Programa de Psicoprofilaxis enfocado en el fortalecimiento del suelo pélvico en multíparas de la ciudad de Vinces.

Abstract

The project: “Psychoprophylaxis program focused on strengthening the pelvic floor in multiparas in the city of Vinces” has the general objective of improving the strength and functionality of the pelvic floor in the population of 40 multiparas in the city of Vinces. The specific objectives include population identification, initial assessment using tools such as the Oxford, Perfect, Sandvik tests and the quality-of-life questionnaire. The intervention was carried out through the design and implementation of a psychoprophylaxis program, subsequently a comparison was made between before and after the intervention. Prior to the intervention, the results indicated a high percentage of pelvic floor weakness, according to Oxford (76% in grades 2 and 3), according to the Perfect test, low number of contractions (20%), Sandvik, little urine loss (65%). %), additionally, the quality of life shows a decrease during leisure activities. After the application of the program, a significant improvement was observed in muscle strength evaluated using the Oxford scale, with a notable increase in the higher grades of strength (86% in grades 4 and 5). The muscle contractions recorded according to Perfect increased from 148 to 252, indicating better functionality of the pelvic floor. Furthermore, the incidence of urinary incontinence during moderate physical activities was reduced, according to the Sandvik test. In conclusion, the psychoprophylaxis program is an effective strategy to strengthen the pelvic floor and reduce associated complications in multiparous women, highlighting the importance of implementing this type of interventions in similar populations.