The effects of uterine fundal pressure (Kristeller maneuver) on pelvic floor function after vaginal delivery.
Arch Gynecol Obstet
; 286(5): 1135-9, 2012 Nov.
Article
en En
| MEDLINE
| ID: mdl-22752555
ABSTRACT
PURPOSE:
To evaluate the role of uterine fundal pressure during the second stage of labor (Kristeller maneuver) on pelvic floor dysfunction (urinary and anal incontinence, genital prolapse, pelvic floor strength).METHODS:
522 primiparous women, enrolled 3 months after vaginal delivery, were divided in two groups group A (297 women) identifies the women who received Kristeller maneuvers with different indications (e.g. fetal distress, failure to progress, mother exhaustion), group B (225 women) the women without maneuver. Participants were questioned about urogynecological symptoms and examined by Q-tip test, digital test, vaginal perineometry and uroflowmetric stop test score.RESULTS:
Mediolateral episiotomies, dyspareunia and perineal pain were significantly higher in Kristeller group, whereas urinary and anal incontinence, genital prolapse and pelvic floor strength were not significantly different between the groups.CONCLUSIONS:
Kristeller maneuver does not modify puerperal pelvic floor function but increases the rate of episiotomies.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Presión
/
Trastornos Puerperales
/
Útero
/
Segundo Periodo del Trabajo de Parto
/
Diafragma Pélvico
/
Parto Obstétrico
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Arch Gynecol Obstet
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Italia