干旱区生态环境知识资源中心(Arid): Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial

Arid

DOI	10.1097/SPV.0000000000000849
	Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial
	Von Bargen, Emily; Haviland, Miriam J.; Chang, Olivia H.; McKinney, Jessica; Hacker, Michele R.; Elkadry, Eman
通讯作者	Von Bargen, E (corresponding author), Massachusetts Gen Hosp, Dept Female Pelv Med & Reconstruct Surg, 55 Fruit St,FND 5, Boston, MA 02114 USA.
来源期刊	FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
ISSN	2151-8378
EISSN	2154-4212
出版年	2021
卷号	27 期号:5 页码:315-321
英文摘要	Objective The aim of the study was to evaluate a short course of postpartum pelvic floor physical therapy (PFPT) on symptoms and quality of life after obstetrical anal sphincter injuries (OASIS). Methods This was a multicenter, randomized controlled trial. Adult women were eligible if they had a vaginal delivery complicated by OASIS and did not have a prior vaginal delivery after 24 weeks' gestation. Participants were randomized to standard care plus PFPT or standard care alone. The primary outcome was change in the Pelvic Floor Distress Inventory (PFDI-20) at 12 weeks postpartum. Secondary outcomes included other validated questionnaires assessing pelvic floor symptoms and bother. Results We approached 89 eligible women; 50 were enrolled and randomized. We excluded 6 participants in the PFPT group and 1 in the standard care group who withdrew before study initiation or did not provide baseline data at 2 weeks postpartum. Thus, we analyzed 19 in the PFPT group and 24 in the standard care group. The groups were similar with regard to most baseline characteristics. The PFPT group reported significant improvement in pelvic floor symptoms and bother compared with the standard care group, reflected by a decrease of 29.2 (interquartile range = -58.3 to -4.2) compared with 0.0 (interquartile range = -14.6 to 20.8) on the PFDI-20 from 2 to 12 weeks postpartum (P = 0.002). Significant differences also were observed for all PFDI-20 subscales (all P <= 0.02). Conclusions At 12 weeks postpartum, the PFPT group reported a significant improvement in pelvic floor symptoms and bother compared with the standard care group.
英文关键词	OASIS obstetrical lacerations pelvic floor physical therapy anal sphincter quality of life
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000645199000008
WOS关键词	QUALITY-OF-LIFE ; DISORDERS ; WOMEN
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/350214
作者单位	[Von Bargen, Emily; Haviland, Miriam J.; Chang, Olivia H.; Hacker, Michele R.] Beth Israel Deaconess Med Ctr, Dept Obstet & Gynecol, Boston, MA 02215 USA; [Von Bargen, Emily; Elkadry, Eman] Mt Auburn Hosp, Dept Obstet & Gynecol, Cambridge, MA USA; [Von Bargen, Emily; Haviland, Miriam J.; Chang, Olivia H.; Hacker, Michele R.; Elkadry, Eman] Harvard Med Sch, Dept Obstet Gynecol & Reprod Biol, Boston, MA 02115 USA; [McKinney, Jessica] Marathon Phys Therapy & Sports Med LLC, Ctr Pelv & Womens Hlth, Norton, MA USA
推荐引用方式 GB/T 7714	Von Bargen, Emily,Haviland, Miriam J.,Chang, Olivia H.,et al. Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial[J],2021,27(5):315-321.
APA	Von Bargen, Emily,Haviland, Miriam J.,Chang, Olivia H.,McKinney, Jessica,Hacker, Michele R.,&Elkadry, Eman.(2021).Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial.FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY,27(5),315-321.
MLA	Von Bargen, Emily,et al."Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial".FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY 27.5(2021):315-321.