Orientation of perineal exercises during postpartum to prevent urinary loss

• Register: REBEC
• Last refreshed on: 29 April 2013
• Main ID: RBR-53wq87
• Date of registration: 26/01/2012
• Primary sponsor: Universidade do Estado de Santa Catarina - Brazil
• Public title: Orientation of perineal exercises during postpartum to prevent urinary loss
• Scientific title: Study about the influence of pelvic floor exercises orientation regarding urinary loss prevention on postpartum period
• Date of first enrolment: 15/09/2011
• Target sample size: 300
• Recruitment status: recruiting
• URL: http://www.ensaiosclinicos.gov.br/rg/RBR-53wq87/
• Study design: Clinical trial, randomized controlled, parallel, two arms, open.

Countries of recruitment

Brazil

Contacts

• Name: Cinara Sacomori
• Affiliation: Universidade do Estado de Santa Catarina

• Name: Fabiana Sperandio
• Affiliation: Universidade do Estado de Santa Catarina

Key inclusion & exclusion criteria

Inclusion criteria: Women that had a vaginal or cesarean delivery during the study period on Maternidade Carmela Dutra, Florianópolis, SC
Exclusion criteria: Postpartum women that present the following conditions:
- neurologic urinary incontinence
- history of urogenital cancer
- cognitive deficit
- diagnosed neurological diseases
- blindness
- illiterate
- younger than 18 years old
- episiotomy associated with local conditions (important edema and excessive pain)
- drug dependents
- those that do not have a telephone for further contact.

Age minimum: 18Y
Age maximum: 45Y
Gender: F

Health Condition(s) or Problem(s) studied

Self-report of urinary loss, constipation, dyspareunia, female urogenital diseases and pregnancy complications, urinary incontinence
C12.777.934.852
C12.294.644.242
C23.888.821.150

Intervention(s)

Intervention includes pelvic floor exercise orientation throughout observation. The last one is to verify if the woman is correctly contracting her pelvic floor.
In the next step domiciliary pelvic floor muscle exercises will be prescribed according to an adapted protocol of Reilly et al (2002): Practice twice a day the following exercises repeating at least 10 times:
- One sustained contraction up to 10 seconds (tonic fibers). Pedagogical analogy: "elevator exercise".
- Five quick and strong contractions. Pedagogical analogy: like the rhythm of a baby breastfeeding.
- Use the Knack.
After this intervention the patients will receive a folder with information about the prescribed exercises, urinary habits and how to prevent constipation.

Primary Outcome(s)

The ammount of urinary loss: none, a small, moderate or large quantities. Also evaluated using the International Consultation on Incontinence Questionnaire Short Form.

The primary outcome will be the frequency of urinary loss: frequent urinary loss episodes, not many urinary loss episodes and no urinary loss. The instrument is the International Consultation on Incontinence Questionnaire Short Form.

Secondary Outcome(s)

Constipation considered when there is less than three evacuations per week.

Frequency of Dyspareunia: always, most times, sometimes, a few times, never. Assessed with the Female Sexual Function Index.

Intensity of dyspareunia: very high, moderate, low, none. Assessed with the Female Sexual Function Index.

Secondary ID(s)

0010.0.233.269-11

Source(s) of Monetary Support

Universidade do Estado de Santa Catarina - Brazil

Secondary Sponsor(s)

Universidade do Estado de Santa Catarina - Brazil