Urinary and sexual function of puerperal women who used the vaginal balloon in preparation for vaginal birth – a cross sectional study
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.4148Keywords:
Pelvic floor, Pregnant women, ChildbirthAbstract
INTRODUCTION: Vaginal balloon can be an option to prepare the pelvic floor muscles for vaginal birth. Its implications for urinary and sexual functions need to be further studied. OBJECTIVE: To evaluate the implications of the vaginal balloon in preparation for vaginal birth on sexual and urinary functions. METHODOLOGY: Cross-sectional study carried out in Belém do Pará, with primiparous women from vaginal births, aged between 18 and 40 years. Two groups were formed: the EG consisted of postpartum women who used the vaginal balloon during pregnancy from the Clínica Cafisio Mulher and the CG of postpartum women who did not use the vaginal balloon during pregnancy, from the Centro de Saúde Escola do Marco. A sociodemographic evaluation form, a questionnaire with questions about the events of labor, the International Consultation on Incontinence Questionnaire Short Form and the Female Sexual Function Index were used. Excel software was used for data entry, preparation of tables and descriptive statistical analysis of the variables. RESULTS: In both groups, most women had some urinary loss, with different impacts on quality of life. As for sexual function, both groups are below the cutoff point, which indicates sexual dysfunction. However, it was not possible to establish a association between urinary and sexual function between the two groups due to differences in sample size between the groups. CONCLUSION: The urinary and sexual functions of both groups were altered.Downloads
References
Eickmeyer SM. Anatomy and Physiology of the Pelvic Floor. Phys Med Rehabil Clin N Am. 2017;28(3):455-60. https://doi.org/10.1016/j.pmr.2017.03.003
Hallock JL, Handa VL. The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update. Obstet Gynecol Clin North Am. 2016;43(1):1-13. https://doi.org/10.1016/j.ogc.2015.10.008
Kovacs GT, Heath P, Heather C. First Australian trial of the birth-training device Epi-No: a highly significantly increased chance of an intact perineum. Aust N Z J Obstet Gynaecol 2004;44(4):347-8. https://doi.org/10.1111/j.1479-828x.2004.00265.x
Silva LM, Oliveira SMJV, Silva FMB, Alvarenga MB. Using the Swiss ball in labor. Acta Paul Enferm. 2011;24(5):656-62. https://doi.org/10.1590/S0103-21002011000500010
Silva RB, Rios MJBL, Araújo JML, Sousa MD, Lago RBM, Barbosa IS. Physiotherapist performance in the gestational period: na integrative literature review. ReonFacema [Internet]. 2018;4(4):1330-8. Available from: https://www.facema.edu.br/ojs/index.php/ReOnFacema/article/view/310
Nunes S, Varges OMC. A crioterapia como estratégia para alívio da dor no trabalho de parto: um estudo exploratório. R Enferm UERJ [Internet]. 2007;15(3):337-42. Available from: http://www.luzimarteixeira.com.br/wp-content/uploads/2015/07/CRIOTERAPIA-E-ALIVIO-DE-DOR.pdf
Pereira A, Oliveira AMB. Effectiveness of Epi-No® in decline episiotomy and risk of injury perineal postpartum: systematic review. Femina [Internet]. 2015;43(6). Available from: http://files.bvs.br/upload/S/0100-7254/2015/v43n6/a5324.pdf
Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Netto Júnior NR. Validação para o português do International Consultation on Incontinence Questionnaire Short Form (ICIQSF). Rev saude publica. 2004;38(3):438444. Available from: https://doi.org/10.1590/S0034-89102004000300015
Magno LDP, Pereira FAJ, Nunes EFC. Quantitative assessment of female sexual function correlated with the contraction of the pelvic floor muscles. Rev Pan-Amaz Saúde. 2011;2(4):39-46. http://dx.doi.org/10.5123/S2176-62232011000400006
Martins L, Sousa ALL, Salgado CM. Prevalence of urinary incontinence in pregnant and postpartum women in maternity hospitals. Fisioterapia Brasil [Internet]. 2017;11(5):334-9. Available from: https://portalatlanticaeditora.com.br/index.php/fisioterapiabrasil/article/view/1418/2565
Santini ACM, Santos ES, Vianna LS, Bernardes JM, Dias A. Prevalence and factors associated with the occurrence of urinary incontinence during pregnancy. Rev Bras Saúde Mater Infant. 2019;19(4):967-74. https://doi.org/10.1590/1806-93042019000400013
Oliveira C, Seleme M, Cansi PF, Consentino RFDC, Kumakura FY, Moreira GA, et al. Urinary incontinence in pregnant women and its relation with socio-demographic variables and quality of life. Rev Assoc Med Bras. 2013;59(5):460-6. https://doi.org/10.1016/j.ramb.2013.08.002
Bernardes NO. Female urinary incontinence and risk factors. Fisioterapia Brasil. 2018;7(4):301-6. https://doi.org/10.33233/fb.v7i4.1921
Spellacy CE. Urinary incontinence in pregnancy and the puerperium. J Obst Gynecol Neonatal Nurs. 2008;30(6):634-41. https://doi.org/10.1111/j.1552-6909.2001.tb00010.x
Valeton CT, Amaral VF. Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study. Int Urogynecol J. 2011;22(7):813-8. https://doi.org/10.1007/s00192-011-1365-8
Lopes DBM, Praça NS. Self-reported urinary incontinence in the postpartum period. Texto contexto-enferm. 2010;19(4):667-74. https://doi.org/10.1590/S0104-07072010000400009
Faisal-Cury A, Menezes PR, Quayle J, Matijasevich A, Diniz SG. The relationship between mode of delivery and sexual health outcomes after childbirth. J Sex Med. 2015;12(5):1212-20. https://doi.org/10.1111/jsm.12883
Silva TB, Bulhões TRB, Cirqueira RP, Ferreira JB. Analysis of sexual function and genital image primiparous and multiparous vaginal postpartum. Id on Line Ver Mult Psic [Internet]. 2017;11(39):97-111. Available from: https://idonline.emnuvens.com.br/id/article/view/982/1403
Pereira TRC, Dottori EH, Mendonça FMAF, Beleza ACS. Assessment of female sexual function in remote postpatum period: a cross-sectional study. Rev Bras Saúde Mater Infant. 2018;18(2):289-94. https://doi.org/10.1590/1806-93042018000200003
Holanda JBL, Abuchaim JSV, Coca KP, Abrão ACFV. Sexual dysfunction and associated factors reported in the postpartum period. Acta Paul Enferm. 2014;27(6):573-8. https://doi.org/10.1590/1982-0194201400093
O'Malley D, Higgins A, Begley C, Daly D, Smith V. Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study). BMC Pregnancy Childbirth. 2018;18(1):196. https://doi.org/10.1186/s12884-018-1838-6
Marques J, Botelho S, Pereira LC, Lanza AH, Amorim CF, Palma P, et al. Pelvic floor muscle training program increases muscular contractility during first pregnancy and postpartum: electromyographic study. Neurourol Urodyn. 2013;32(7):998-1003. https://doi.org/10.1002/nau.22346
Shek KL, Chantarasorn V, Langer S, Phipps H, Dietz HP. Does the Epi-No® Birth Trainer reduce levator trauma? A randomised controlled trial. Int Urogynecol J. 2011;22(12):1521-8. https://doi.org/10.1007/s00192-011-1517-x
Hillebrenner J, Wagenpfeil S, Schuchardt R, Schel - ling M, Scheneider KTM. First clinical experiences with the new birth trainer Epino® in Primiparous women. Z Geburtsh Neonatol [Internet]. 2001;205(1):12–19. Available from: https://epino.nl/PDF/first_clinical1_2.pdf
Kok J, Tan KH, Koh S, Cheng PS, Lim WY, Yew ML, et al. Antenatal use of a novel va - ginal birth training devide by term primiparous women in Singapore. Singapore Med J. 2004;45(7):31823. Cited: PMID: 15221047.
Geranmayeh M, Rezaei Habibabadi Z, Fallahkish B, Farahani MA, Khakbazan Z, Mehran A. Reducing perineal trauma through perineal massage with vaseline in second stage of labor. Arch Gynecol Obstet. 2012;285(1):77-81. https://doi.org/10.1007/s00404-011-1919-5
Cardozo CIA, Cunha FMAM. Evaluation of the impact of a physiotherapeutic protocol on the reduction of painduring the first phase of vaginal labor. Fisioterapia Brasil [Internet]. 2019;20(2):222-9. Available from: https://portalatlanticaeditora.com.br/index.php/fisioterapiabrasil/article/view/2233
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Copyright (c) 2021 Camila Alcântara Fernandes, Isabela Lima Cavalcante, Ana Clara Nunes Soares, Carla Cristina Alvarez Serrão, Pedro Sávio Macêdo de Almeida, Nazete dos Santos Araújo, Gustavo Fernando Sutter Latorre, Erica Feio Carneiro Nunes
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