Protocol for pelvic organ prolapse treatment with vaginal pessaries

Abstract

Objective: To develop a clinical protocol for the conservative treatment of pelvic organ prolapse with vaginal pessaries. Methods: Developmental research conducted in the period from July 2015 to January 2016 and performed in the following steps: refinement of topics/protocol issues; establishing recommendations for research and updates; peer review. The analysis was by statistical program and the Content Validity Index (CVI). Results: The protocol was developed and evaluated by professionals of the area through the Delphi technique regarding criteria of objectives, content and presentation, and relevance. The total CVI of each domain and the overall CVI were calculated. The total Content Validity Index for the objectives domain was 1.00, for content and presentation criterion was 0.98, and for the relevance domain was 0.96. The overall Content Validity Index obtained was 0.98. Thus, there was agreement among participants of the Delphi technique with value above 0.85, and the clinical protocol was considered valid. Conclusion: When health professionals use the clinical protocol, they will have a better foundation in practice and offer a higher quality care, since this is a valid and scientifically based tool.