PMID: 11339914May 8, 2001Paper

Pelvic floor education after vaginal delivery

Obstetrics and Gynecology
S MeyerP De Grandi

Abstract

To assess the effect of pelvic floor education after vaginal delivery on pelvic floor characteristics in nulliparous women. We examined 107 nulliparas during pregnancy and at 9 weeks and 10 months after vaginal delivery. Methods used included a questionnaire, clinical examination, perineosonography, urethral pressure profiles, and intravaginal and intra-anal pressure recordings during pelvic floor contraction. After the second examination, the women were assigned in alternating manner to either 12 sessions of pelvic floor exercises with biofeedback and electrostimulation (n = 51) or no training (n = 56). The two groups were compared at the third examination. Stress urinary incontinence incidence decreased in 2% of control subjects compared with 19% of women who underwent pelvic floor education (P =.002), whereas the incidence of fecal incontinence (5% versus 4%, P = 1) and the percentage of women who recovered predelivery pelvic floor contraction strength (33% versus 41%, P =.4) were no different. We observed no significant differences in bladder neck position and mobility, urethral functional length, maximal urethral closure pressure, pressure transmission ratio, residual area of continence at stress standing, or intravaginal ...Continue Reading

Associated Clinical Trials

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Citations

Mar 20, 2012·International Urogynecology Journal·Fátima Faní FitzRodrigo Aquino Castro
Feb 26, 2013·International Urogynecology Journal·Stian Langeland Wesnes, Gunnar Lose
Sep 23, 2003·Current Urology Reports·Carolyn M Sampselle
Aug 27, 2005·Current Urology Reports·Neil T Dwyer, Karl J Kreder
Oct 18, 2002·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A SartoreS Guaschino
Aug 26, 2006·Current Opinion in Obstetrics & Gynecology·Chantale Dumoulin
Aug 19, 2015·International Urogynecology Journal·Louise-Helene GagnonMagali Robert
Feb 10, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·X Deffieux
Jul 25, 2008·Gynécologie, obstétrique & fertilité·X Fritel
Oct 9, 2003·Alimentary Pharmacology & Therapeutics·M Delvaux
Jan 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·I P OlsenT Kiserud
May 14, 2011·Physical Therapy·Hsiu-Chuan HungJau-Yih Tsauo
Sep 2, 2004·Obstetrics and Gynecology·Chantale DumoulinMélanie Morin
Sep 23, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Hong Wang, Gamal Ghoniem
Sep 23, 2003·Current Opinion in Obstetrics & Gynecology·Gloria Lacima, Miguel Pera
Sep 17, 2008·Gastroenterology Clinics of North America·Christine Norton

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