None listed
Conditions
Brief summary
- In order to determine the effectiveness of using vaginal areas for improving the perineal strength of women in the postpartum period, we have designed a randomized experimental clinical trial. We will take as a reference population all primiparous women who give birth in the metropolitan area of Seville, in the course of a year. - To determine the effectiveness of 3 types of muscle training for recovery pelvic floor postpartum and evaluate their effectiveness by perineometer, Test and Modified Oxford ICIQ Incontinence Questionnaire SF. - Therefore, women in the puerperal period, perform pelvic floor exercises (PFMT) with vaginal spheres, have more rapid and effective recovery of the perineal strength .
Interventions
Group 1 (Control): Perform standardized pelvic floor exercises (PFMT),
designed by the physiotherapy team that will participate in the study, following the
current clinical practice guidelines and determining a duration of at least 12
weeks for the completion of the exercises.
Group 2 (Intervention-a): Perform the pelvic floor exercises established by the
physiotherapy equipment while using the vaginal spheres. The duration of it
They will also be 12 weeks.
Group 3 (Intervention-b): they will us
Group 1 (Control): Perform standardized pelvic floor exercises (PFMT), designed by the physiotherapy team that will participate in the study, following the current clinical practice guidelines and determining a duration of at least 12 weeks for the completion of the exercises. Group 2 (Intervention-a): Perform the pelvic floor exercises established by the physiotherapy equipment while using the vaginal spheres. The duration of it They will also be 12 weeks. Group 3 (Intervention-b): they will use the vaginal spheres in their life activities daily during the 12 weeks of the intervention and intensively, according to the program determined by the physiotherapy team that will participate in the study. - material used: Group 2 and 3 will use one vaginal ball (24gr) during the intervention - procedures/activities/exercices: Pelvic floor Muscle training (PFMT) exercices, designed by the physiotherapy team - who will deliver the intervention: the midwifes and the physiotherapist in charge of the program - the mode of delivery: group 1 and 2 will assist to one class per week and subsequently will apply the new exercises learned in the class, at home during the next week. - frequency: group 1 and 2 will do twice a day exercises at home (10 minutes in the morning + 10 minutes in the afternoon) Group 3 will do their daily life activities with the vaginal balls during 20 minutes per day (preferably in the mornings) - We will use whatsapp groups to monitor the adherence to the treatment.
Sponsors
Hospital Nuestra Señora de la Merced (Osuna)
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
- Primiparous women. - Women who are in the postpartum period between 6 weeks (quarantine) and 6 months at the start of the intervention. - Newborn births Term (from 37 weeks) - Cease Lochia. - Sufficient knowledge of the Spanish language, both written and spoken. - Acceptance to participate in the study through informed consent.
Exclusion criteria
- Multiparous women - Women off limits postpartum (previous birth to 6 months after surgery) - Women undergoing treatment of lower urinary tract (ITU treatment) - Women who are already participating in a recovery program pelvic floor. - Women with tear III and IV grade. - Pregnant (or become pregnant approach in the intervention period) Women - Starting point pelvic floor muscle balance women less than 2 points. (Where retention vaginal areas impossible) - Inability to perform the necessary procedures for intervention.
Outcome results
None listed