Vaginal Electrical Stimulation for Postpartum Neuromuscular Recovery



Status:Recruiting
Healthy:No
Age Range:18 - 50
Updated:1/20/2019
Start Date:March 2016
End Date:December 2019
Contact:Meera Tavathia, M.P.H.
Email:meera.tavathia@northwestern.edu
Phone:312-926-7846

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For too many women, childbirth results in devastating consequences: involuntary loss of feces
or urine (fecal or urinary incontinence). In fact, up to 50 percent of women with severe
tears during childbirth may develop these problems. These new mothers avoid leaving home in
order to stay close to a toilet, wear protective pads every day, and avoid activities they
previously enjoyed such as exercise and sexual intercourse. It is not surprising that many of
these women suffer from postpartum depression, and bonding with their newborns is
compromised.

Fecal and urinary incontinence occur due to injuries to the pelvic nerves and muscles during
childbirth. Many researchers have focused on what can be done to prevent these injuries;
however, few have investigated how to help the countless women who have already suffered from
these injuries to the nerves and muscles. In other fields such as orthopedics and neurology,
research shows that electrical stimulation can provoke nerve regeneration after injury.
Applying this technology to women who have recently suffered from nerve injury during
childbirth could have profound and life-changing effects. Investigators hypothesize that
electrical stimulation immediately postpartum will markedly help pelvic nerves regenerate,
minimizing rates of fecal and urinary incontinence for this vulnerable population of new
mothers.


Inclusion Criteria:

- Primiparous (First delivery)

- Women who sustain Obstetric Anal Sphincter Injury (OASIS) during first vaginal
delivery

- Between age of 18 - 50 years

- English speaking and reading

Exclusion Criteria:

- Implanted electrical device or cardiac arrhythmia

- Neurological disorder

- Inflammatory bowel disease

- Chronic Steroid Use

- Wound breakdown and infection

- Anticipated geographic relocation
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