasound: A Descriptive Study

Arranz-Martín

García-Gallego

Romay‐Barrero

et al. 2021

JCM

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This study described the response of the bladder base (BB) by transabdominal ultrasound in primiparous women during movements that activate the abdominopelvic cavity musculature and cause variations in intra-abdominal pressure (IAP). A descriptive cross-sectional study was conducted in 64 primiparous women at eight weeks after uncomplicated delivery. BB displacement was measured using a 5-MHz convex transducer in a suprapubic position. Participants were asked to perform the isolated contraction of pelvic floor musculature (PFM) and transverse abdominis (TrA), cough at high lung volume and trunk flexion with and without maximal voluntary contraction of PFM. PFM contraction elevated the BB in all but one participant, whereas TrA contraction caused the BB to ascend in 56% of the women and descend in the rest; their combined contraction rose the BB in 65% of the women although the effect was greater with only PFM contraction (p < 0.01). The BB descended in all participants during coughing and trunk flexion although the descent was inferior with the joint maximal voluntary contraction of PFM (p < 0.01). In conclusion, TrA contraction must be assessed individually in puerperal women since its effect on the BB varies among subjects. During movements increasing IAP, such as coughing or curl-ups, the anticipatory contraction of PFM reduces bladder descent although not sufficiently to counteract bladder displacement.

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Percepción de las puérperas y de los profesionales sanitarios sobre el embarazo y el parto como factores de riesgo de las disfunciones del suelo pélvico. Estudio cualitativo

Cited by 4 publications

References 18 publications

What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care

What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care

Rol del fisioterapeuta y la importancia de la educación sexual integral en la mujer

Bladder Base Displacement during Abdominal Muscles Contraction and Functional Activities in Primiparous Women Assessed by Transabdominal Ultrasound: A Descriptive Study

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