Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study

Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study

Alternative title Tolerância da parturiente à extensibilidade perineal avaliada pelo EPI-NO: estudo observacional
Author Nakamura, Mary Uchiyama Autor UNIFESP Google Scholar
Sass, Nelson Autor UNIFESP Google Scholar
Elito Junior, Julio Autor UNIFESP Google Scholar
Petricelli, Carla Dellabarba Google Scholar
Alexandre, Sandra Maria Autor UNIFESP Google Scholar
Araujo Júnior, Edward Autor UNIFESP Google Scholar
Zanetti, Míriam Raquel Diniz Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device. Method: An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r). Result: The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p<0.001 women. A negative correlation was observed, in other words, the greater the perineal distensibility on the EPI-NO, the lower the pain reported by the patients (r=-0.424; p<0.001). Conclusion: The assessment of perineal distensibility with EPI-NO was well tolerated by the parturient women.

Objetivo: Determinar como a mulher parturiente tolera o uso de uma nova técnica de extensibilidade perineal, por meio do aparelho EPI-NO. Método: Estudo observacional com um total de 227 gestantes a termo. Durante a avaliação pelo EPI-NO, as parturientes foram perguntadas sobre a sensação de desconforto. O grau de desconforto foi medido usando a Escala Visual Analógica, com escore entre zero a 10. O teste de Mann-Whitney foi usado para avaliar a extensibilidade perineal avaliada pelo EPI-NO e o grau de desconforto causado pelo teste de acordo com a paridade. A relação entre extensibilidade perineal e desconforto foi avaliada pelo teste de correlação de Spearman (r). Resultado: O teste com EPI-NO causou apenas leve desconforto (média da Escala Visual Analógica de 3,8), sendo que as primíparas reportaram mais desconforto de modo significativo (média da Escala Visual Analógica de 4,5) que as multíparas (média da Escala Visual Analógica de 3,1), com p<0,001. Observou-se correlação negativa, ou seja, a maior extensibilidade no EPI-NO foi acompanhada de menor dor referida pelas pacientes (r=-0,424; p<0,001). Conclusão: A avaliação da extensibilidade perineal com EPI-NO foi bem tolerada pelas parturientes.
Keywords Pelvic floor/instrumentation
Perineum
Pregnant women
Parturition
Assoalho pélvico/instrumentação
Períneo
Gestantes
Parto
Language English
Date 2014-03-01
Published in Einstein (São Paulo). Instituto Israelita de Ensino e Pesquisa Albert Einstein, v. 12, n. 1, p. 22-26, 2014.
ISSN 1679-4508 (Sherpa/Romeo)
Publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
Extent 22-26
Origin http://dx.doi.org/10.1590/S1679-45082014AO2944
Access rights Open access Open Access
Type Article
SciELO ID S1679-45082014000100006 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/8280

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