| TAZ-TFG-2015-775 |
Fisioterapia Gineco-Obstétrica en la prevención de traumatismo perineal en el parto y disfunciones del suelo pélvico postparto
Jiménez Alcalde, Vera
Reyes Gonzáles, Marcos César (dir.)
Universidad de Zaragoza,
EUCS,
2015
Graduado en Fisioterapia
Tipo de Trabajo Académico: Trabajo Fin de Grado
Notas: INTRODUCTION: Pelvic floor dysfunction is related to pregnancy and childbirth, due to a great mechanical requirement of muscle-connective and nerve tissue. The suffering of perineal trauma during childbirth is frequent. Therefore, they must be subject to intervention in prevention from the field of Obstetric and Gynecological Physiotherapy. OBJECTIVE: To study the existing scientific evidence about the intervention of obstetric and gynecological physiotherapy in the prevention of perineal trauma and postpartum pelvic floor dysfunction. METHODS: The search has been done in Pubmed, Science Direct, Dialnet, PEDro and Alcorze. The selected studies should be systematic reviews, randomized controlled trials and metha-analysis, published between 2005 and 2015, which addressed the prevention of perineal birth trauma and postpartum pelvic floor dysfunction. The methological quality has been valued through PEDro scale. Finally, 12 articles were included to analyze. RESULTS: Antenatal perineal massage undertaken in the second phase of childbirth increases the likelihood of the perineal integrity; while in prenatal period, it has no protective or harmful effect. Working with EPI-NO® device, between 37th week of pregnancy and childbirth, reduces the risk of perineal trauma during childbirth. And the training of pelvic floor muscle shows a lower incidence of urinary incontinence in pregnancy and the postpartum period, increasing the strength of the muscles and the intraurethral pressure. CONCLUSION: The application of obstetric and gynecological physiotherapy has a perineal protective effect, reducing the incidence of pelvic floor dysfunction. Thus, the importance of the awareness and motivation for its prevention arises as the need for further investigation. Key Words: pelvic floor dysfunction, perineal trauma, the pelvic floor muscle, obstetric and gynecological physiotherapy, urinary incontinence.
Notas: INTRODUCTION: Pelvic floor dysfunction is related to pregnancy and childbirth, due to a great mechanical requirement of muscle-connective and nerve tissue. The suffering of perineal trauma during childbirth is frequent. Therefore, they must be subject to intervention in prevention from the field of Obstetric and Gynecological Physiotherapy. OBJECTIVE: To study the existing scientific evidence about the intervention of obstetric and gynecological physiotherapy in the prevention of perineal trauma and postpartum pelvic floor dysfunction. METHODS: The search has been done in Pubmed, Science Direct, Dialnet, PEDro and Alcorze. The selected studies should be systematic reviews, randomized controlled trials and metha-analysis, published between 2005 and 2015, which addressed the prevention of perineal birth trauma and postpartum pelvic floor dysfunction. The methological quality has been valued through PEDro scale. Finally, 12 articles were included to analyze. RESULTS: Antenatal perineal massage undertaken in the second phase of childbirth increases the likelihood of the perineal integrity; while in prenatal period, it has no protective or harmful effect. Working with EPI-NO® device, between 37th week of pregnancy and childbirth, reduces the risk of perineal trauma during childbirth. And the training of pelvic floor muscle shows a lower incidence of urinary incontinence in pregnancy and the postpartum period, increasing the strength of the muscles and the intraurethral pressure. CONCLUSION: The application of obstetric and gynecological physiotherapy has a perineal protective effect, reducing the incidence of pelvic floor dysfunction. Thus, the importance of the awareness and motivation for its prevention arises as the need for further investigation. Key Words: pelvic floor dysfunction, perineal trauma, the pelvic floor muscle, obstetric and gynecological physiotherapy, urinary incontinence.
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trabajos-academicos-universidad-zaragoza > centro > facultad-de-ciencias-de-la-salud
trabajos-academicos-universidad-zaragoza > trabajos-fin-grado