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| Efficacy of the recovery of postpartum pelvic floor function of women who had pelvic floor muscle exercise during the late pregnancy combined with postpartum neuromuscular electric stimulation |
| 1. Yongkang Hospital of traditional Chinese medicine, Yongkang, Zhejiang Province, 321302； 2. Hangzhou First People's Hospital |
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Abstract To observe the efficacy of the recovery of postpartum pelvic floor function women after the pelvic floor muscle exercise during the third trimester of pregnancy combined with the postpartum neuromuscular electric stimulation. Methods: 118 pregnant women were selected and were randomly divided into two groups (59 cases in each group) from August 2019 to August 2020. The women in the control group were given pelvic floor muscle function exercise after postpartum 42 days, and the women in the study group were given pelvic floor muscle function exercise during 28 gestational weeks combined with neuromuscular electric stimulation after postpartum 42 days for 2 months. The pelvic floor muscle tension score, the values of pelvic floor muscle potential activity and fatigue degree, the incidence of urinary incontinence, the degree of pelvic floor organ prolapse, the pelvic floor function, and the quality of life of the women in the postpartum 3rd month were compared between the two groups. Results: The normal rate of postpartum pelvic floor muscle tension (81.4%) of the women in the study group was significantly higher than that (61.0%) of the women in the control group. The potential activity value of pelvic floor muscle of the women in the study group in the 3rd month after delivery was significantly higher than that of the women in the control group. The value of pelvic floor muscle fatigue of the women in the study group was significantly lower than that of the women in the control group. The incidence of stress urinary incontinence (5.1%) of the women in the study group was significantly lower than that (20.3%) of the women in the control group (all P＜0.05). The degree of pelvic floor muscle organ prolapse of the women in the study group was mostly distributed in degree 0 andⅠ, which had significantly different from that of the women in the control group (P＜0.05). The pelvic floor function and quality of life of the women in the two groups after treatment had improved significantly. The scores of quality of life impacted by pelvic floor disease (25.53±3.55 points) and the symptom of pelvic floor dysfunction disease (21.06±3.15 points) of the women in the study group were significantly lower than those (42.23±4.32 points and 30.14±4.01points) of the women in the control group (all P＜0.05). Conclusion: The pregnant women are given pelvic floor muscle function exercise during 28 gestational weeks combined with postpartum neuromuscular electrical stimulation can improve their physiological condition of pelvic floor muscle, and can reduce the incidences of their urinary incontinence and pelvic floor organ prolapse, and which can improve the postpartum recovery of the women.
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