Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study
OBJECTIVE: This study aimed to compare the pelvic floor muscle strength of nulliparous and primiparous women. METHODS: A total of 100 women were prospectively distributed into two groups: Group 1 (G1) (n = 50) included healthy nulliparous women, and Group 2 (G2) (n = 50) included healthy primiparous...
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| Format: | Article |
| Language: | English |
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Elsevier España
2011-01-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800014 |
| _version_ | 1818859593302802432 |
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| author | Mônica Orsi Gameiro Vanessa Oliveira Sousa Luiz Felipe Gameiro Rosana Carneiro Muchailh Carlos Roberto Padovani João Luiz Amaro |
| author_facet | Mônica Orsi Gameiro Vanessa Oliveira Sousa Luiz Felipe Gameiro Rosana Carneiro Muchailh Carlos Roberto Padovani João Luiz Amaro |
| author_sort | Mônica Orsi Gameiro |
| collection | DOAJ |
| description | OBJECTIVE: This study aimed to compare the pelvic floor muscle strength of nulliparous and primiparous women. METHODS: A total of 100 women were prospectively distributed into two groups: Group 1 (G1) (n = 50) included healthy nulliparous women, and Group 2 (G2) (n = 50) included healthy primiparous women. Pelvic floor muscle strength was subjectively evaluated using transvaginal digital palpation. Pelvic floor muscle strength was objectively assessed using a portable perineometer. All of the parameters were evaluated simultaneously in G1 and were evaluated in G2 during the 20th and 36th weeks of pregnancy and 45 days after delivery. RESULTS: In G2, 14 women were excluded because they left the study before the follow-up evaluation. The median age was 23 years in G1 and 22 years in G2; there was no significant difference between the groups. The average body mass index was 21.7 kg/m² in G1 and 25.0 kg/m² in G2; there was a significant difference between the groups (p = 0.0004). In G2, transvaginal digital palpation evaluation showed significant impairments of pelvic floor muscle strength at the 36th week of pregnancy (p = 0.0006) and 45 days after vaginal delivery (p = 0.0001) compared to G1. Objective evaluations of pelvic floor muscle strength in G2 revealed a significant decrease 45 days after vaginal delivery compared to nulliparous patients. CONCLUSION: Pregnancy and vaginal delivery may cause weakness of the pelvic floor muscles. |
| first_indexed | 2024-12-19T09:14:39Z |
| format | Article |
| id | doaj.art-2b93d749ecbb4cf48b9decf63d4625fe |
| institution | Directory Open Access Journal |
| issn | 1807-5932 1980-5322 |
| language | English |
| last_indexed | 2024-12-19T09:14:39Z |
| publishDate | 2011-01-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-2b93d749ecbb4cf48b9decf63d4625fe2022-12-21T20:28:08ZengElsevier EspañaClinics1807-59321980-53222011-01-016681389139410.1590/S1807-59322011000800014Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective studyMônica Orsi GameiroVanessa Oliveira SousaLuiz Felipe GameiroRosana Carneiro MuchailhCarlos Roberto PadovaniJoão Luiz AmaroOBJECTIVE: This study aimed to compare the pelvic floor muscle strength of nulliparous and primiparous women. METHODS: A total of 100 women were prospectively distributed into two groups: Group 1 (G1) (n = 50) included healthy nulliparous women, and Group 2 (G2) (n = 50) included healthy primiparous women. Pelvic floor muscle strength was subjectively evaluated using transvaginal digital palpation. Pelvic floor muscle strength was objectively assessed using a portable perineometer. All of the parameters were evaluated simultaneously in G1 and were evaluated in G2 during the 20th and 36th weeks of pregnancy and 45 days after delivery. RESULTS: In G2, 14 women were excluded because they left the study before the follow-up evaluation. The median age was 23 years in G1 and 22 years in G2; there was no significant difference between the groups. The average body mass index was 21.7 kg/m² in G1 and 25.0 kg/m² in G2; there was a significant difference between the groups (p = 0.0004). In G2, transvaginal digital palpation evaluation showed significant impairments of pelvic floor muscle strength at the 36th week of pregnancy (p = 0.0006) and 45 days after vaginal delivery (p = 0.0001) compared to G1. Objective evaluations of pelvic floor muscle strength in G2 revealed a significant decrease 45 days after vaginal delivery compared to nulliparous patients. CONCLUSION: Pregnancy and vaginal delivery may cause weakness of the pelvic floor muscles.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800014Musculature StrengthNulliparousPelvic Floor MusclePrimiparous |
| spellingShingle | Mônica Orsi Gameiro Vanessa Oliveira Sousa Luiz Felipe Gameiro Rosana Carneiro Muchailh Carlos Roberto Padovani João Luiz Amaro Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study Clinics Musculature Strength Nulliparous Pelvic Floor Muscle Primiparous |
| title | Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study |
| title_full | Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study |
| title_fullStr | Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study |
| title_full_unstemmed | Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study |
| title_short | Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study |
| title_sort | comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women a prospective study |
| topic | Musculature Strength Nulliparous Pelvic Floor Muscle Primiparous |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800014 |
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