Efecto de las técnicas de Fortalecimiento del piso pélvico en el prolapso vesical rectal y uterino en mujeres multíparas
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Marín García, Jhoanna Julieth
Tascón Rada, Samir Esteban
Alzate Granados, Juan Pablo
Director
Cortés Díaz, Daniel Otálvaro (Thesis advisor)
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Trabajo de grado - Pregrado
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EspañolFecha de publicación
2018-11-05
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Objetivo:determinar el efecto de las técnicas de fortalecimiento del piso pélvico comparado con el manejo usual pre y postnatal en el prolapso vesical, rectal y uterino en mujeres multíparas. Materiales y métodos: revisión sistemática de la literatura. Se incluyeron revisiones sistemáticas, ensayos clínicos aleatorizados paralelos y estudios de cohortes. El criterio de selección de participantes fue mujeres de cualquier edad, gestantes y puérperas,que fueran multíparas (2 partos o más). Se excluyeron estudios que involucraron pacientes con parto por cesárea. Se realizó búsqueda en bases de datos electrónicas: The Cochrane Central Register of Controlled Trials (CENTRAL, Ovid platform), MEDLINE®, Ovid platform; MEDLINE® In-Process and Other Non-Indexed Citations, Ovid platform; MEDLINE® Daily Update, Ovid platform; EMBASE, embase platform; LILACS, IAHx interface; Registros de ensayos clínicos: WHO International Clinical Trials Registry Platform (ICTRP); Web of Science®. Dos autores de forma independiente seleccionaron los estudios por título y resumen. Un tercer autor resolvió los desacuerdos.Resultados: Se encontraron 283 artículos en la búsqueda de las bases de datos. 3 estudios de cohorte prospectiva fueron incluidos en la síntesis cualitativa y cuantitativa. No seencontraron estudios que informaran sobre el efecto de estas técnicas sobre el prolapso de órganos pélvicos. Conclusiones: la calidad de la evidencia actual es baja para determinar si el uso de técnicas del fortalecimiento pélvico incide o no en la disminución del riesgo de aparición de POP en mujeres multíparas (g≥2).
Abstract: Objective: to determine the effect of pelvic floor reinforcement techniques versus usual management antenatally and postnatally, over vesical, rectal and uterine prolapse in multipara women.Materials and methods: systematic review of literature. Systematic reviews randomized controlled trials and cohort studies were included. Women of any age, pregnant or postpartum women (2 births or more) were selected. Studies involving women with deliveryby cesarean section were excluded. We searched in these electronic databases: The Cochrane Central Register of Controlled Trials (CENTRAL, Ovid platform), MEDLINE®, Ovid platform; MEDLINE® In-Process and Other Non-Indexed Citations, Ovid platform; MEDLINE® Daily Update, Ovid platform; EMBASE, embase platform; LILACS, IAHx interface; Registros de ensayos clínicos: WHO International Clinical Trials Registry Platform (ICTRP); Web of Science®. Two authors selected studies by title and abstract independently. A third author resolved disagreements.Results: 283 articles were found in the database search. 3 prospective cohort studies were included in qualitative and quantitative synthesis. We didn’t find studies informing about the effect of these techniques over pelvic organ prolapse.Conclusions: quality of evidence is low for determining whether pelvic reinforcement techniques have to do or not in diminishing the pelvic organ prolapse development risk in multipara women (2 births or more)
Abstract: Objective: to determine the effect of pelvic floor reinforcement techniques versus usual management antenatally and postnatally, over vesical, rectal and uterine prolapse in multipara women.Materials and methods: systematic review of literature. Systematic reviews randomized controlled trials and cohort studies were included. Women of any age, pregnant or postpartum women (2 births or more) were selected. Studies involving women with deliveryby cesarean section were excluded. We searched in these electronic databases: The Cochrane Central Register of Controlled Trials (CENTRAL, Ovid platform), MEDLINE®, Ovid platform; MEDLINE® In-Process and Other Non-Indexed Citations, Ovid platform; MEDLINE® Daily Update, Ovid platform; EMBASE, embase platform; LILACS, IAHx interface; Registros de ensayos clínicos: WHO International Clinical Trials Registry Platform (ICTRP); Web of Science®. Two authors selected studies by title and abstract independently. A third author resolved disagreements.Results: 283 articles were found in the database search. 3 prospective cohort studies were included in qualitative and quantitative synthesis. We didn’t find studies informing about the effect of these techniques over pelvic organ prolapse.Conclusions: quality of evidence is low for determining whether pelvic reinforcement techniques have to do or not in diminishing the pelvic organ prolapse development risk in multipara women (2 births or more)