scholarly journals Lymph Drainage in Pregnant Women

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Sylvia Cataldo Oportus ◽  
Lilian de Paiva Rodrigues ◽  
José Maria Pereira de Godoy ◽  
Maria de Fátima Guerreiro Godoy

Aim. The aim of this study was to evaluate the efficacy of lymph drainage to reduce edema of pregnant women.Method.Pregnant women (30 limbs) from the Obstetrics Outpatient Clinic of the Medical School of Santa Casa in São Paulo in the period December 2009 to May 2010 were enrolled in this quantitative, prospective study. The patients, in the 5th to 8th months of gestation, were submitted to one hour of manual lymph drainage of the legs. The volume of the legs was measured by water displacement volumetry before and after one hour of drainage using the Godoy & Godoy manual lymph drainage technique. The pairedt-test was used for statistical analysis with an alpha error of 5% being considered significant.Results. Manual lymph drainage significantly reduced swelling of the legs of pregnant women during the day (P=0.04).Conclusion. Manual lymph drainage helps to reduce limb size during the day of pregnant women.

2017 ◽  
Vol 7 (4) ◽  
Author(s):  
José Maria Pereira de Godoy ◽  
Ana Carolina Pereira de Godoy ◽  
Maria de Fatima Guerreiro Godoy

Manual lymph drainage has become the mainstay in the treatment of lymphedema for decades now. Five evolving variants have been described by Godoy & Godoy over the years: i) manual lymph drainage using rollers; ii) self-applied manual lymph drainage using rollers; iii) manual lymph drainage using the hands (manual lymphatic therapy); iv) mechanical lymphatic therapy using the RAGodoy® device; and v) lymphatic therapy using cervical stimulation in general lymphatic treatment. After breast cancer treatment using adapted technique with intermittent compression therapy. Lymphoscintigraphy, volumetry and bioimpedance were employed to analyze such treatment techniques applied to the upper and lower extremities. These treatment and evaluation topics are described in this brief report.


Author(s):  
Mehdi Khanbabayi Gol ◽  
Davoud Aghamohamadi

Objectives: Pain and shoulder dysfunction are among the adverse and prevalent conditions in post-mastectomy women. Therefore, the present study aimed to examine massage therapy with and without elastic bandaging on pain, edema, and shoulder dysfunction after modified radical mastectomy. Materials and Methods: This was a clinical trial conducted at Imam Reza hospital, Tabriz, Iran, from December 22, 2018, to May 5, 2019. Ninety women participated in this study and were randomly divided into three groups of 30 (i.e., Manual lymph drainage, Manual lymph drainage plus reduced-compression bandaging, and control) based on a random number table. Patients and their companions were instructed on the intervention to be performed at home on a daily basis 24 hours after surgery with the help of a trained research assistant. Data were entered in the relevant forms before and after the intervention, including demographic information, shoulder pain and dysfunction index (SPDI), and edema checklist. Data were analyzed through descriptive statistics, one-way ANOVA, and the Kruskal-Wallis test in SPSS 19. P<0.05 was considered statistically significant. Results: The comparison of the main variables between the three groups before and after the intervention showed no statistically significant difference (P>0.0560). The intervention could significantly change pain intensity and shoulder movement limitation (P=0.001). However, there was no difference in the edema variable before and after the intervention (P=0.25). Conclusions: In general, massage therapy with and without elastic bandaging had a positive effect on shoulder movement limitation and pain whereas it had no such effect on edema drainage.


2011 ◽  
Vol 26 (7) ◽  
pp. 298-300 ◽  
Author(s):  
J M P de Godoy ◽  
F M Valente ◽  
L M Azoubel ◽  
M F G Godoy

Aim The aim of this study was to investigate the effects of manual and mechanical lymph drainage on the bioelectrical composition of body tissues of patients with lymphoedema of the lower limbs. Method Twenty-one patients with lymphoedema of one leg were evaluated using single frequency bioelectrical impedance with four electrodes (SF-BIA4) immediately before and after a combination of manual and mechanical lymph drainage. Statistical analysis used the two-tailed paired t-test with an alpha error of 5% being considered acceptable. Results On comparing the results before and after lymph drainage, statistically significant differences were identified for both lymphoedematous and apparently healthy legs, but there were no significant differences in the alterations caused by the treatment between the healthy and lymphoedematous limbs of the same patient. Conclusion It was concluded that the association of manual and mechanical lymph drainage both modified the body composition as identified by bioelectrical impedance, and reduced the oedema.


2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
David A. Baker ◽  
Andrea Pressley ◽  
Lillian Meek ◽  
Reinaldo Figueroa ◽  
Barbara Yates ◽  
...  

Objective. This prospective study was undertaken to evaluate pregnant women's willingness to undergo HSV type-specific serologic testing and factors affecting willingness in an obstetrics/gynecology ambulatory unit.Methods. At prenatal Visit 1, pregnant women (n=303) with no history of HSV-2 were tested for HSV-1/HSV-2 before and after they received counseling on genital and neonatal herpes.Results. In both the Unwilling Subgroup and the group that changed from being willing to being unwilling, the most common reasons for choosing not to be tested werenot being at risk for genital herpes, being tested is too personal, and concern about what will be done with the results. Of the 134 participants in the Willing/Tested Subgroup, 27 (20%) were HSV-2 seropositive and 81 (60%) were HSV-1 seropositive.Conclusions. These results support the feasibility of HSV serologic testing and counseling in pregnant women.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
José Maria Pereira de Godoy ◽  
Mayra Yara Groggia ◽  
Lucilene Ferro Laks ◽  
Maria de Fátima Guerreiro de Godoy

Aim. The aim of this paper is to report a novel intensive therapy of gynoid lipodystrophy (cellulite) based on a new hypothesis.Methods. Were evaluated in 10 patients with ages ranging between 25 and 59 years (mean 35.6 years) grade IV cellulite identified by clinical evaluation. Before initiating treatment, perimetry was performed at 5 cm intervals along both thighs, at the gluteal fold, 5, 10, and 15 cm above the gluteal fold, at the navel, and 5 cm above the navel. The patients were submitted to a 4-hour daily treatment session that consisted of manual and mechanical lymph drainage and cervical stimulation by the Godoy & Godoy technique adapted for the treatment of cellulite. After 10 sessions over two weeks, the patients were again evaluated. The pairedt-test was utilized for statistical analysis with an alpha error of 5% (Pvalue < 0.05). A reduction was identified at all of the measurement points (pairedt-test;Pvalue < 0.0001).Results. The mean reductions varied between 4.0 and 5.7 cm at the measurement points but reductions of more than 10 cm in perimeter were achieved in some patients.Conclusion. This technique involving lymphatic system stimulation is efficacious in the treatment of cellulite.


VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 271-279 ◽  
Author(s):  
Wagner

Lymphedema and lipedema are chronic progressive disorders for which no causal therapy exists so far. Many general practitioners will rarely see these disorders with the consequence that diagnosis is often delayed. The pathophysiological basis is edematization of the tissues. Lymphedema involves an impairment of lymph drainage with resultant fluid build-up. Lipedema arises from an orthostatic predisposition to edema in pathologically increased subcutaneous tissue. Treatment includes complex physical decongestion by manual lymph drainage and absolutely uncompromising compression therapy whether it is by bandage in the intensive phase to reduce edema or with a flat knit compression stocking to maintain volume.


2010 ◽  
Author(s):  
Hildegard Wittlinger ◽  
Dieter Wittlinger ◽  
Wittlinger ,

2017 ◽  
pp. 68-73
Author(s):  
I.P. Polishchuk ◽  

The objective: was to examine the effectiveness of treatment of late miscarriage threat by micronized form of progesterone for 100 mg – 3 times a day in the form of gelatin pills and vaginal tablets with lactose. Patients and methods. Under our supervision there were 70 pregnant women with normocenosis of vagina (NCV) without extragenital pathology, which were not performed systemic or local treatment with antibacterial drugs in the last 4 weeks. Among them 25 pregnant women with TLSM treated by gelatin tablets of micronized progesterone (GTP) (group 1); 25 pregnant women with TLSM, treated by vaginal micronized progesterone tablets (VPT) (2nd group) and 20 healthy women with physiological pregnancy – PV (control group). The distribution of women in the group adhered to the principles of randomization. The age of examined women ranged from 19 to 32 years, most pregnant women were aged under 30 years (89.02%). General clinical examination was carried out according to the standard scheme according to the Order MH of Ukraine № 620. Results. During the research we have determined the colpocytologcal dynamics and state of vaginal microbiota in pregnant women with threatened late miscarriage with initial vaginal normocenosis before and after treatment whit vaginal forms of progesterone. Conclusion. The received results showed low efficiency of micronized progesterone gelatin dragee at threat of the late miscarriage that at small therapeutic effect has led to the development of vaginal dysbiosis in all surveyed. In contrast, the use of micronized progesterone vaginal tablets – the maximally rapid therapeutic effect without disturbance of vaginal normocenosis. Key words: the threat of a late miscarriage, vaginal micronized forms of progesterone.


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