Pelvic floor muscle dysfunction in ante and post-partum woman: a narrative literature review.
Item
- Title
- Pelvic floor muscle dysfunction in ante and post-partum woman: a narrative literature review.
- Author(s)
- Mascolo, V
- Abstract
- TITLE: Pelvic Floor Muscle Dysfunction in Ante and Post Partum women: A Narrative Literature Review INTRODUCTION: This narrative review aims to identify the meaning of pelvic floor muscle dysfunction in ante and post partum women, highlighting its etiological and possible risk factors. The present study also highlights the evidence based manual therapy approaches to the pelvic floor muscle dysfunction. It critically analyses the studies in this field over the last 24 years, by using 2 grading scales: Strength of Recommendation Taxonomy (SORT) and Critical Appraisal Skill Programme (C.A.S.P). Furthermore, it evaluates strengths and weaknesses and suggests key features for further research. METHODOLOGY: The articles included in this review were found using Pubmed database, and further filtered applying inclusion and exclusion criteria. Overall, 65 articles were studied in detail and only 16 of them were included in the Discussion as they were the most highly scored using the 2 grading scales. RESULTS: Detailed information about the objectives, design, results and scores was given only for the 16 articles used in the Discussion, after having gathered them in tables. The remaining articles were gathered in tables that reveal their score. DISCUSSION: Pelvic floor muscle dysfunction, as revealed by the studies described in this review, increase after pregnancy. Its development is associated either to vaginal delivery as the levator ani trauma occurs in particular at the pubo-visceral muscle, or to forceps delivery as the levator ani, which constitutes the pelvic floor musculature, reduces its contraction force. Pelvic floor muscle dysfunction leads to urinary incontinence and pelvic organ prolapse. Other risk factors associated to the development of pelvic floor muscle dysfunction are maternal age over 35 years, body mass index over 30, labour, family history and smoking habits. Treatment approaches to the pelvic floor muscle dysfunction include specific training of the pelvic floor musculature, co-contraction of diaphragm, deep abdominal and pelvic floor muscle, and high velocity low amplitude manipulation on the sacrum, which has effects on the intra-vaginal pressure and perineal tone. Although, there are limitations in the study mentioned above that prevent it from be considered a valid approach for ante and post partum women affected by pelvic floor muscle dysfunction leading to urinary incontinence and pelvic organ prolapse. CONCLUSION: In this review some of the studies which lack of statistical significance are included as they highlight relevant factors, which could be further studied, as they seem to be useful to approach the pelvic floor muscle dysfunction. Furthermore, some of the studies included, present as low quality studies. In the light of the above, there is a need for further research to be carried out in order to find an efficient and evidence based approach to treat the pelvic floor muscle dysfunction in ante and post partum women.
- presented at
- European School of Osteopathy
- Date Accepted
- 2014
- Date Submitted
- 20.1.2015 16:43:40
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15510
- Inst-Identifier
- 1229
- Keywords
- Birth, Pelvic floor, PGP
- Recommended
- 0
- Item sets
- Thesis
Mascolo, V, “Pelvic floor muscle dysfunction in ante and post-partum woman: a narrative literature review.”, Osteopathic Research Web, accessed May 17, 2024, https://www.osteopathicresearch.com/s/orw/item/654