Publication
Motor and Sensory Rehabilitation of the Abdominal and Pelvic Musculature of Postpartum Women
| Summary: | Introduction: Pregnancy and childbirth cause important changes in women, particularly in the abdominal and pelvic muscles, with a risk of developing functional changes in the short, medium and long term. Objective: To analyze the effects of the motor and sensory functional re-education program of the abdominal and pelvic muscles in postpartum women. Methodology: Mixed study of exploratory and descriptive nature. Seven postpartum women participated in the study. The variables analyzed before and after implementation of the program were: low back pain, pelvic pain, weight, BMI, abdominal perimeter, rectus abdominis diastasis and pelvic muscle strength, sphincter incontinence. The instruments used were: Women's Characterization Questionnaire, International Consultation on Incontinence Questionnaire - Short Form; semi structured interview. Results: The 7 women were primiparous. It was found that the implemented rehabilitation program contributed to a reduction in low back pain (-28.6%) and pelvic pain (-14.3%), a reduction in diastasis of the rectus abdominis muscles at all monitoring points, a reduction in complaints of sphincter incontinence and increased perineal strength (3 +-1.155 to 4.29+- 0.75). Women demonstrated greater knowledge and skill about abdominal and pelvic muscle rehabilitation exercises, revealed a perception of greater strength, less sagging and less pain, expressed feelings of surprise, satisfaction and importance of professional support. Conclusion: The implemented program had a positive effect on the abdominal and pelvic muscles of postpartum women. The study highlights knowledge for clinical practice, namely for the intervention of the specialist nurse in rehabilitation nursing, with a view to health gains in these women. |
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| Main Authors: | Ribeiro, Carla |
| Other Authors: | Gomes, Jacinta; Colaço, Cristina; Santos, Ana Sofia; Fonseca, Maria José |
| Subject: | Mulher Período Pós-Parto Enfermagem em Reabilitação Diástase Muscular Diafragma da Pelve Incontinência Urinária Mujeres Periodo Posparto Enfermería en Rehabilitación Diástasis Muscular Diafragma Pélvico Incontinencia Urinaria Women Postpartum Period Rehabilitation Nursing Diastasis, Muscle Pelvic Floor Urinary Incontinence |
| Year: | 2024 |
| Country: | Portugal |
| Document type: | article |
| Access type: | unknown |
| Associated institution: | Associação Portuguesa dos Enfermeiros de Reabilitação |
| Language: | Portuguese |
| Origin: | Revista Portuguesa de Enfermagem de Reabilitação |
| Summary: | Introduction: Pregnancy and childbirth cause important changes in women, particularly in the abdominal and pelvic muscles, with a risk of developing functional changes in the short, medium and long term. Objective: To analyze the effects of the motor and sensory functional re-education program of the abdominal and pelvic muscles in postpartum women. Methodology: Mixed study of exploratory and descriptive nature. Seven postpartum women participated in the study. The variables analyzed before and after implementation of the program were: low back pain, pelvic pain, weight, BMI, abdominal perimeter, rectus abdominis diastasis and pelvic muscle strength, sphincter incontinence. The instruments used were: Women's Characterization Questionnaire, International Consultation on Incontinence Questionnaire - Short Form; semi structured interview. Results: The 7 women were primiparous. It was found that the implemented rehabilitation program contributed to a reduction in low back pain (-28.6%) and pelvic pain (-14.3%), a reduction in diastasis of the rectus abdominis muscles at all monitoring points, a reduction in complaints of sphincter incontinence and increased perineal strength (3 +-1.155 to 4.29+- 0.75). Women demonstrated greater knowledge and skill about abdominal and pelvic muscle rehabilitation exercises, revealed a perception of greater strength, less sagging and less pain, expressed feelings of surprise, satisfaction and importance of professional support. Conclusion: The implemented program had a positive effect on the abdominal and pelvic muscles of postpartum women. The study highlights knowledge for clinical practice, namely for the intervention of the specialist nurse in rehabilitation nursing, with a view to health gains in these women. |
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