Evidence map›Paper›PMID 39164504›Full record

ArticleArchives of gynecology and obstetrics2024

Pulsating electromagnetic fields for perineal lacerations and surgical wounds healing in the postpartum: a pilot study.

Ilma Floriana Carbone, Francesca Maria Paola Gigli, Gabriele Rossi, Valentina Romagnoli, Benedetta Gallicola, Flavia Sandi, Giovanna Esposito, Enrico Mario Ferrazzi

Abstract read
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Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ilma Floriana CarboneUnit of Obstetrics, Department of Woman, Child and Neonate, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Mangiagalli Center, Milan, Italy.
Francesca Maria Paola GigliDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy. Francesca.gigli@unimi.it.
Gabriele RossiUnit of Obstetrics, Department of Woman, Child and Neonate, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Mangiagalli Center, Milan, Italy.
Valentina RomagnoliDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Benedetta GallicolaDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Flavia SandiDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Giovanna EspositoDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Enrico Mario FerrazziDepartment of Clinical and Community Science, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to assess the possible benefits of Therapeutic Magnetic Resonance (TMR) in the treatment of spontaneous perineal lacerations and episiotomies in the postpartum.

methodsWe performed a prospective, non-pharmacologic, non-profit, monocentric interventional study on women who had a spontaneous laceration and/or an episiotomy at delivery. The TMR device treatment was accepted by 52 women, while 120 women underwent standard care. Patients were visited 1 day postpartum, before starting the treatment; then a follow-up visit was performed at 3 weeks, 5 weeks, and 3 months after delivery. The main endpoint was the time required for complete healing of the laceration and/or the episiotomy. Secondary endpoints were the prevalence of dehiscence, infections, urinary discomfort, urinary leakage, and the quality of restoration of sexual function.

resultsIn the treatment group the REEDA score was significantly better both at 3- and 5-weeks postpartum follow-up. At 3 weeks and 5 weeks postpartum, we observed a significantly better outcome in the treatment group for all subjective complaints and perineal complications associated with lacerations and episiotomies. The percentage of patients who scored above the cutoff for sexual dysfunction was significantly better in the treatment group (83.3%) than in the control group (31.8%) (p < 0.001).

conclusionsWith this pilot study, we introduced low dose Pulsating Electromagnetic Fields (PEMFs) as a novel conservative and not pharmacological approach to reduce complications of perineal lesions. Our results demonstrated to significantly improve perineal wound healing and to ameliorate the sexual function in the postpartum.

Indexed as

EpisiotomyLacerationsPerineumPostpartum PeriodWound HealingAdultFemaleHumansMagnetic Field TherapyPilot ProjectsPregnancyProspective StudiesYoung AdultEpisiotomyPerineal tearsTherapeutic Magnetic Resonance

Identifiers

PMID39164504
PMCPMC11393052

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.