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Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study
To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device. An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation o...
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| Published in: | Einstein (São Paulo, Brazil) Brazil), 2014-01, Vol.12 (1), p.22-26 |
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| creator | Nakamura, Mary Uchiyama Sass, Nelson Elito Júnior, Julio Petricelli, Carla Dellabarba Alexandre, Sandra Maria Araujo Júnior, Edward Zanetti, Miriam Raquel Diniz |
| description | To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device.
An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r).
The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p |
| doi_str_mv | 10.1590/S1679-45082014AO2944 |
| format | article |
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An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r).
The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p<0.001 women. A negative correlation was observed, in other words, the greater the perineal distensibility on the EPI-NO, the lower the pain reported by the patients (r=-0.424; p<0.001).
The assessment of perineal distensibility with EPI-NO was well tolerated by the parturient women.</description><identifier>ISSN: 1679-4508</identifier><identifier>ISSN: 2317-6385</identifier><identifier>EISSN: 2317-6385</identifier><identifier>EISSN: 1679-4508</identifier><identifier>DOI: 10.1590/S1679-45082014AO2944</identifier><identifier>PMID: 24728241</identifier><language>eng</language><publisher>Brazil: Instituto Israelita de Ensino e Pesquisa Albert Einstein</publisher><subject>Adolescent ; Adult ; Assoalho pélvico/instrumentação ; Cross-Sectional Studies ; Episiotomy - methods ; Female ; Gestantes ; Humans ; Lacerations - prevention & control ; MEDICINE, GENERAL & INTERNAL ; Muscle Contraction - physiology ; Obstetric Labor Complications - prevention & control ; Original ; Pain Measurement ; Parity - physiology ; Parto ; Pelvic Floor - physiology ; Pelvic Pain - prevention & control ; Perineum - injuries ; Perineum - physiology ; Períneo ; Pregnancy ; Reference Values ; Reproducibility of Results ; Statistics, Nonparametric ; Young Adult</subject><ispartof>Einstein (São Paulo, Brazil), 2014-01, Vol.12 (1), p.22-26</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-d4c810d9b46c7c89879dcebf6829e71b191c82b27b073883064d2ffe7a5526183</citedby><cites>FETCH-LOGICAL-c513t-d4c810d9b46c7c89879dcebf6829e71b191c82b27b073883064d2ffe7a5526183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898234/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898234/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,24130,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24728241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamura, Mary Uchiyama</creatorcontrib><creatorcontrib>Sass, Nelson</creatorcontrib><creatorcontrib>Elito Júnior, Julio</creatorcontrib><creatorcontrib>Petricelli, Carla Dellabarba</creatorcontrib><creatorcontrib>Alexandre, Sandra Maria</creatorcontrib><creatorcontrib>Araujo Júnior, Edward</creatorcontrib><creatorcontrib>Zanetti, Miriam Raquel Diniz</creatorcontrib><title>Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study</title><title>Einstein (São Paulo, Brazil)</title><addtitle>Einstein (Sao Paulo)</addtitle><description>To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device.
An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r).
The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p<0.001 women. A negative correlation was observed, in other words, the greater the perineal distensibility on the EPI-NO, the lower the pain reported by the patients (r=-0.424; p<0.001).
The assessment of perineal distensibility with EPI-NO was well tolerated by the parturient women.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Assoalho pélvico/instrumentação</subject><subject>Cross-Sectional Studies</subject><subject>Episiotomy - methods</subject><subject>Female</subject><subject>Gestantes</subject><subject>Humans</subject><subject>Lacerations - prevention & control</subject><subject>MEDICINE, GENERAL & INTERNAL</subject><subject>Muscle Contraction - physiology</subject><subject>Obstetric Labor Complications - prevention & control</subject><subject>Original</subject><subject>Pain Measurement</subject><subject>Parity - physiology</subject><subject>Parto</subject><subject>Pelvic Floor - physiology</subject><subject>Pelvic Pain - prevention & control</subject><subject>Perineum - injuries</subject><subject>Perineum - physiology</subject><subject>Períneo</subject><subject>Pregnancy</subject><subject>Reference Values</subject><subject>Reproducibility of Results</subject><subject>Statistics, Nonparametric</subject><subject>Young Adult</subject><issn>1679-4508</issn><issn>2317-6385</issn><issn>2317-6385</issn><issn>1679-4508</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpdUl1rFDEUDaLYtfoPRObRl6m5SSYfPgiltLpQ3IKKjyGTuVOzzE7WZKaw_97YaRcrJASSc07OuRxC3gI9g8bQD99AKlOLhmpGQZxvmBHiGVkxDqqWXDfPyeqIOCGvct5SKkFq85KcMKGYZgJW5OeNS9OcAo5TtccURnRD1YU84ZhDG4YwHaopDpjc6LFyOWNZXdUeqsubdf1187FyYxXbjOnOTSGOhZ2nuTu8Ji96N2R883Cekh9Xl98vvtTXm8_ri_Pr2jfAp7oTXgPtTCukV14brUznse2lZgYVtGDAa9Yy1VLFteZUio71PSrXNEyC5qdkveh20W3tPoWdSwcbXbD3FzHd2hIw-AGthxY5RWMM1UJxMF4ANb00wDuhwRets0Ur-4BDtNs4pxIo2_tR28dRU0qhbCoL4dNC2M_tDovxcUpueOLi6csYftnbeGdFScq4KALvHwRS_D1jnuwuZI_D4EaMc7bQgOTGSE0LVCxQn2LOCfvjN0Dt30L853IpRKG9-9fikfTYAP4Hm3-u0w</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Nakamura, Mary Uchiyama</creator><creator>Sass, Nelson</creator><creator>Elito Júnior, Julio</creator><creator>Petricelli, Carla Dellabarba</creator><creator>Alexandre, Sandra Maria</creator><creator>Araujo Júnior, Edward</creator><creator>Zanetti, Miriam Raquel Diniz</creator><general>Instituto Israelita de Ensino e Pesquisa Albert Einstein</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>20140101</creationdate><title>Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study</title><author>Nakamura, Mary Uchiyama ; Sass, Nelson ; Elito Júnior, Julio ; Petricelli, Carla Dellabarba ; Alexandre, Sandra Maria ; Araujo Júnior, Edward ; Zanetti, Miriam Raquel Diniz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-d4c810d9b46c7c89879dcebf6829e71b191c82b27b073883064d2ffe7a5526183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Assoalho pélvico/instrumentação</topic><topic>Cross-Sectional Studies</topic><topic>Episiotomy - methods</topic><topic>Female</topic><topic>Gestantes</topic><topic>Humans</topic><topic>Lacerations - prevention & control</topic><topic>MEDICINE, GENERAL & INTERNAL</topic><topic>Muscle Contraction - physiology</topic><topic>Obstetric Labor Complications - prevention & control</topic><topic>Original</topic><topic>Pain Measurement</topic><topic>Parity - physiology</topic><topic>Parto</topic><topic>Pelvic Floor - physiology</topic><topic>Pelvic Pain - prevention & control</topic><topic>Perineum - injuries</topic><topic>Perineum - physiology</topic><topic>Períneo</topic><topic>Pregnancy</topic><topic>Reference Values</topic><topic>Reproducibility of Results</topic><topic>Statistics, Nonparametric</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Mary Uchiyama</creatorcontrib><creatorcontrib>Sass, Nelson</creatorcontrib><creatorcontrib>Elito Júnior, Julio</creatorcontrib><creatorcontrib>Petricelli, Carla Dellabarba</creatorcontrib><creatorcontrib>Alexandre, Sandra Maria</creatorcontrib><creatorcontrib>Araujo Júnior, Edward</creatorcontrib><creatorcontrib>Zanetti, Miriam Raquel Diniz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Einstein (São Paulo, Brazil)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Mary Uchiyama</au><au>Sass, Nelson</au><au>Elito Júnior, Julio</au><au>Petricelli, Carla Dellabarba</au><au>Alexandre, Sandra Maria</au><au>Araujo Júnior, Edward</au><au>Zanetti, Miriam Raquel Diniz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study</atitle><jtitle>Einstein (São Paulo, Brazil)</jtitle><addtitle>Einstein (Sao Paulo)</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>12</volume><issue>1</issue><spage>22</spage><epage>26</epage><pages>22-26</pages><issn>1679-4508</issn><issn>2317-6385</issn><eissn>2317-6385</eissn><eissn>1679-4508</eissn><abstract>To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device.
An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r).
The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p<0.001 women. A negative correlation was observed, in other words, the greater the perineal distensibility on the EPI-NO, the lower the pain reported by the patients (r=-0.424; p<0.001).
The assessment of perineal distensibility with EPI-NO was well tolerated by the parturient women.</abstract><cop>Brazil</cop><pub>Instituto Israelita de Ensino e Pesquisa Albert Einstein</pub><pmid>24728241</pmid><doi>10.1590/S1679-45082014AO2944</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Assoalho pélvico/instrumentação Cross-Sectional Studies Episiotomy - methods Female Gestantes Humans Lacerations - prevention & control MEDICINE, GENERAL & INTERNAL Muscle Contraction - physiology Obstetric Labor Complications - prevention & control Original Pain Measurement Parity - physiology Parto Pelvic Floor - physiology Pelvic Pain - prevention & control Perineum - injuries Perineum - physiology Períneo Pregnancy Reference Values Reproducibility of Results Statistics, Nonparametric Young Adult |
| title | Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study |
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