The effects of episiotomy and Kegel exercises on postpartum pelvic relaxation: A prospective controlled study

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dc.authorwosidtaskin, omur/C-6864-2016
dc.contributor.authorTaskin, O
dc.contributor.authorWheeler, JM
dc.contributor.authorYalcinoglu, AI
dc.contributor.authorCoksenim, S
dc.date.accessioned2024-08-04T20:11:50Z
dc.date.available2024-08-04T20:11:50Z
dc.date.issued1996
dc.departmentİnönü Üniversitesien_US
dc.description.abstractTo evaluate the effects of episiotomy and Kegel exercises on symptoms and signs indicating postpartum pelvic relaxation, we prospectively studied 100 primigravidas consecutively enrolled from a homogeneous patient population. A control group was defined as the first 20 women requiring cesarean section prior to labor for accepted indications. The remaining four groups of 20 women each were treated as follows: no episiotomy or Kegel, episiotomy but no Kegel, episiotomy plus postpartum Kegel, and episiotomy plus antepartum Kegel. Research outcomes included the incidence and severity of pelvic relaxation determined by physicians blinded to group assignment and complaints of stress urinary incontinence. Fisher's exact tests were used for comparisons. Episiotomy alone was associated with decreased incidence of cystocele and rectocele, but there was no effect on degree of defects that occurred. Episiotomy plus antepartum Kegel produced no significant difference compared with cesarean controls for any defect of pelvic relaxation and, furthermore, was the only vaginal delivery group producing no third-degree defects. This study supports the use of episiotomy in most primigravidas and further suggests that teaching of Kegel exercises be included in antepartum patient instruction.en_US
dc.identifier.doi10.1089/gyn.1996.12.123
dc.identifier.endpage127en_US
dc.identifier.issn1042-4067
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-0029759463en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage123en_US
dc.identifier.urihttps://doi.org/10.1089/gyn.1996.12.123
dc.identifier.urihttps://hdl.handle.net/11616/93024
dc.identifier.volume12en_US
dc.identifier.wosWOS:A1996UX80200009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert Inc Publen_US
dc.relation.ispartofJournal of Gynecologic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRoutineen_US
dc.titleThe effects of episiotomy and Kegel exercises on postpartum pelvic relaxation: A prospective controlled studyen_US
dc.typeArticleen_US

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