Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods
Every woman needs to know about the importance of the function of pelvic-floor muscles and pelvic organ prolapse prevention, especially pregnant women because parity and labor are the factors which have the biggest influence on having pelvic organ prolapse in the future. In this article, we searched...
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2021-04-01
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doaj-e3c352d1acfe4f40b5061eadf8682aaf2021-04-16T23:06:58ZengMDPI AGMedicina1010-660X1648-91442021-04-015738738710.3390/medicina57040387Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum PeriodsKarolina Eva Romeikienė0Daiva Bartkevičienė1Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-01513 Vilnius, LithuaniaClinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-01513 Vilnius, LithuaniaEvery woman needs to know about the importance of the function of pelvic-floor muscles and pelvic organ prolapse prevention, especially pregnant women because parity and labor are the factors which have the biggest influence on having pelvic organ prolapse in the future. In this article, we searched for methods of training and rehabilitation in prepartum and postpartum periods and their effectiveness. The search for publications in English was made in two databases during the period from August 2020 to October 2020 in Cochrane Library and PubMed. 77 articles were left in total after selection—9 systematic reviews and 68 clinical trials. Existing full-text papers were reviewed after this selection. Unfinished randomized clinical trials, those which were designed as strategies for national health systems, and those which were not pelvic-floor muscle-training-specified were excluded after this step. Most trials were high to moderate overall risk of bias. Many of reviews had low quality of evidence. Despite clinical heterogeneity among the clinical trials, pelvic-floor muscle training shows promising results. Most of the studies demonstrate the positive effect of pelvic-floor muscle training in prepartum and postpartum periods on pelvic-floor dysfunction prevention, in particular in urinary incontinence symptoms. However more high-quality, standardized, long-follow-up-period studies are needed.https://www.mdpi.com/1648-9144/57/4/387pelvic-floor rehabilitation prepartumpelvic-floor rehabilitation postpartumpelvic-floor muscle trainingpelvic organ prolapse preventionpelvic-floor dysfunction prevention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Karolina Eva Romeikienė Daiva Bartkevičienė |
spellingShingle |
Karolina Eva Romeikienė Daiva Bartkevičienė Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods Medicina pelvic-floor rehabilitation prepartum pelvic-floor rehabilitation postpartum pelvic-floor muscle training pelvic organ prolapse prevention pelvic-floor dysfunction prevention |
author_facet |
Karolina Eva Romeikienė Daiva Bartkevičienė |
author_sort |
Karolina Eva Romeikienė |
title |
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods |
title_short |
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods |
title_full |
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods |
title_fullStr |
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods |
title_full_unstemmed |
Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods |
title_sort |
pelvic-floor dysfunction prevention in prepartum and postpartum periods |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X 1648-9144 |
publishDate |
2021-04-01 |
description |
Every woman needs to know about the importance of the function of pelvic-floor muscles and pelvic organ prolapse prevention, especially pregnant women because parity and labor are the factors which have the biggest influence on having pelvic organ prolapse in the future. In this article, we searched for methods of training and rehabilitation in prepartum and postpartum periods and their effectiveness. The search for publications in English was made in two databases during the period from August 2020 to October 2020 in Cochrane Library and PubMed. 77 articles were left in total after selection—9 systematic reviews and 68 clinical trials. Existing full-text papers were reviewed after this selection. Unfinished randomized clinical trials, those which were designed as strategies for national health systems, and those which were not pelvic-floor muscle-training-specified were excluded after this step. Most trials were high to moderate overall risk of bias. Many of reviews had low quality of evidence. Despite clinical heterogeneity among the clinical trials, pelvic-floor muscle training shows promising results. Most of the studies demonstrate the positive effect of pelvic-floor muscle training in prepartum and postpartum periods on pelvic-floor dysfunction prevention, in particular in urinary incontinence symptoms. However more high-quality, standardized, long-follow-up-period studies are needed. |
topic |
pelvic-floor rehabilitation prepartum pelvic-floor rehabilitation postpartum pelvic-floor muscle training pelvic organ prolapse prevention pelvic-floor dysfunction prevention |
url |
https://www.mdpi.com/1648-9144/57/4/387 |
work_keys_str_mv |
AT karolinaevaromeikiene pelvicfloordysfunctionpreventioninprepartumandpostpartumperiods AT daivabartkeviciene pelvicfloordysfunctionpreventioninprepartumandpostpartumperiods |
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