Physiotherapeutic interventions for the pelvic floor muscles in preparation for childbirth: review of the literature and proposed guidance manual
DOI:
https://doi.org/10.33233/fb.v22i2.2882Keywords:
physiotherapy; pelvic floor; pregnancyAbstract
The physiotherapeutic intervention can prevent and minimize dysfunction in the pelvic muscles floor during pregnancy. The aim of this study was to verify which are the physiotherapeutic interventions in the pelvic floor during pregnancy and on the preparation to delivery, and to elaborate a manual with more relevant information found in this process. A literature review was performed in the databases: Pubmed, Scielo and PEDro. Nine relevant published articles were selected between 1997 and 2019. The studies about perineal massage showed reductions of episiotomy, less perineal pain and laceration. For the kinesiotherapy, there was a significant increase of muscle pressure, more strength and lower rate of the second phase of labor. An imported increase in intact perineum and lower rates of episiotomy was observed on Epi-no®, when performed by the physiotherapist. Studies show that supervised pelvic musculature floor training and perineal massage are effective to prepare for the childbirth. Epi-no® training in pre-delivery is effective on the intrapartum period regarding laceration reduction and episiotomy, but it is necessary more samples to determine the real efficacy.
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Copyright (c) 2021 Eunice Graziele de Souza Lima, Driele Damasceno Pisco, Cláudia de Oliveira, Patrícia Andrade Batista, Rossana Pulcineli Vieira Francisco, Clarisse Tanaka
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