Pilates and the Pelvic Floor: A Quasi-experimental Study

Pregnancy Clinical Trial

Official title:

The Effects of the Pilates Method on Pelvic Floor Injuries During Pregnancy and Childbirth: A Quasi-experimental Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04431102
• Other study ID #: CFMP14
• Status: Completed
• Phase: N/A
• Start date: November 5, 2018
• Est. completion date: December 27, 2019

Study information

• Verified date: June 2020
• Source: University of Huelva
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this paper, it is postulates that in pregnant women, the practice of PM led by a qualified professional for a period of four weeks can reduce the incidence of pelvic floor dysfunction (PFD) by decreasing the number of birth injuries.

Description:

It is postulated that in pregnang women, the practice of PM can reduce the severity of birth injuries.

Our main objective was to determine the effectiveness of a PM program to reduce the incidence and degree of intrapartum perineal injuries as a way to reduce the incidence of female PFD.

Secondary objectives were:

Assess the role of a MP program on the systolic and diastolic blood pressure. Determine the effect of a MP program on body weight (BMI).

It is a parallel group clinical trial with an allocation ratio of 1:2.

All pregnant women will be informed about the nature of the clinical trial. There will be no differences in the pregnant´s follow-up because it will be performed by two same Pilates monitor with the same formation.

Once the pregnant women is assigned to an arm of the study, those assigned to the intervention group will be sent to the Pilates monitor to explain and initiate the exercise of MP program while the control group will be informed to maintain their usual monitoring of pregnancy.

In the initial visit, the type of physical activity will be evaluated by filling in the international physical activity questionnaire (IPAQ).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 72
• Est. completion date: December 27, 2019
• Est. primary completion date: July 31, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• To go to the Maternal Education program.

• Give your written consent to participate in the study.

• Singleton pregnancy.

• Low-risk pregnancy.

• No contraindication to physical exercise.

• Age equals or more than 18 years old.

Excusion Criteria:

• Pregnant women with poor pregnancy control.

• Difficulty in speaking or understanding Spanish.

• Required a C-section during delivery.

• Refusal to participate in the study.

Related Conditions & MeSH terms

• Episiotomy Wound
• Perineum; Injury
• Pilates Method
• Pregnancy
• Wounds and Injuries

Intervention

Other:
• PILATES METHOD
It is intended that the Pilates program have a duration of four weeks and its realization does not suppose an excessive consumption of resources. Therefore, it must have a series of characteristics: low supervision and easily realizable by all patients, which implies flexibility in the schedule. In this sense the sessions of Pilates is adjusted to these assumptions and the Pilates monitor offers several schedules on diferent days of week. The pregnant women assigned to the intervention group will be supervised by the midwifery of reference and trained by a Pilates monitor who will explain the training program and resolve the doubts raised by the women. The therapeutic control will be carried out by telephone call and clinical history review between the eighth and tenth day.

Locations

Country	Name	City	State
Spain	Carmen Feria Ramírez	Lepe	Huelva

Sponsors (1)

Lead Sponsor	Collaborator
University of Huelva

Country where clinical trial is conducted

Spain, 

References & Publications (40)

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* Note: There are 40 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in the presence of pelvic floor injuries during childbirth after a Pilates Method program	Decrease in the number of episiotomies and perineal tears	Between the eighth and tenth day after birth

External Links

•   Episiotomy and perineal repair guideline (GL836)
•   Proceso Asistencia Integrado embarazo, parto y puerperio