Negative impact of gestational diabetes mellitus on progress of pelvic floor muscle electromyography activity: Cohort study

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dc.contributor.authorPrudencio, Caroline B. [UNESP]
dc.contributor.authorRudge, Marilza V.C. [UNESP]
dc.contributor.authorPinheiro, Fabiane A. [UNESP]
dc.contributor.authorSartorão Filho, Carlos I. [UNESP]
dc.contributor.authorNunes, Sthefanie K. [UNESP]
dc.contributor.authorPedroni, Cristiane R. [UNESP]
dc.contributor.authorJunginger, Baerbel
dc.contributor.authorBarbosa, Angélica M.P. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionCharité University Hospital
dc.date.accessioned2020-12-12T01:44:52Z
dc.date.available2020-12-12T01:44:52Z
dc.date.issued2019-11-01
dc.description.abstractBackground and objective Pelvic floor muscles are involved in postural stability, in maintenance intra-abdominal pressure, and on mechanical support for pelvic organ. Gestational Diabetes Mellitus’ (GDM) pregnancies complicated by fetal macrosomia, large placenta and polyhydramnios contribute for abrupt and intense increase in maternal intra-abdominal pressure. Our objective was analyze the impact of GDM on pelvic floor muscle (PFM) electromyography (EMG) activity progress from 24–30 to 36–38 weeks of gestation. We conducted a prospective cohort study. PFM EMG was performed in nulliparous or primiparous women with one previous elective cesarean delivery and with or not GDM diagnosed by the American Diabetes Association criteria. A careful explanation of the muscle anatomy and functionality of the PFM was given before EMG assessment. The outcome measures were PFM recruitment and progress from 24–30 to 36–38 weeks of gestation analyzed by the normalized root mean square (RMS) during rest-activity, fast and hold pelvic floor muscle contraction. Results Fifty-two pregnant women were assigned to 2 groups: the GDM (n = 26) and normoglycemic (NG) (n = 26). The demographic and obstetric data showed homogeneity between the groups. PFM activity progress was decreased in rest-activity (P = 0.042) and hold contraction (P = 0.044) at 36–38 weeks of gestation in the GDM group relative to that in the NG group. Conclusion GDM group showed a progressive decrease in EMG-PFM activity during rest-activity and hold contractions from 24–30 to 36–38 weeks of gestation.en
dc.description.affiliationDepartment of Gynecology and Obstetrics Botucatu Medical School São Paulo State University (Unesp) Universidade Estadual Paulista (UNESP)
dc.description.affiliationDepartment of Physiotherapy and Occupational Therapy School of Philosophy and Sciences São Paulo State University (Unesp) Universidade Estadual Paulista (UNESP)
dc.description.affiliationGynecology Department Charité University Hospital
dc.description.affiliationUnespDepartment of Gynecology and Obstetrics Botucatu Medical School São Paulo State University (Unesp) Universidade Estadual Paulista (UNESP)
dc.description.affiliationUnespDepartment of Physiotherapy and Occupational Therapy School of Philosophy and Sciences São Paulo State University (Unesp) Universidade Estadual Paulista (UNESP)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2016/ 01743- 5
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0223261
dc.identifier.citationPLoS ONE, v. 14, n. 11, 2019.
dc.identifier.doi10.1371/journal.pone.0223261
dc.identifier.issn1932-6203
dc.identifier.lattes2252907234602497
dc.identifier.orcid0000-0001-6907-3345
dc.identifier.scopus2-s2.0-85074639622
dc.identifier.urihttp://hdl.handle.net/11449/199622
dc.language.isoeng
dc.relation.ispartofPLoS ONE
dc.sourceScopus
dc.titleNegative impact of gestational diabetes mellitus on progress of pelvic floor muscle electromyography activity: Cohort studyen
dc.typeArtigo
unesp.author.lattes2252907234602497[6]
unesp.author.orcid0000-0001-6907-3345[6]

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Artigos - Ginecologia e Obstetrícia - FMB
Artigos - Fisioterapia e Terapia Ocupacional - FFC