Prophylaxis of pelvic organs prolapse in women after childbirth
https://doi.org/10.21518/2079-701X-2019-6-142-147
Abstract
Purpose: to assess the strength of the pelvic floor muscles and the effectiveness of prevention measures for pelvic organ prolapse after childbirth in women with risk factors.
Material and methods. Included 180 patients. In group I (n = 45) – gynecological pessarium was used after childbirth; in group II (n = 45) – pelvic floor muscle training (Kegel exercises) was used; in group III (n = 45) – no treatment was received. In group IV (control, n = 45) women without risk factors for prolapse to control functional parameters. Used: vaginal palpation assessment scale of Oxford.
Results. The increase in the strength of the pelvic floor muscles in group II was more effective than in other groups and in 22.2% of patients reached 5 points (very strong contractions) compared with 6,6% – in groups I and IV (p<0,05). A significant increase in the strength of the pelvic floor muscle contraction was not observed in group III. The overall effectiveness of the treatment was 95,6%. Among those who did not receive treatment, the muscles remained weak in 22,2% (p = 0,03).
Conclusion: increasing the strength of the pelvic floor muscles in groups I and II, indicates the effectiveness of the timely prevention of pelvic organ prolapse in women with risk factors for the development of this disease, immediately after birth.About the Authors
A. A. Sukhanov
Federal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation;
State Budgetary Healthcare Institution of the Tyumen Region «Perinatal Center»
Russian Federation
Russian Federation
Sukhanov Anton Aleksandrovich – Head of the Polyclinic of the State Budgetary Institution of Healthcare of the Tyumen Region «Perinatal Center»; Postgraduate student of the Department of Obstetrics, Gynecology and Reanimation with the course of clinical laboratory diagnostics of the Institute of Continuous Professional Education of the Federal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation
625023, Tyumen, 54, Odesskaya St.,
625002, Tyumen, Daudelnaya St., 1
G. B. Dikke
Private Educational Institution of Additional Professional Education «Academy of Medical Education named after Fyodor Ivanovich Inozemtsev»
Russian Federation
Russian Federation
Dikke Galina Borisovna – Dr. оf Sci. (Med), Professor of the Department of Obstetrics and Gynecology with the course of reproductive medicine
190013, Saint-Petersburg, Moskovsky Prospekt 22, liter M
I. I. Kukarskaya
Federal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation;
State Budgetary Healthcare Institution of the Tyumen Region «Perinatal Center»
Russian Federation
Russian Federation
Kukarskaya Irina Ivanovna – Dr. of Sci. (Med), Professor of the Department of Obstetrics, Gynecology and Reanimation with the course of clinical laboratory diagnostics of the Institute of Continuous Professional Education of the Federal State Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation; Chief Physician of the State Budgetary Institution of Healthcare of the Tyumen Region «Perinatal Center»
625023, Tyumen, 54, Odesskaya St.,
625002, Tyumen, Daudelnaya St., 1
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Review
For citations:
Sukhanov AA, Dikke GB, Kukarskaya II. Prophylaxis of pelvic organs prolapse in women after childbirth. Meditsinskiy sovet = Medical Council. 2019;(6):142-147. (In Russ.) https://doi.org/10.21518/2079-701X-2019-6-142-147
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