Effect of pelvic floor muscle training on labour and newborn outcomes: a randomized controlled trial

Autor(es)

Dias, Leticia A. R. ^[1] ; Driusso, Patricia ^[2] ; Alta, Daniella L. C. C. ^[3] ; Quintana, Silvana M. ^[3] ; Bo, Kari ^[4] ; Ferreira, Cristine H. J. ^[1]

Afiliação do(s) autor(es)

^[1] USP, FMRP, Dept Biomecan Med & Reabilitacao Aparelho Locomot, Curso Fisioterapia, BR-14049900 Ribeirao Preto, SP - Brazil

^[2] Univ Fed Sao Carlos UFSCar, Phys Therapy Dept, Sao Carlos, SP - Brazil

^[3] USP, FMRP, Dept Obstet & Gynecol, BR-14049900 Ribeirao Preto, SP - Brazil

^[4] Norwegian Sch Sport Sci, Dept Sports Med, Oslo - Norway

• Tipo de documento: Artigo Científico
• Fonte: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 15, n. 6, p. 487-493, NOV-DEC 2011.
• Citações Web of Science: 19

Resumo

Background: The use of the pelvic floor muscle training for urinary incontinence treatment is well established but little is known about its effects in labor and newborn outcomes. Objectives: To evaluate the effects of antenatal pelvic floor muscle training and strength in labor and newborn outcomes in low-income pregnant women. Methods: This is a randomized controlled trial that recruited forty-two nulliparous healthy pregnant women aged between 18-36 years old and able to contract the pelvic floor muscles. The participants were included in the study with 20 weeks of gestational age and had their pelvic floor muscles measured by vaginal squeeze pressure. They were randomly allocated into two groups: training group and a non-intervention control group. Then, all participants had their labor and newborn outcomes evaluated through consultation of medical records by a blinded researcher. Results: There were no statistically significant differences between the groups regarding gestational age at birth, type of labor, duration of the second stage of labor, total time of labor, prevalence of laceration, weight and size of the baby, and Apgar score. No correlation was observed between pelvic floor muscle strength and the second stage or the total length of labor. Conclusions: This randomized controlled trial did not find any effect of pelvic floor muscle training or pelvic floor muscle strength on labor and newborn outcomes. Article registered in the Australian New Zeeland Clinical Trials Registry (ANZCTR) under number ACTRN 1260900100526. (AU)

• Processo FAPESP: 07/50824-9 - Avaliação da função muscular e dos efeitos maternos e perinatais decorrentes dos exercícios de fortalecimento do assoalho pélvico em gestantes de baixo risco e portadoras de Diabetes Mellitus Gestacional
• Beneficiário: Cristine Homsi Jorge
• Modalidade de apoio: Auxílio à Pesquisa - Regular