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Efectos del embarazo y el parto sobre el piso pélvico - Medwave

Revisión clínica

Revisión clínica

Medwave 2012 Mar/Abr;12(3):e5336 doi: 10.5867/medwave.2012.03.5336

Efectos del embarazo y el parto sobre el piso pélvico

Effects of pregnancy and childbirth on the pelvic floor

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Citación: Naser M, Manríquez V, Gómez M. Effects of pregnancy and childbirth on the pelvic floor. Medwave 2012 Mar/Abr;12(3):e5336 doi: 10.5867/medwave.2012.03.5336
Fecha de envío: 28/1/2012
Fecha de aceptación: 21/2/2012
Fecha de publicación: 1/3/2012
Origen: solicitado
Tipo de revisión: con revisión externa por pares

Autores: Michel Naser (1), Valentín Manríquez (1), Mauricio Gómez (1)
(1)Unidad de Piso Pélvico Femenino, Hospital Clínico Universidad de Chile, Santiago, Chile
Correspondencia a: [+]

(1)Hospital Clínico Universidad de Chile, Avenida Santos Dumont 999, Independencia, Santiago, Chile
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Resumen [+] Abstract [+]


Las disfunciones del piso pélvico comprenden la incontinencia urinaria de esfuerzo, el prolapso de órganos pélvicos y la incontinencia anal. Una de cada diez mujeres tendrá que ser sometida a una intervención quirúrgica por disfunciones del piso pélvico durante su vida. Además, entre el 30% y el 50% tendrá una recidiva de estas intervenciones. La maternidad es un factor que contribuye de manera importante en la presentación de estas disfunciones pelvianas. Aún no existe evidencia probada de que el parto vaginal sea un factor completamente decisivo para la presencia de disfunciones del piso pélvico. Existe intensa investigación acerca del embarazo y el parto y sus efectos sobre el piso pélvico, y acerca de si algunas de las acciones obstétricas pueden ser modificadas con el fin de protegerlo de los potenciales daños.
(X) Cerrar Resumen


The pelvic floor dysfunctions include urinary incontinence, pelvic organ prolapsed and anal incontinence. One in ten women will be subjected to surgery for pelvic floor dysfunction during their lifetime. In addition, between 30% and 50% will have a recurrence of these interventions. Motherhood is a factor that contributes significantly to the submission of pelvic dysfunctions. There is still no proven evidence that vaginal delivery is an absolutely crucial factor for the presence of pelvic floor dysfunction. There is extensive research on pregnancy and child birth and their effects on the pelvic floor and if some of the obstetric action scan be modified in order to protect it from potential damage.
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Palabras clave: embarazo, piso pélvico, incontinencia urinaria, incontinencia anal, prolapso genital, pregnancy, pelvic floor, urinary incontinence, anal incontinence, genital prolapse


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