Evaluation of the strength of respiratory muscles in women in the immediate postpartum vaginal and cesarean delivery

Evaluation of the strength of respiratory muscles in women in the immediate postpartum vaginal and cesarean delivery: an observational study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12613000673741

Enrollment

Registered

2013-06-20

Start date

2012-04-03

Completion date

2012-11-22

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Objective: To evaluate and compare the strength of respiratory muscles in women in the immediate postpartum vaginal and cesarean delivery. Methods: This study was conducted in a public maternity the coast of Sao Paulo, with a population of women in immediate postpartum period, the same were separated into two groups: vaginal delivery (VDG) and cesarean delivery (CDG), and evaluated by a form of data collection on the current pregnancy, childbirth and the data manuvacuometria held 24 and 48 hours postpartum. Results: The sample comprised 29 women and 30 VDG in the CDG. The average age was 24.75 (+/- 4.95) in VDG and 24.10 (+/- 4.72) in PDG. In both groups there was a decrease in inspiratory muscle strength (IMS) and expiratory (EMS) in relation to the predicted value in the 1st PP and 2nd PP (VDG / IMS - 1 PP: -44.07 +/- 12.72; 2nd PP: -56.79 +/- 15.54; PDG / IMS - 1 PP: -37.03 +/- 9.54; 2nd PP: -49.13 +/- 14.69 / VDG / EMS - 1st PP: 41.45 +/- 16.52; 2nd PP: 50.35 +/- 21.83; PDG / EMS - 1st PP: 32.93 +/- 5.05; 2nd PP: 37.63 +/- 8.93). When the groups were compared inspiratory muscle strength (IMS) and expiratory (EMS), the VDG maintained higher the CDG, the 1st and 2nd PP PP (PP 1: -44.07 +/- 12.72 vs. -37.03 +/- 9.5; 2nd PP: -56.79 +/- 15.54 vs. -49.13 +/- 14.69 / 1 PP: 41.45 +/- 16.52 versus 32.93 +/- 5.05; 2nd PP: 50.35 +/- 21.83 versus 37.63 +/- 8.93.) Conclusion: Regardless of the type of delivery was significantly lower in respiratory muscle strength in the immediate postpartum period. However, women in post-cesarean delivery had higher drop in inspiratory and expiratory muscle strength compared in women after vaginal delivery.

Interventions

This observational trial was conducted in the maternity of a public hospital in Sao Paulo/Brasil. We evaluated the strength of respiratory muscles, using manovacuometry technique, through maximal respiratory pressures on two occasions, twenty-four and forty-eight hours after delivery. Women in vaginal postpartum period were compared with women in post-cesarean section. In addition, we performed the calculation of the predicted volue for maximal respiratory pressures of all women who participate

Eligibility

Sex/Gender

All

Age

18 Years to 40 Years

Healthy volunteers

Yes

Inclusion criteria

Literate; Be between 6 an 24 hours after vaginal delivery or cesarian section; Agree to participate of study and sign the Statement of Consent.

Exclusion criteria

Pulmonary disease; Inability to perform the manovacuometry ; Hemodynamic instability.

Outcome results