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Master Thesis

Les effets à long terme de la rééducation périnéale du post-partum : évaluation en fonction de l’incontinence urinaire et des prolapsus

Abstract : Aim: The aim of this study was to measure the current impact of the postpartum perineum physiotherapy, between 1982 and 1996, on urinary incontinence and prolapses. Tools and methods: The studied population was recruited through the Postnatal Care Service of the Pitié-Salpêtrière Hospital as well as through friends and acquaintances. 92 women met the criteria and answered anonymously to the MHU, Contilife, PDFI-20 and PFIQ-7 questionnaires. Results: If women who underwent physiotherapy had better scores, with 3 to 30% improvement, there were no statistical differences (p-values between 0.063 and 0.733). We observed an association between urinary incontinence and the type of physiotherapy session done (Fischer test: p =0.004), without an association between the current state of urinary incontinence and the number of sessions done (Fischer test: p =0.798). Conclusion: The retrospective study on this population did not show any long term benefits on the occurrence of urinary incontinence and prolapses. However, certain types of physiotherapy could be more effective than others. There where inherent limits to the methods used. It could be interesting to continue this study on a larger scale and to measure the impacts on the prevention of dyspareunia and anal incontinence.
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https://dumas.ccsd.cnrs.fr/dumas-02101349
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Éloïse Bosselut. Les effets à long terme de la rééducation périnéale du post-partum : évaluation en fonction de l’incontinence urinaire et des prolapsus. Gynécologie et obstétrique. 2017. ⟨dumas-02101349⟩

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