Pelvic floor dysfunction in primiparous women up to 6 months after delivery: cohort study

• Main Authors: Sheyla Guimarães Oliveira (Author), Adriana Caroci-Becker (Author), Edilaine de Paula Batista Mendes (Author), Maria Luiza Gonzalez Riesco (Author), Robson da Costa Oliveira (Author), Sonia Maria Junqueira Vasconcellos de Oliveira (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2021-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2020-0607
• Keywords: After Childbirth Period; Pelvic Floor; Muscle Strength; Urinary Incontinence; Dyspareunia; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 74, Iss 5 (2021)

ABSTRACT Objective: To analyze pelvic floor muscular strength (PFMS), urinary (UI) and anal (AI) incontinence and dyspareunia in primiparous women up to 6 months after normal or cesarean delivery. Methods: this is a prospective cohort with 169 women (128 normal births, 41 cesarean sections), followed between 50-70 and 170-190 days postpartum, when PFMS was measured using perineometry, and UI and AI and dyspareunia, through interview. Results: PFMS, UI and dyspareunia were similar between types of delivery. The difference was significant only for the time elapsed, with improvement in the studied period (2 and 6 months postpartum). Regarding AI, there was a significant difference between 2 and 6 months postpartum, with an interaction between type of delivery and time (p=0.022). Conclusion: the type of delivery did not show any influence on pelvic floor dysfunctions, except for AI. For all outcomes, there was an improvement in the period studied.