Differences In Mean Levels of The Difference Of Pelvic Floor Muscle Strength Before and After Spontaneous Labor Between Stress Urinary Incontinence Group and Normal Group
DOI:
https://doi.org/10.25077/aoj.1.1.7-14.2017Abstract
Trauma to the pelvic floor during delivery is now recognized as a major etiological factor against PFM disorders such as urinary incontinence, pelvic organ prolapse and fecal incontinence. This study was conducted to analyze the differences in mean levels of differences of pelvic muscle strength before and after spontanous labor between stress urinary inconti-nence group and normal group. This research was done using analytic method with cross sectional design in 13 women with stress urinary incontinence, and 17 women with normal group. Subjects were collected in hospitals of Pariaman, Padang from May to December 2014. Examination of the pelvic floor muscle strength was performed with a perineometer. Differences between the mean difference in the strength of the pelvic floor muscles before and after spontaneous delivery between the two groups were analyzed using independent t test. The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was larger than normal group (3.85 + 1.281 cmH2O vs 2,00 + 1.173 cmH2O, p = 0.000). The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was significantly greater than the normal group.
Keywords: Pelvic Floor Muscle, Urinary Incontinence, Spontaneous LaborReferences
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standarisation of terminology of lower urinary tract function: report from the standarisation sub-comitte of the international continence society. Am J Obstet Gynecol 2002;187;167-78.
Patric H. Urogenital prolapse : The Pelvic Floor Its Function and Disorders. WB Saunders 2002 : 251-6
Reilly et all. Anatomy of pelvic support. In: Bent AE, Ostergard DR, Cundiff GW, Swift SE, eds. Ostergard’s urogynecology and pelvic floor dysfunction. Philadelphia: Lippincott Williams and Wilkins, 2002:19-35.
Eason E, Labrecoue m, Marcoux S. Mondor M. Effect of Carrying Pregnancy and Methods of Urinary lncontinence : A Prospective Cohort Study. BMCPregnancy and Childbirth 20`ossdA04; 4 (4) : 1-6
Peschers UM, Schaer GN, DeLancey JOL, Schueesler B. Levator ani function before and after childbirth. Br J Obstet Gynecol 1997;104:1004-8.
Coffey SW, Wilder E, Majsak MJ, Stolove R, Quinn L. The effects of a progressive exercise program with surface electromyographic biofeedback on a adult with fecal incontinence. Phys Ther 2002; 82:798-811.
Culligan PJ, Heit M. Urinary incontinence in woman: evaluation and management. Am Fam Physician 2000;62:2433-44,2447,2452.
Viktrup L, Lose G. Lower urinary tract symptoms five years after the first delivery. Int J Urogynecol 2000; 11: 336-40
Piliansjah T, Somad NM.Pengukuran kekuatan otot dasar panggul wanita dengan perineometer. Maj Obstet Ginekol Indones 2003;27:1-124.
Isherwood PJ, Rane A. Comparative assessment of pelvic floor strength using a perineometer and digital examination. Br J Obstet Gynecol 2000;107:1007-11. Villar J, Say L, Gulmezoglu AM, Meraldi M, Lindheimer MD, Betran AP, Piaggio G, 2003. Eclampsia and pre-eclampsia: a health problem for 2000 years. In Pre-eclampsia, Critchly H, MacLean A, Poston L, Walker J, eds. London, RCOG Press. 189-207.
MacLennan AH, Taylor AW, Wilson DH, Wilson D.The prevalence of pelvic floor disorders and their relationship to gender, ege, parity and mode of delivery. Br J Obstet Gynecol 2000;107:1460-70
Dietz HP, Jarvis SK, Vancaillie T.A comaparison of three different techniques for the assessment of pelvic floor muscle strength. Int Urogynecol J Pelvic Floor Dysfunt 2002;13:156-9.
Chaliha, Charlotte. Pregnancy and childbirth and the effect on pelvic floor.In : Textbook of female urology and urogynecology, Volume I, second edition. Chapter 46. Editor in chief Linda Cardozo, David Staskin, Informa Healthcare. UK Ltd. 2006.p681-693.
Daneshgari F, Moore C. Pathophysiology of Stress Urinary lncontinence in Women. ln Multidisciplinary Management of Female Pelvic Floor Disorder, 2007 : 45-50
Goldberg Rp, Kwon C, Gandhi S, Atkuru LV, et al. Urinary incontinence among mothers of multiples : the protective effect of cesarean delivery. AJOG 2003 :189 (6) :1447-52
Rock, John A, Jones, Howard W. Te Linde’s Operative Gynecology, 10th Edition. 2008. Lippincott Williams & Wilkins
Santoro GA, Budi Iman. Inkontinensia Urin pada Perempuan.Majalah Kedokteran Indonesia, volume 58, nomer 7, Juli 2002.
Suryani N. Pengaruh persalinan pervaginam terhadap kekuatan otot dasar panggul. Bagian/SMF Obstetri dan Ginekologi FK UNAND/RS Dr M Djamil Padang. 2006.
Syukur S. Hubungan cara persalinan dengan kejadian Stress Urinary Incontinence post partum.Bagian/SMF Obstetri dan Ginekologi FK UNAND/RS Dr M Djamil Padang. 2010.
Press JZ, Klein MC, Kaczorowski J, Liston RM, Von-Dadelszen P. Does caesarean section reduce postpartum urinary incontinence? A systemic review. Birth. 2007. 34 (3): 228 – 237.
Wesnes SL, Hunskaar S, Bo K, Rortveit. The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A Cohort study. BJOG 2009: 700 – 7.
Lubis DL. Kekuatan otot dasar panggul pada wanita pasca persalinan normal dan pasca seksio sesarea dengan perineometer. Departemen obstetri dan ginekologi FK USU/RSUP Adam Malik-RSUD Dr Pringadi. Medan. 2009.
Downloads
Published
Issue
Section
License
Copyright (c) 2017 JOURNAL OBGIN EMAS
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
Authors who publish with this journal agree to the following terms:
- Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
License:
Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.