| Early Pelvic Floor Muscle Training and Electrical Stimulation Therapy for Postpartum Pelvic Floor Dysfunction |
| |
| DOI： |
| EN KeyWords: pelvic muscle training electrical stimulation pelvic floor rehabilitation |
| Fund Project:四川省卫生计生委科研课题项目(17PJ252） |
|
| View Counts: 11304 |
| PDF Download Counts: 8251 |
| EN Abstract: |
| Objectives: To explore the effectiveness of early postpartum pelvic floor muscle training and electrical stimulation in the prevention and treatment of pelvic muscle dysfunction (PFD), and the related factors of PFD. Methods: This study included 284 nulliparous women of early pelvic floor rehabilitation from vaginal birth during 2015 and 2017 from Chengdu Fifth People's Hospital. The trials included three groups: low risk group (n=98), high risk group (n=92), and PFD group (n=94). Each group was subdivided into test and control subgroups. The incidence and improvement of PFD before and after pelvic floor rehabilitation, and the muscle strength of pelvic floor muscles were compared. Risk factors for PFD after vaginal birth were analyzed. Results: There was no significant difference in pelvic floor muscle strength and PFD before and after treatment in the low risk group (P>0.05); the muscle strength and PFD of the pelvic floor muscles in the high risk group and the PFD group were significantly improved after treatment as compared with those before treatment (P<0.05); the incidence of episiotomy, vaginal delivery, perineal laceration, macrosomia, prolonged second stage of labor, and postpartum urinary retention was significantly higher in the high risk group and the PFD group than in the low risk group (P<0.05); the incidence of episiotomy, perineal laceration, macrosomia, prolonged second stage of labor, and postpartum urinary retention was significantly higher in the high risk group than that in the PFD group (P<0.05). There was no significant difference in labor analgesia among the three groups (t=0.09, P>0.05); patient's age, body mass index, vaginal delivery or not, neonatal birth weight, length of second labor, and postpartum urinary retention were the independent factors of PFD (P<0.05), but there was no correlation between labor analgesia and PFD (P>0.05). Conclusion: For women with vaginal birth who have PFD risk factors, early pelvic floor muscle training and electrical stimulation rehabilitation can prevent the occurrence of PFD after vaginal birth. It is an effective method for non surgical treatment of PFD. |
|
查看全文
Download PDF Reader HTML Full Text |
| Close |
|
|
|
