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

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

School of Medicine

Research output: Chapter in Book / Conference Paper › Conference Paper › peer-review

Abstract

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 Ã‚Â® 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 language	English
Title of host publication	Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil
Publisher	John Wiley & Sons
Pages	853-855
Number of pages	3
Publication status	Published - 2014
Event	International Continence Society. Meeting - Duration: 1 Jan 2014 → …

Conference

Conference	International Continence Society. Meeting
Period	1/01/14 → …

Keywords

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

Cite this

Dietz, H. P., Langer, S., Kamisan Atan, I., Shek, K. L., Caudwell-Hall, J., & Guzman Rojas, R. (2014). Does the Epi-No prevent pelvic floor trauma? : a multicentre randomised controlled trial. In Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil (pp. 853-855). John Wiley & Sons.

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

abstract = "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 {\~A}‚{\^A}{\textregistered} 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{"}.",

keywords = "ultrasound, Epi-No, pelvic floor, levator ani, pelvic organ prolapse, childbirth",

author = "Dietz, {H. P.} and S. Langer and {Kamisan Atan}, I. and Shek, {K. L.} and J. Caudwell-Hall and {Guzman Rojas}, R.",

year = "2014",

language = "English",

pages = "853--855",

booktitle = "Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil",

publisher = "John Wiley & Sons",

note = "International Continence Society. Meeting ; Conference date: 01-01-2014",

}

Dietz, HP, Langer, S, Kamisan Atan, I, Shek, KL, Caudwell-Hall, J & Guzman Rojas, R 2014, Does the Epi-No prevent pelvic floor trauma? : a multicentre randomised controlled trial. in Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil. John Wiley & Sons, pp. 853-855, International Continence Society. Meeting, 1/01/14.

Does the Epi-No prevent pelvic floor trauma? : a multicentre randomised controlled trial. / Dietz, H. P.; Langer, S.; Kamisan Atan, I. et al.
Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil. John Wiley & Sons, 2014. p. 853-855.

Research output: Chapter in Book / Conference Paper › Conference Paper › peer-review

TY - GEN

T1 - Does the Epi-No prevent pelvic floor trauma? : a multicentre randomised controlled trial

AU - Dietz, H. P.

AU - Langer, S.

AU - Kamisan Atan, I.

AU - Shek, K. L.

AU - Caudwell-Hall, J.

AU - Guzman Rojas, R.

PY - 2014

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N2 - 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 Ã‚Â® 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".

AB - 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 Ã‚Â® 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".

KW - ultrasound

KW - Epi-No

KW - pelvic floor

KW - levator ani

KW - pelvic organ prolapse

KW - childbirth

UR - http://handle.uws.edu.au:8081/1959.7/uws:29289

M3 - Conference Paper

SP - 853

EP - 855

BT - Neurourology and Urodynamics: Abstracts of the 44th Annual Meeting of the International Continence Society (ICS), 20-24 October 2014, Rio de Janeiro, Brazil

PB - John Wiley & Sons

T2 - International Continence Society. Meeting

Y2 - 1 January 2014

ER -

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

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Conference

Keywords

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