Episiotomy Wound, Perineum; Injury, Pilates Method, Pregnancy
Conditions
Keywords
Nursing, Midwifery, Nurse, Pilates Method, Pelvic floor, Injuries, Episiotomy, Pregnancy
Brief summary
In this paper, it is postulates that in pregnant women, the practice of PM led by a qualified professional for a period of four weeks can reduce the incidence of pelvic floor dysfunction (PFD) by decreasing the number of birth injuries.
Detailed description
It is postulated that in pregnang women, the practice of PM can reduce the severity of birth injuries. Our main objective was to determine the effectiveness of a PM program to reduce the incidence and degree of intrapartum perineal injuries as a way to reduce the incidence of female PFD. Secondary objectives were: Assess the role of a MP program on the systolic and diastolic blood pressure. Determine the effect of a MP program on body weight (BMI). It is a parallel group clinical trial with an allocation ratio of 1:2. All pregnant women will be informed about the nature of the clinical trial. There will be no differences in the pregnant´s follow-up because it will be performed by two same Pilates monitor with the same formation. Once the pregnant women is assigned to an arm of the study, those assigned to the intervention group will be sent to the Pilates monitor to explain and initiate the exercise of MP program while the control group will be informed to maintain their usual monitoring of pregnancy. In the initial visit, the type of physical activity will be evaluated by filling in the international physical activity questionnaire (IPAQ).
Interventions
OTHERPILATES METHOD
It is intended that the Pilates program have a duration of four weeks and its realization does not suppose an excessive consumption of resources. Therefore, it must have a series of characteristics: low supervision and easily realizable by all patients, which implies flexibility in the schedule. In this sense the sessions of Pilates is adjusted to these assumptions and the Pilates monitor offers several schedules on diferent days of week. The pregnant women assigned to the intervention group will be supervised by the midwifery of reference and trained by a Pilates monitor who will explain the training program and resolve the doubts raised by the women. The therapeutic control will be carried out by telephone call and clinical history review between the eighth and tenth day.
Sponsors
University of Huelva
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Intervention model description
The professionals who assessed the progress of labor in the delivery room and completed the medical history did not know whether the woman belonged to the intervention or the control group.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* To go to the Maternal Education program. * Give your written consent to participate in the study. * Singleton pregnancy. * Low-risk pregnancy. * No contraindication to physical exercise. * Age equals or more than 18 years old. Excusion Criteria: * Pregnant women with poor pregnancy control. * Difficulty in speaking or understanding Spanish. * Required a C-section during delivery. * Refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the presence of pelvic floor injuries during childbirth after a Pilates Method program | Between the eighth and tenth day after birth | Decrease in the number of episiotomies and perineal tears |
Countries
Spain
Outcome results
None listed