Volume 18, Issue 6 (September 2020)                   Nursing and Midwifery Journal 2020, 18(6): 486-495 | Back to browse issues page

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Abedian S, Iravani M. CHILDBIRTH AND THE PELVIC FLOOR MUSCLES AND STRATEGIES TO PREVENT THE DISORDER: A REVIEW ARTICLE. Nursing and Midwifery Journal 2020; 18 (6) :486-495
URL: http://unmf.umsu.ac.ir/article-1-4178-en.html
1- Department of Midwifery, Semnan Branch, Islamic Azad University, Semnan, Iran
2- Assistant Professor in Midwifery, Midwifery and Reproductive Health Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (Corresponding author) , minairavani2004@yahoo.com
Abstract:   (2737 Views)
Background & Aims: Pelvic floor disorder (PFD), which reduces quality of life, is a major health concern for women. The purpose of this review study is to assess the effect of childbirth on the pelvic floor muscles and its prevention strategies. Materials & Methods: In this narrative review, the articles indexed in the databases of PubMed, ProQuest, Science Direct, Springer, Google Scholar were searched. Keywords including Pelvic floor disorder, Pelvic floor dysfunction, Pelvic floor muscles, urinary & faecal incontinence, Pelvic Organ Prolapse, vaginal birth, Cesarean, and prevention were used. Results: Among the articles published in Persian and English language between 2000 and 2020, 32 articles were extracted, and among the available articles, 21 articles were reviewed and reported. Finally, the findings of this study showed that several factors are involved in the occurrence of pelvic floor disorders, but the use of prevention methods can help prevent the occurrence of these disorders. Conclusion: Pregnancy and childbirth are risk factors for the development of PFD. Instrumental delivery and the prolonged two stages of labor are the key risk factors. Women at high risk for PFD should be identified and given prevention strategies. Primary and secondary prevention strategies include Proper spacing between pregnancies through the use of contraceptive methods, proper management of the labor process, and recommending pelvic floor exercises during pregnancy and after childbirth. These measures play an important role in reducing the incidence of PFD associated with vaginal delivery.
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Type of Study: Review article | Subject: مامایی

References
1. Milsom I, Gyhagen M. Breaking news in the prediction of pelvic floor disorders. Best Pract Res Clin Obstet Gynaecol 2019; 1(54):41-8. [DOI:10.1016/j.bpobgyn.2018.05.004] [PMID]
2. Buurman MBR, Lagro‐Janssen ALM. Women's perception of postpartum pelvic floor dysfunction and their help‐seeking behaviour: aqualitative interview study. Scand J Caring Sci 2013; 27(2): 406-13. [DOI:10.1111/j.1471-6712.2012.01044.x] [PMID]
3. Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300(11):1311-6. [DOI:10.1001/jama.300.11.1311] [PMID] [PMCID]
4. Shamliyan T, Wyman J, Bliss DZ, Kane RL, Wilt TJ. Prevention of urinary and fecal incontinence in adults. Evid Rep Technol Assess (Full Rep) 2007; 161:1-379. [Google Scholar]
5. Parazzini F, De Aloysio D, Di Donato P, Giulini NA, Modena B, Cicchetti G, et al. Risk factors for genital prolapse in non-hysterectomized women around menopause: results from a large cross-sectional study in menopausal clinics in Italy. Eur J Obstet Gynecol Reprod Biol 2000;93(2):135-40. [DOI:10.1016/S0301-2115(00)00285-2]
6. Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford family planning association study. Br J Obstet Gynaecol 1997;104(5):579-85. [DOI:10.1111/j.1471-0528.1997.tb11536.x] [PMID]
7. Dietz HP. Pelvic floor trauma in childbirth. Aust N Z J Obstet Gynaecol 2013; 53(3):220-30. [DOI:10.1111/ajo.12059] [PMID]
8. Handa VL, Blomquist JL, Roem J, Muñoz A, Dietz HP. Pelvic floor disorders after obstetric avulsion of the levator ani muscle. Female Pelvic Med Reconstr Surg 2019; 25(1):3-7. [DOI:10.1097/SPV.0000000000000644] [PMID]
9. Kisli E, Kisli M, Agargun H, Altinokyigit F, Kamaci M, Ozman E, et al. Impaired function of the levator ani muscle in the grand multipara and great grand multipara. Tohoku J Exp Med 2006; 210(4):365-72. [DOI:10.1620/tjem.210.365] [PMID]
10. Lukacz ES, Lawrence JM, Contreras R, Nager CW, Luber KM. Parity, mode of delivery, and pelvic floor disorders. Obstet Gynecol 2006;107(6):1253-60. [DOI:10.1097/01.AOG.0000218096.54169.34] [PMID]
11. Herbert J. Pregnancy and childbirth: the effects on pelvic floor muscles. Nurs Times 2009;105 (7): 38-41. [PMID]
12. Staer-Jensen J, Siafarikas F, Hilde G, Bø K, Engh ME. Ultrasonographic evaluation of pelvic organ support during pregnancy. Obstet Gynecol 2013;122: 329-36. [DOI:10.1097/AOG.0b013e318299f62c] [PMID]
13. Dietz HP. Levator function before and after childbirth. Aust N Z J Obstet Gynaecol 2004; 44(1):19-23. [DOI:10.1111/j.1479-828X.2004.00140.x] [PMID]
14. Dumoulin C, Hunter KF, Moore K. Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence. Neurourol Urodyn 2016;35:15-20. [DOI:10.1002/nau.22677] [PMID]
15. Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient‐centred care. J Adv Nurs 2003; 43(6): 555-68. [DOI:10.1046/j.1365-2648.2003.02754.x] [PMID]
16. Jou IM, Lai KA, Shen CL, Yamano Y. Changes in conduction, blood flow, histology, and neurological status following acute nerve-stretch injury induced by femoral lengthening. J Orthop Res 2000;18(1):149-55. [DOI:10.1002/jor.1100180121] [PMID]
17. Dietz HP, Wilson PD. Childbirth and pelvic floor trauma. Best Pract Res Clin Obstet Gynaecol 2005;19(6):913-24. [DOI:10.1016/j.bpobgyn.2005.08.009] [PMID]
18. Schwertner-Tiepelmann N, Thakar R, Sultan AH, Tunn R. Obstetric levator ani muscle injuries: current status. Ultrasound Obstet Gynecol 2012; 39(4):372-83. [DOI:10.1002/uog.11080] [PMID]
19. de Araujo CC, Coelho SA, Stahlschmidt P, Juliato CR. Does vaginal delivery cause more damage to the pelvic floor than cesarean section as determined by 3D ultrasound evaluation? A systematic review. Int Urogynecol J 2018; 29(5):639-45. [DOI:10.1007/s00192-018-3609-3] [PMID]
20. Gachon B. Caesarean section and perineal protection: CNGOF perineal prevention and protection in obstetrics guidelines. Gyanecol Obstet Fertil Senol 2018; 46(12): 968-85. [] [PMID]
21. Ducarme G, Pizzoferrato AC, de Tayrac R, Schantz C, Thubert T, Le Ray C, et al. Perineal prevention and protection in obstetrics: CNGOF clinical practice guidelines. J Gyanecol Obstet Hum Reprod 2019; 48(7): 455-60. [DOI:10.1016/j.jogoh.2018.12.002] [PMID]
22. Vergeldt TFM, Weemhoff M, IntHout J, Kluivers KB. Risk factors for pelvic organ prolapse and its recurrence: a systematic review. Int Urogynecol J 2015;26:1559-73. [DOI:10.1007/s00192-015-2695-8] [PMID] [PMCID]
23. Dieter AA, Wilkins MF, Wu JM. Epidemiological trends and future care needs for pelvic floor disorders. Curr Opin Obstet Gynecol 2015;27(5):380-4. [DOI:10.1097/GCO.0000000000000200] [PMID] [PMCID]
24. Dheresa M, Worku A, Oljira L, Mengistie B, Assefa N, Berhane Y. Factors associated with pelvic floor disorders in Kersa District, eastern Ethiopia: a community-based study. Int Urogynecol J 2019; 30(9): 1559-64. [DOI:10.1007/s00192-018-3776-2] [PMID]
25. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med 2003;348(10): 900-7. [DOI:10.1056/NEJMoa021788] [PMID]
26. Leijonhufvud A, Lundholm C, Cnattingius S, Grnath F, Andolf E, Altman D. Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth. Am J Obstet Gynecol 2011;204(1): 70-1. [DOI:10.1016/j.ajog.2010.08.034] [PMID]
27. Blomquist JL, Munoz A, Carroll M, Handa VL. Association of delivery mode with Pelvic floor disorders after childbirth. JAMA 2018; 320(23): 2438-47. [DOI:10.1001/jama.2018.18315] [PMID] [PMCID]
28. Islam RM, Bell RJ, Billah B, Hossain MB, Davis SR. The prevalence of symptomatic pelvic floor disorders in women in Bangladesh. Climacteric 2016; 19(6):558-64. [DOI:10.1080/13697137.2016.1240771] [PMID]
29. Walker GJA, Gunasekera P. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors. Int Urogynecol J 2011; 22(2):127-35. [DOI:10.1007/s00192-010-1215-0] [PMID]
30. Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. Faecal incontinence 20 years after one birth: a comparison between vaginal delivery and caesarean section. Int Urogynecol J 2014;25(10):1411-8. [DOI:10.1007/s00192-014-2390-1] [PMID]
31. Kılıç M. Incidence and risk factors of urinary incontinence in women visiting Family Health Centers. Springer plus 2016; 5(1): 1331-9. [DOI:10.1186/s40064-016-2965-z] [PMID] [PMCID]
32. Gyhagen M, Åkervall S, Milsom I. Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth. Int Urogynecol J 2015; 26(8): 1115-21. [DOI:10.1007/s00192-015-2663-3] [PMID]
33. Liu B, Wang L, Huang SS, Wu Q, Wu DL. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med 2014;7(3):686-96. [PMCID]
34. Handa VL, Blomquist JL, McDermott KC, Friedman S, Mun A. Pelvic floor disorders after vaginal birth effect of episiotomy, perineal laceration, and operative birth. Obstet Gynecol 2012; 119(2): 233-9. [DOI:10.1097/AOG.0b013e318240df4f] [PMID] [PMCID]
35. Giraudet G, Patrouix L, Fontaine C, Demondion X, Cosson M, Rubod C. Three dimensional model of the female perineum and pelvic floor muscles. Eur J Obstet Gynecol Reprod Biol 2018; 226: 1-6. [DOI:10.1016/j.ejogrb.2018.05.011] [PMID]
36. Wijma J, Potters AE, de Wolf BT, Tinga DJ, Aarnoudse JG. Anatomical and functionalchanges in the lower urinary tract duringpregnancy. BJOG 2001; 108(7): 726-32. https://doi.org/10.1016/S0306-5456(00)00123-6 [DOI:10.1111/j.1471-0528.2001.00123.x] [PMID]
37. Blomquist JL, Carroll M, Mun ̃oz A, Handa VL. Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean delivery. Am J Obstet Gynecol 2020; 222(1): 62-3 [DOI:10.1016/j.ajog.2019.08.003] [PMID]
38. Gameiro MO, Sousa VO, Gameiro LF, MuchailhRC, Padovani CR, Amaro JL. Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study. Clinics 2011; 66(8): 1389-94. [DOI:10.1590/S1807-59322011000800014] [PMID] [PMCID]
39. Mendes EPB, Oliveira SMJV, Caroci AS, Francisco AA, Oliveira SG, Silva RL. Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study. Rev Lat Am Enfermagem 2016; 24: 27-58. [DOI:10.1590/1518-8345.0926.2758] [PMID] [PMCID]
40. Petricelli CD, Resende APM, Elito Júnior J, Araujo Júnior E, Alexandre SM, Zanetti MRD, et al. Distensibility and strength of the pelvic floor muscles of women in the third trimester of pregnancy. Biomed Res Int 2014; 2014:437867-73. [DOI:10.1155/2014/437867] [PMID] [PMCID]
41. Gartland D, Donath S, MacArthur C, Brown SJ. The onset, recurrence and associated obstetricrisk factors for urinary incontinence in the first18 months after a first birth: An Australian nulliparous cohort study. BJOG 2012; 119(11):1361-9. [DOI:10.1111/j.1471-0528.2012.03437.x] [PMID]
42. Staer-Jensen J, Siafarikas F, Hilde G, Benth JS, Bo K, Engh ME. Postpartum recovery of levator hiatus and bladder neck mobility in relation to pregnancy. Obstet Gynecol 2015;125(3):531-9. [DOI:10.1097/AOG.0000000000000645] [PMID]
43. Stær-Jensen J, Siafarikas F, Hilde G, Bø K, Engh ME. Ultrasonographic evaluation of pelvic organ support during pregnancy. Obstet Gynecol 2013; 122: 329-36. [DOI:10.1097/AOG.0b013e318299f62c] [PMID]
44. Hassan Emara DM, Mohamed Awad MA, Botla AM, Gabr AA. Effect of Labor on Pelvic Floor Muscles Strength. Egyptian Journal of Physical Therapy 2020;1(1):8-13. [DOI:10.21608/ejpt.2020.77842]
45. Handa VL, Blomquist JL, Knoepp LR, Hoskey KA, McDermott KC, Muñoz A. Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth. Obstet Gynecol 2011; 118(4): 777-84. [DOI:10.1097/AOG.0b013e3182267f2f] [PMID] [PMCID]
46. Lukacz ES, Lawrence JM, Buckwalter JG, Burchette RJ, Nager CW, Luber KM. Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey. Int Urogynecol J 2005;16(4): 272-84. [DOI:10.1007/s00192-005-1314-5] [PMID]
47. Tähtinen RM, Cartwright R, Tsui JF, Aaltonen RL, Aoki Y, Cardenas JL, et al. Long-term impact of mode of delivery on stress urinary incontinence and urgency urinary incontinence: a systematic review and meta-analysis. Eur Urol Suppl 2016; 70(1):148-58. [DOI:10.1016/j.eururo.2016.01.037] [PMID] [PMCID]
48. 48 Tafakh S, Afshari P, HaghighiZade MH, Iravani M. Examination of the Factors related to pelvic floor muscles strength (PFMS) in middle-aged women in Ahvaz. International Journal of Pharmaceutical and Phytopharmacological Research 2018; 8(5): 39-47. [URL]
49. Bergeron S, Lord MJ. The integration of pelvi-perineal re-education and cognitive-behavioural therapy in the multidisciplinary treatment of the sexual pain disorders. Sex Relatsh Ther 2010; 25(3):299-305. [DOI:10.1080/14681994.2010.496968]
50. Davis K, Kumar D. Pelvic floor dysfunction:a conceptual framework for collaborative patient‐centred care. J Adv Nurs 2003; 43(6): 555-68. [DOI:10.1046/j.1365-2648.2003.02754.x] [PMID]
51. Afshari P, Dabagh F, Iravani M, Abedi P. Comparison of pelvic floor muscle strength in nulliparous women and those with normal vaginal delivery and cesarean section. Int Urogynecol J 2017; 28(8): 1171-5. [DOI:10.1007/s00192-016-3239-6] [PMID]

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