Behavioral cognitive preparation of the pelvic floor with vaginal balloon for childbirth
DOI:
https://doi.org/10.33233/fb.v23i2.4416Keywords:
pelvic floor; pregnant women; parturitionAbstract
Introduction: To relieve or prevent dysfunctions of the pelvic floor muscles, it is necessary to train their functional parameters: coordination, strength, power, resistance and pre-contraction, as well as have sufficient stretching capacity during the passage of the baby, in order to avoid lacerations and other injuries. Objective: To evaluate the perception of puerperal women regarding the use of the vaginal balloon, in cognitive-behavioral terms, in preparation for vaginal delivery. Methods: Descriptive cross-sectional and qualitative study, carried out with primiparous puerperal women of vaginal delivery who did or did not use the vaginal balloon during pregnancy, assessed through a sociodemographic and obstetric evaluation form and the application of questionnaires on the events of the labor and perception of use Epi-No. Results: Twenty postpartum women participated in the study. There was no difference between the mothers in terms of the presence of vaginal lacerations and the time of labor. All women in the group who used the vaginal balloon perceived a positive influence on labor. Conclusion: The training of the pelvic floor muscles for vaginal balloon delivery had a positive effect on the cognitive-behavioral preparation of the studied sample, which facilitated labor.
References
Shek KL, Chantarasorn V, Langer S, Phipps H, Dietz HP. Does the EpiNo® Birth Trainer reduce levator trauma? A randomised controlled trial. Int Urogynecol J 2011;22(12):15218. doi: 10.1007/s00192-011-1517-x
Campos AMGF, Pertille A. Importância do fortalecimento do assoalho pélvico na gestação e o papel do fisioterapeuta: uma revisão da literatura. Revista de Trabalhos Acadêmicos da FAM [Internet] 2017 [cited 2022 March 11];1(1). Available from: http://www.faculdadedeamericana.com.br/revista/index.php/TCC/article/view/204
Bø K, Berghmans B, Mørkved S, Van Kampen M. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. 2 ed. London: Churchill Livingstone; 2015. 446 p.
Oliveira SG. Força muscular do assoalho pélvico de primíparas segundo o tipo de parto: estudo de coorte [Dissertação] [Internet]. 2017. São Paulo: Universidade de São Paulo; 2017. doi: 10.11606/D.7.2018.tde-27042018-112045
Nunes S, Varges OMC. A crioterapia como estratégia para alívio da dor no trabalho de parto: um estudo exploratório. Rev Esc Enferm USP 2007;15(3):337-42.
Pereira A, Oliveira AMB, Cury GD, Jorge LB, Latorre GS. Eficácia do EpiNo® na diminuição da episiotomia e risco de lesão perineal pósparto: revisão sistemática. Femina [Internet]. 2015 [cited 2022 Mar 11];43(6). Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-771223
Ruckhàberle E, Jundt K, Báuerle M, et al. Prospective randomized multicentre trial with the birth trainer EPI-NO for the prevention of perineal trauma. Aust N Z J Obstet Gynaecol 2009;49(5):478-83. doi: 10.1111/j.1479-828X.2009.01044.x
Kamisan AI, Shek KL, Langer S, Guzman Rojas R, Caudwell-Hall J, Daly JO, et al. Does the Epi-No((R)) birth trainer prevent vaginal birth-related pelvic floor trauma? A multicentre prospective randomised controlled trial. BJOG 2016;123(6):995-1003. doi: 10.1111/1471-0528.13924
Lansky S et al. Pesquisa nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido. Cad Saúde Pública 2014;30(1). doi: 10.1590/0102-311X00133213
Kavvadias T, Hoesli I. The EpiNo® device: efficacy, tolerability, and impact on pelvic floor - implications for future research. Obstet Gynecol Int 2016: ID 3818240. doi: 10.1155/2016/3818240
Oliveira MCB, Baldon VSP. Efeito da Intervenção Fisioterapêutica com uso de dilatador vaginal sobre a extensibilidade perineal em gestantes [TCC] [Internet]. 2018. [cited 2020 Mar 11]. Uberlândia: Universidade Federal de Uberlândia; 2018. https://repositorio.ufu.br/handle/123456789/23790
Hillebrenner J, et al. First clinical experiences with the new birth trainer Epi-no® in primiparous women. Z Geburtshilfe Neonatol 2001;205(1):12-9. doi: 10.1055/s-2001-14552
Rocha MA, Nunes EFC, Latorre GFS. Fisioterapia pélvica na prevenção das lesões obstétricas do assoalho pélvico. FisiSenectus 2020;8(1):19-33. doi: 10.22298/rfs.2020.v8.n1.5168
Van Geelen H, Ostergard D, Sand P. A review of the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement techniques. Int Urogynecol J 2018;29(3):327-38. doi: 10.1007/s00192-017-3540-z
Moura TR, Nunes ECF, Latorre GFS, Vargas MM. Dispareunia relacionada à via de parto: uma revisão integrativa. Rev Ciênc Med 2018;27(3):157-65. doi: 10.24220/2318-0897v27n3a4283
Thomas T, Mathias A. A quasi experimental study on the prevention of perineal trauma by perineal massage among multigravid women in a selected hospital at Mangalore. Paripex - Indian Journal of Research [Internet] 2015 [cited 2022 Mar 11];4(5). Available from: https://www.worldwidejournals.com/paripex/recent_issues_pdf/2015/May/May_2015_1432185794__165.pdf
Cardozo CIA, Cunha FMAM. Avaliação do impacto de um protocolo fisioterapêutico na diminuição do quadro álgico durante a primeira fase do trabalho de parto vaginal. Fisioter Bras 2019;20(2):222-9. doi: 10.33233/fb.v20i2.2233
Mendes NA, Mazzaia MC, Zanetti MRD. Análise crítica sobre a utilização do Epi-No na gestação e parto. ABCS Health Sciences 2018;43(2). doi: 10.7322/abcshs.v43i2.1091
Menozzo DC, Latorre GFS, Mello VS, Gordillo CS, Nunes EFC, Amostegui M. Eficacia del Epi-No en la reducción de la lesión obstétrica: revisión actualizada. Cad Edu Saúde Fis 2019;6(11):75-89. doi: 10.18310/2358-8306.v6n11.a6
Camargos AF. O significado do grau de recomendação e força de evidência A da classificação da Associação Médica Brasileira. Femina [Internet] 2010 [cited 2022 Mar 11];38(2). Available from: http://files.bvs.br/upload/S/0100-7254/2010/v38n2/a005.pdf
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