Pregnant, complacency, muscle contraction
Conditions
Interventions
In this project, the researchers will try to verify the response of the pelvic floor muscles after the physiotherapeutic intervention with the use of the vaginal dilator in pregnant women.
For the acc
Procedure/surgery
E01.370.600.425
E02.760.169.063.500.387.750
Sponsors
Faculdade de Educação Física e Fisioterapia da Universidade Federal de Uberlândia
Faculdade de Educação Física e Fisioterapia da Universidade Federal de Uberlândia
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 35 years; Gestational age of 34 weeks; Primparas; Physiological gestation; With medical authorization to perform the physiotherapeutic intervention.
Exclusion criteria
Exclusion criteria: Multiple gestation; Presence of high gestational risk; Presence of bone deformities; Presence of important muscular dysfunctions; Unusual fetal position or risks that make vaginal delivery impossible (placenta previa); Presence of risk of ascending infection such as vaginal infection (such as premature amniorrhexis, vaginal infection); Presence of unhealed lesions in the vaginal region; Be visibly under the influence of drugs or alcohol; Presence of vaginal bleeding; Presence of cervical cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Distensibility of the perineal region, as measured by Epi-No® circumference, after being withdrawn from the volunteer's vaginal orifice, from a finding of a progressive increase measured in centimeters in each of the three evaluations performed during the eight interventions Of the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Capacity of contraction of the pelvic floor musculature, verified through two measurements, the first by digital palpation and the second by evaluation of the contraction pressure of the pelvic floor musculature. Digital palpation is performed according to the protocol proposed by Laycock and Jerwood (2001), with the measurement of the degree of strength of the patients according to the Modified Oxford Scale, with a variation from zero to five. Where, 0 - no pressure: absence of muscle response of perivaginal muscles; 1 - outline of unsupported muscle contraction; 2 - presence of contraction of small intensity, but that sustains itself; 3 - moderate contraction: felt increased Intravaginal pressure, which compresses the Examiner fingers with small elevation Cranial wall of the vaginal wall; 4 - satisfactory contraction: one that tightens The examiner's fingers with Vaginal wall towards the pubic symphysis; 5 - strong contraction: firm compression of Examiner's fingers with positive movement Toward the pubic symphysis. The Peritron equipment (Cardio Design Pty Ltd, Oakleigh, Victoria, Australia) is used to evaluate the contraction pressure of the pelvic floor muscles, which, based on the perineal contraction of the volunteer, requested by the physiotherapist, measures the pressure exerted on the catheter Of the equipment introduced into the vaginal orifice, varying from 0 to 300 cm H2O. During the three evaluations, it is expected that the contraction force and pressure are not altered during the eight interventions performed in this study. | — |
Countries
Brazil
Contacts
Public ContactRânia Cristina de Oliveira
Faculdade de Educação Física e Fisioterapia da Universidade Federal de Uberlândia
Outcome results
None listed