THE EFFECTS OF ANTENATAL PELVIC FLOOR MUSCLES EXERCISES ON THE LENGTH OF THE SECOND STAGE OF LABOR AMONG PRIMIGRAVIDA WOMEN ATTENDING SULAIMANI MATERNITY TEACHING HOSPITALS FOR DELIVERY

Authors

  • Shaghayegh HamidReza Hossein Ali Master Candidate, College of Nursing Sulaimani, University of Sulaimani, Kurdistan Region, Iraq.
  • Atiya K. Mohammed College of Nursing ,University of Sulaimani, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10301

Keywords:

Labor, Primigravida, Pelvic floor muscle training, The second stage of labor

Abstract

Background 

The role of pelvic floor muscle training in decreasing urinary incontinence problems is well established but its effects on labor and newborn outcomes need more study.

Objectives 

To evaluate the effect of pelvic floor muscle exercises on the length of the second stage of labor among primigravida women. 

Methods

This is a quasi-experimental study done from February to November 2019, which recruited 160 Primigravida Women aged between 18-35-year-old and matched the inclusion criteria. The participants were qualified and included in the study with 18 weeks of gestational age. Thus study group started the training as 6 sessions of 2-hour training established and distributed through 20 weeks. Then, all participants were observed during labor by the researcher. Subsequently, the collected data got processed, and the experimental and the control group delivery outcomes got compared.

Results

Highly significant difference regarding education (70.0% of the study group had Institute-College degree while the rate in the control group was 39.0%), occupation (62.0% of the study group and 87.0% of the control group were housewives), economic status (80.0% of the study group were economically satisfied while this rate in the control group was 8.8.0%). There was a significant difference regarding the duration of the second stage of labor (p=0.05) and the third stage of labor (p=0.001), while there was a difference at the edge of significance (p=0.056) between both groups in the first stage of labor. 

Conclusion

This quasi-experimental study found a significant effect of pelvic floor exercise on the length of the second stage of labor.

References

Kathryn R. Alden. Anatomy and Physiology of Pregnancy. In: Deitra Leonard Lowdermilk, editor. Textbook of Maternity & Women’s Health Care,11st ed; Mosby, St Louis, United States: Elsevier; 2015. p 299.

DC Dutta. Physiological Changes During Pregnancy. In: Hiralal konal editor. DC Dutta’s Textbook of Obstetrics. 8th ed; New Delhi : Jaypee Brothers Medical Publishers; 2015. p 52. DOI: https://doi.org/10.5005/jp/books/12540_6

Jane Coad. Western approach to pregnancy. In: Suzanne Yates, Bristol, editor. Textbook of Pregnancy and Childbirth A holistic approach to massage and bodywork. UK: Elsevier; 2010. P. 27

Fayiz F. El-Shamy Eman Abd El Fatah Effect of Antenatal Pelvic Floor Muscle Exercise on Mode of Delivery: A Randomized Controlled Trial Integr Med Int 2017;4:187–197 DOI: https://doi.org/10.1159/000488351

Atiya K Muhammad, Muhammad R Amen. Assessment of Knowledge and Belief of Pregnant Women Attending Maternal and Child Care Unit in Primary Health Center of Sulaimani City Regarding Exercise During Pregnancy,Kirkuk University Journal /Scientific Studies (KUJSS), Volume 10, Issue 1, June 2015, p.p(158-172) DOI: https://doi.org/10.32894/kujss.2015.101967

DeLancey JO, Morgan DM,. Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gynecol 2007;109:295–302. DOI: https://doi.org/10.1097/01.AOG.0000250901.57095.ba

WHO Reproductive Health Library. WHO recommendation on definition and duration of the second stage of labor (February 2018). The WHO Reproductive Health Library; Geneva: World Health Organization. Available from: https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendation-definition-and-duration-second-stage-labour.

Hutchison J, Mahdy H, Hutchison J. Stages of Labor. [Updated 2020 Mar 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544290/

Eyal Sheiner, Asnat Walfisch,J. Length of the second stage of labor as a predictor of perineal outcome after vaginal delivery. Reprod Med. 51(2): 115–119.

Simic, M. Cnattingius, S. Duration of the second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: a population-based study. BMC Pregnancy Childbirth; 2017 17, 72..https://doi.org/10.1186/s12884-017-1251-6 DOI: https://doi.org/10.1186/s12884-017-1251-6

Heit M, Mudd K, Culligan P. Prevention of childbirth injuries to the pelvic floor. Curr Women's Health Rep. 2001; 1:72–80.

Fatima Leon-Larios, Isabel Corrales-Gutierrez, MD. Influence of a pelvic floor training program to prevent perineal trauma: A quasi-randomized controlled trial. Elsevier Midwifery Journal 50, P 72–77. DOI: https://doi.org/10.1016/j.midw.2017.03.015

Salvesen KA, Mørkved S. Randomised controlled trial of pelvic floor muscle training during pregnancy. BMJ. 2004;329(7462):378-380 DOI: https://doi.org/10.1136/bmj.38163.724306.3A

Amany Arafat Goda1, Assist. Prof. Dr. Magda A. Fawaz. Effect of Pelvic Floor Muscle Exercise Training Protocol for Pregnant Woman during 3rd Trimester on Labor Duration. Journal of Health, Medicine and Nursing. 2015:15

Ruben Barakata, Evelia Francoa. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial. Elsevier EJOG 2018:224, p 33-40 DOI: https://doi.org/10.1016/j.ejogrb.2018.03.009

Hong, Yong-Chol & Paek, Un-Son. (2018). Factors prolonging the duration of the second stage of labor. Journal of Medical Society. 32. 128. 10.4103/JMS.jms_36_18. DOI: https://doi.org/10.4103/jms.jms_36_18

A. Direkvand-Moghadam, A. Delpisheh, M. Rezaeian, A. Khosravi, Factors Affecting the Labor: A Review Article. Biomedical & Pharmacology Journal,2013, Vol. 6(2), 161-167 (2013) DOI: https://doi.org/10.13005/bpj/399

Senécal, Julie & Xiong, Xu & Fraser, William. (2005). Effect of Fetal Position on Second-Stage Duration and Labor Outcome. Obstetrics and gynecology. 105. 763-72. 10.1097/01.AOG.0000154889.47063.84. DOI: https://doi.org/10.1097/01.AOG.0000154889.47063.84

F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, physiology of labor. In: F. Gary Cunningham’s editor. Williams textbook of obstetrics 24th ed; NewYork: McGraw-Hill Education. 2014, p 415.

Sandström A, Altman M. Durations of the second stage of labor and pushing, and adverse neonatal outcomes: a population-based cohort study. J Perinatol. 2017;37(3):236-242. DOI: https://doi.org/10.1038/jp.2016.214

Du Y, Xu L, The effect of antenatal pelvic floor muscle training on labor and delivery outcomes: a systematic review with meta-analysis. Int Urogynecol J. 2015;26(10):1415-1427. DOI: https://doi.org/10.1007/s00192-015-2654-4

Bø K, Fleten C, Nystad W. Effect of antenatal pelvic floor muscle training on labor and birth. Obstet Gynecol. 2009;113(6):1279-1284. DOI: https://doi.org/10.1097/AOG.0b013e3181a66f40

Sanda B, Vistad I, What is the effect of physical activity on duration and mode of delivery? Secondary analysis from the Norwegian Fit for Delivery trial. Acta Obstet Gynecol Scand. 2018;97(7):861-871. DOI: https://doi.org/10.1111/aogs.13351

Gill, Cindy H, Haynie, Merthia I. The Effect of Exercise on the Second Stage of Labor in Nulliparous women, Journal of Women's Health Physical Therapy: July 2006;30:29. DOI: https://doi.org/10.1097/01274882-200630020-00013

Published

2021-06-21

How to Cite

1.
Ali S, Mohammed A. THE EFFECTS OF ANTENATAL PELVIC FLOOR MUSCLES EXERCISES ON THE LENGTH OF THE SECOND STAGE OF LABOR AMONG PRIMIGRAVIDA WOMEN ATTENDING SULAIMANI MATERNITY TEACHING HOSPITALS FOR DELIVERY. JSMC [Internet]. 2021 Jun. 21 [cited 2024 Jun. 19];11(2):179-87. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10301

Similar Articles

1-10 of 63

You may also start an advanced similarity search for this article.