MedPath

Pilates and the Pelvic Floor: A Quasi-experimental Study

Not Applicable
Completed
Conditions
Perineum; Injury
Episiotomy Wound
Pregnancy
Pilates Method
Interventions
Other: PILATES METHOD
Registration Number
NCT04431102
Lead Sponsor
University of Huelva
Brief 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.

Detailed 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 & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
72
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.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PILATES METHODPILATES METHODIt was intended the Pilates program were low supervision and easily realizable by all patients, which implied flexibility in the schedule. In this sense the sessions of Pilates was adjusted to these assumptions and the Pilates monitor offered several schedules on diferent days of the week. The pregnant women assigned to the intervention group were supervised by the midwifery of reference and trained by a Pilates monitor who explained the training program. The women received eight sessions of Pilates, given with a frequency of two classes per week and one hour of duration during a period of four weeks. The exercises for each session were determined beforehand. In addition, the participants maintained the usual monitoring of pregnancy valued by the reference average, attending the sessions of the maternal education program of their health center. The therapeutic control were carried out by telephone call and clinical history review between the eighth and tenth day postpartum.
Primary Outcome Measures
NameTimeMethod
Changes in the presence of pelvic floor injuries during childbirth after a Pilates Method programBetween the eighth and tenth day after birth

Decrease in the number of episiotomies and perineal tears

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Carmen Feria Ramírez

🇪🇸

Lepe, Huelva, Spain

© Copyright 2025. All Rights Reserved by MedPath