Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement
ObjectiveTo improve pelvic floor recovery after vaginal delivery with daily supplementation of a specially formulated postpartum recovery supplement.MethodsWithin 48 hours of vaginal delivery, primipara women were randomized in a 1:1 ratio to receive daily oral supplementation for 6 weeks with eithe...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Obstetrics and Gynecology
2020-05-01
|
| Series: | Obstetrics & Gynecology Science |
| Subjects: | |
| Online Access: | http://ogscience.org/upload/pdf/ogs-63-305.pdf |
| _version_ | 1818852498957402112 |
|---|---|
| author | Peter Takacs Bence Kozma Rudolf Lampé Attila Sipos Robert Poka |
| author_facet | Peter Takacs Bence Kozma Rudolf Lampé Attila Sipos Robert Poka |
| author_sort | Peter Takacs |
| collection | DOAJ |
| description | ObjectiveTo improve pelvic floor recovery after vaginal delivery with daily supplementation of a specially formulated postpartum recovery supplement.MethodsWithin 48 hours of vaginal delivery, primipara women were randomized in a 1:1 ratio to receive daily oral supplementation for 6 weeks with either a combination of regular prenatal vitamin (PNV), leucine (4 g/day), zinc (30 mg/day) and omega-3 fatty acid (900 mg/day) (treatment group), or only a PNV daily (control group). Co-primary outcomes were vaginal squeeze pressure as measured by perineometer and levator muscle injury as measured by transperineal 3-dimensional tomographic ultrasound at 6 weeks postpartum.ResultsTwenty-six women in the control group and 27 in the treatment group completed the trial. Weak pelvic floor muscle strength was significantly less frequent in the treatment group compared to the control group at 6 weeks after delivery (28% vs. 58%, P=0.03). Both right and left-sided levator-urethra gap was significantly larger in the control group compared to the treatment group indicating more levator injury being present in the control group at 6 weeks after delivery. Anterior vaginal wall prolapse at or beyond the hymenal ring was significantly more common in the control group compared to the treatment group (19% vs. 0%, P=0.02). Significantly more women reported bothersome bulge symptoms in the control group compared to the treatment group at 6 weeks postpartum (19% vs. 0%, P=0.02).ConclusionPostpartum women who received a specially formulated postpartum recovery supplement had improved recovery of the pelvic floor after vaginal delivery. |
| first_indexed | 2024-12-19T07:21:53Z |
| format | Article |
| id | doaj.art-c01c57b19e8b4e59ac9379acc605f039 |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-12-19T07:21:53Z |
| publishDate | 2020-05-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-c01c57b19e8b4e59ac9379acc605f0392022-12-21T20:30:54ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802020-05-0163330531410.5468/ogs.2020.63.3.3058524Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplementPeter Takacs0Bence Kozma1Rudolf Lampé2Attila Sipos3Robert Poka4Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, VA, .USADepartment of Obstetrics and Gynecology, University of Debrecen Faculty of Medicine, Debrecen, .HungaryDepartment of Obstetrics and Gynecology, University of Debrecen Faculty of Medicine, Debrecen, .HungaryDepartment of Obstetrics and Gynecology, University of Debrecen Faculty of Medicine, Debrecen, .HungaryDepartment of Obstetrics and Gynecology, University of Debrecen Faculty of Medicine, Debrecen, .HungaryObjectiveTo improve pelvic floor recovery after vaginal delivery with daily supplementation of a specially formulated postpartum recovery supplement.MethodsWithin 48 hours of vaginal delivery, primipara women were randomized in a 1:1 ratio to receive daily oral supplementation for 6 weeks with either a combination of regular prenatal vitamin (PNV), leucine (4 g/day), zinc (30 mg/day) and omega-3 fatty acid (900 mg/day) (treatment group), or only a PNV daily (control group). Co-primary outcomes were vaginal squeeze pressure as measured by perineometer and levator muscle injury as measured by transperineal 3-dimensional tomographic ultrasound at 6 weeks postpartum.ResultsTwenty-six women in the control group and 27 in the treatment group completed the trial. Weak pelvic floor muscle strength was significantly less frequent in the treatment group compared to the control group at 6 weeks after delivery (28% vs. 58%, P=0.03). Both right and left-sided levator-urethra gap was significantly larger in the control group compared to the treatment group indicating more levator injury being present in the control group at 6 weeks after delivery. Anterior vaginal wall prolapse at or beyond the hymenal ring was significantly more common in the control group compared to the treatment group (19% vs. 0%, P=0.02). Significantly more women reported bothersome bulge symptoms in the control group compared to the treatment group at 6 weeks postpartum (19% vs. 0%, P=0.02).ConclusionPostpartum women who received a specially formulated postpartum recovery supplement had improved recovery of the pelvic floor after vaginal delivery.http://ogscience.org/upload/pdf/ogs-63-305.pdfpostpartumpelvic flooromega-3 fatty acidszincleucine |
| spellingShingle | Peter Takacs Bence Kozma Rudolf Lampé Attila Sipos Robert Poka Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement Obstetrics & Gynecology Science postpartum pelvic floor omega-3 fatty acids zinc leucine |
| title | Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| title_full | Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| title_fullStr | Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| title_full_unstemmed | Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| title_short | Randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| title_sort | randomized controlled trial for improved recovery of the pelvic floor after vaginal delivery with a specially formulated postpartum supplement |
| topic | postpartum pelvic floor omega-3 fatty acids zinc leucine |
| url | http://ogscience.org/upload/pdf/ogs-63-305.pdf |
| work_keys_str_mv | AT petertakacs randomizedcontrolledtrialforimprovedrecoveryofthepelvicflooraftervaginaldeliverywithaspeciallyformulatedpostpartumsupplement AT bencekozma randomizedcontrolledtrialforimprovedrecoveryofthepelvicflooraftervaginaldeliverywithaspeciallyformulatedpostpartumsupplement AT rudolflampe randomizedcontrolledtrialforimprovedrecoveryofthepelvicflooraftervaginaldeliverywithaspeciallyformulatedpostpartumsupplement AT attilasipos randomizedcontrolledtrialforimprovedrecoveryofthepelvicflooraftervaginaldeliverywithaspeciallyformulatedpostpartumsupplement AT robertpoka randomizedcontrolledtrialforimprovedrecoveryofthepelvicflooraftervaginaldeliverywithaspeciallyformulatedpostpartumsupplement |