Pelvic Floor Disorders
Conditions
Interventions
All researchers involved in data acquisition (primary and secondary outcome measures), data analysis, and/or statistics will be blinded regarding group allocation. The physiotherapist responsible for
E02.779
Sponsors
Universidade Federal de São Paulo
Universidade Federal de São Paulo
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant women - nulliparous and multiparous women at 20 weeks of gestation with a pregnancy of usual risk. Postpartum women (abdominal diastasis, intact perineum, first and second-degree lacerations) - women with abdominal rectus muscle diastasis, who have an intact perineum, cesarean delivery, or first or second-degree lacerations, within one year postpartum. Postpartum women (third and fourth-degree lacerations) - women with or without pelvic floor dysfunction (urinary incontinence, flatus or fecal incontinence, genital prolapse, genital laxity), with third or fourth-degree lacerations, within one year postpartum
Exclusion criteria
Exclusion criteria: Pregnant women - pregnant women with high-risk pregnancies and/or diseases that may interfere with participation. Postpartum women (abdominal diastasis, intact perineum, first and second-degree lacerations) - women who have third and fourth-degree lacerations after vaginal delivery, do not wish to participate in the study, and have serious maternal and infant diseases. Postpartum women (third and fourth-degree lacerations) - women with first or second-degree lacerations after vaginal delivery, do not wish to participate in the study, and have serious maternal and infant diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effects of pelvic floor muscle training for the prevention and treatment of pelvic floor dysfunctions in the postpartum period; It is expected that at the end of treatment, participants will show a reduction in symptoms of pelvic floor dysfunction through muscle training.;To evaluate whether exercises for the pelvic floor and abdominal muscles are superior to abdominal exercises in the management of diastasis rectus abdominis and low back pain in the postpartum period; At the end of the treatment, we hope to discover whether the combination of abdominal exercises and pelvic floor muscle training are superior to abdominal exercises alone in reducing diastasis rectus abdominis and low back pain in the postpartum period.;To evaluate the effects of combining pelvic floor muscle training associated with pelvic mobility exercises, perineal massage and perineal expander on the prevention of perineal trauma and episiotomy, and on the prevalence of pelvic floor dysfunctions before and after childbirth; It is expected that at the end of treatment, participants who perform pelvic mobility exercises, perineal massage and perineal expander, in addition to pelvic floor muscle training, will show a reduction in the incidence of severe perineal trauma and episiotomy, and pelvic floor dysfunctions pre and post childbirth in both groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find a reduction in symptoms of pelvic floor dysfunction in the experimental group after 3 months of pelvic floor muscle training, verified using the Australian Pelvic Floor Questionnaire; the Fecal Incontinence Quality of Life Questionnaire; the Fecal Incontinence Severity Index; functional assessment of the pelvic floor using bidigital palpation, dynamometry and electromyography, pre and post-intervention; increased perception of the effectiveness of pelvic floor muscle training exercises, in the experimental group, through the Self-Efficacy Scale for Practicing Pelvic Floor Exercises, post-intervention; good adherence to exercises, after 3 months of pelvic floor muscle training, verified through the exercise diary; and high satisfaction with the treatment, in the experimental group, verified by the post-intervention Subjective Cure question.;At the end of the treatment, we hope to discover whether the combination of abdominal exercises and pelvic floor muscle training are superior to abdominal exercises alone in reducing diastasis of the rectus abdominis and low back pain in the postpartum period, verified through an ultrasound examination of the abdominal wall; abdominal circumference; low back pain questionnaire; Australian Pelvic Floor Questionnaire; functional assessment of the pelvic floor using bidigital palpation, dynamometry and electromyography, pre and post-intervention. It is also expected to find good adherence to abdominal exercises and pelvic floor muscle training, after 3 months of intervention, verified through the exercise diary.;It is expected that at the end of treatment, participants who perform pelvic floor muscle training, pelvic mobility exercises, perineal massage and perineal expander will show a reduction in the incidence of severe perineal trauma and episiotomy, and a reduction in pelvic floor dysfunctions pre and post treatment. delivery in both groups, verified through the birth outcome (type of delivery, perineal tr | — |
Countries
Brazil
Contacts
Public ContactAmanda Amorim
Universidade Federal de São Paulo
Outcome results
None listed