UURIMISTÖÖDE ARTIKLID
VAGINAALSE ESMASSÜNNITUSE MÕJU VAAGNAPÕHJALIHASTE SEISUNDILE The effect of vaginal delivery of primiparous womanon the condition of her pelvic floor muscles Marilin Sillaste, Reet Linkberg, Helle Nurmsalu, Jelena Sokk, Lisel Lilleste, Karina Talk, Liina Animägi
Abstract The aim of this paper was to explain the changes in the condition of the pelvic floor muscles (PFM) of the women that delivered vaginally and compare the results with the control group’s pelvic floor condition. The research group consisted of 22 primiparous women at the age of 20-35 that delivered vaginally and were 3-12 months postpartum. The control group consisted on 15 nulliparous women at the age of 20-35. The resting tone of the pelvic floor muscles’ bioelectrical activity and the ability of pelvic floor muscles to contract and relax were measured with electromyography. The women’s quality of life was evaluated with the standardised questionnaire Pelvic Floor Distress Inventory - 20 (PFDI-20) and the Pelvic Floor Impact Questionnaire–short form 7 (PFIQ-7). The electromyography showed that the bioelectrical activity of the primiparous women’s pelvic floor muscles compared to the nulliparous women was lower in resting tone, contractions and relaxations. The questionnaire showed that amongst the primiparous women the symptoms of pelvic floor dysfunction had appeared. Conclusion: vaginal delivery promotes the occurrence of the symptoms of pelvic floor dysfunction. Keywords: vaginal delivery, pelvic floor muscle assessment, pelvic floor muscles bioelectrical activity, pelvic floor dysfunction.
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