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Effect of Early PFMT on Pelvic Floor Function Rehabilitation of Primipara after Vaginal Delivery |
ZHANG Ping, LU Qiong-fang, TANG Jing |
Guigang City People's Hospital, Guigang Guangxi 537100 China |
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Abstract 【Objective】To investigate the effect of early pelvic floor muscles training (PFMT) on the rehabilitation of pelvic floor function after vaginal delivery. 【Methods】 A total of 223 primiparas who delivered vaginally in Guigang People's Hospital from January to October 2020 were randomly divided into observation group and control group. The control group implemented natural rehabilitation of postpartum pelvic floor, and the observation group began PFMT intervention on the second day postpartum on the basis of the control group. Three months after the intervention, the pelvic floor muscle strength, the score of the pelvic floor dysfunction inventory-20 (PFDI-20), urinary incontinence and anal incontinence were compared between the two groups before and after the intervention. 【Results】 42 days after delivery, the muscle strength of Class Ⅱ muscle fibers in the observation group recovered better than that in the control group. The incidence of urinary incontinence and PFDI-20 score in the observation group were significantly lower than those in the control group (P<0.05); Three months after delivery, the recovery effect of Class Ⅰ and class Ⅱ muscle fibers in the observation group was better than that in the control group. The incidence of urinary incontinence and PFDI-20 score in the observation group were significantly lower than those in the control group (P<0.05). 【Conclusion】PFMT intervention can improve the muscle strength of postpartum pelvic floor muscle, reduce the incidence of postpartum urinary incontinence and improve the quality of life of pregnant women.
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Received: 21 April 2021
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