Does the Epi-No prevent pelvic floor trauma? : a multicentre randomised controlled trial

H. P. Dietz, S. Langer, I. Kamisan Atan, K. L. Shek, J. Caudwell-Hall, R. Guzman Rojas

    Research output: Chapter in Book / Conference PaperConference Paperpeer-review

    Abstract

    ![CDATA[In 10 - 30% of women, vaginal birth results in levator ani tears which are associated with female pelvic organ prolapse (FPOP) and recurrence after prolapse surgery. In addition, it is now clear that tears to the external anal sphincter, a major etiological factor in the pathogenesis of fecal incontinence, are much more common than previously realised. Prevention of such trauma may reduce the future prevalence of these conditions. The Epi - No ® Birth Trainer is an inflatable balloon device designed to allow women to gradually stretch the vagina and perineum from 37 weeks’ gestation onwards. It has been claimed to shorten the 2nd stage of labour, reduce analgesics use and episiotomy rates [1]. This study was designed to evaluate the effect of Epi - No use on pelvic floor and anal sphincter integrity. The null hypothesis was: “Antepartum use of the Epi - No device does not prevent levator trauma”.]]
    Original languageEnglish
    Title of host publicationNeurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil
    PublisherJohn Wiley & Sons
    Pages853-855
    Number of pages3
    Publication statusPublished - 2014
    EventInternational Continence Society. Meeting -
    Duration: 1 Jan 2014 → …

    Conference

    ConferenceInternational Continence Society. Meeting
    Period1/01/14 → …

    Keywords

    • ultrasound
    • Epi-No
    • pelvic floor
    • levator ani
    • pelvic organ prolapse
    • childbirth

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