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| The clinical efficacy of pelvic floor muscle exercise during pregnancy combined with biofeedback electrical stimulation after delivery |
| Nanshan Women and Children Health Care Hospital, Shenzhen, Guangdong Province, 518067 |
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Abstract Objective: To explore application value of pelvic floor muscle exercise during pregnancy combined with postpartum biofeedback electrical stimulation after delivery. Methods: From July 2016 to December 2017, 300 pregnant women were selected in this study, which included 182 women experienced vaginal delivery (group A1), 98 women experienced cesarean section (group B1), and all these 300 women received pelvic floor muscle exercise during pregnancy combined with postpartum biofeedback electrical stimulation after delivery. In addition, other 45 women after delivery were selected in control group (women in group A2 had experienced vaginal delivery, and women in group B2 had experienced cesarean section). The pelvic floor muscle strength, vaginal pressure, and vaginal contraction duration of women were compared among the four groups, and the incidence of pelvic floor dysfunction of women was also compared among the four groups. Results: At week 6 and 12 after delivery, the degree of pelvic floor type I and type II muscle strength, vaginal resting pressure, and vaginal systolic blood pressure, and the time of duration of guided vaginal contractions guided of women in group A1 were significant better than those of women in group A2 (P<0.05). The incidences of anterior and posterior vaginal prolapsed, and urinary incontinence of women in group A1 were significant lower than those of women in group A2 at postpartum 12 week (P<0.05). At postpartum 6 week, the pelvic floor muscle strength of women in group B1 was significant better than that of women in group B2b (P<0.05). At 12 weeks postpartum, the degree of pelvic floor type I and type II muscle strength, vaginal resting and systolic pressure, and the time of duration of vaginal contraction guided of women in the B1 group were significant superior to those of women in group B2, and the incidence of anterior vaginal wall prolapse and urinary incontinence of women were significant lower than those of women in group B2 (P<0.05). Conclusion: No matter the delivery mode of women, the pelvic floor muscle exercise during pregnancy combined with biofeedback electrical stimulation after delivery for women can effectively improve the pelvic floor muscle strength and pelvic floor function, and reduce the incidence of postpartum pelvic floor dysfunction.
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