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| Effect of maternal pelvic floor muscle training plan on perinatal outcomes and postpartum urinary incontinence |
| HAN Manlin LIN Hexian▲ XING Shaoning |
| Department of Obstetrics, Haikou Maternal and Child Health Hospital, Hainan Province, Haikou 570203, China |
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Abstract Objective To explore the effect of pelvic floor muscle exercise program on perinatal outcomes and postpartum urinary incontinence during the second trimester of pregnancy. Methods Clinical data of 98 parturients delivered in Haikou Maternal and Child Health Hospital from January 2017 to January 2018 was retrospectively analyzed. According to the time of pelvic floor muscle exercises, they were divided into control group (49 cases) and observation group (49 cases), pelvic floor muscle exercises were performed at 7 days postpartum and 20 weeks postpartum respectively. The duration of labor, delivery outcome, postpartum uterine prolapse, stress urinary incontinence, vagina muscle strength [vaginal resting pressure(VRP) and vaginal systolic pressure(VSP)] and pelvic floor, PFDI-20 and PFIO-7 scores of the two groups were compared. Results The first, second and third stages of labor were shorter than those of the control group, and the number cesarean section rate in the observation group was lower than that in the control group (P < 0.05). At 42 d postpartum, the incidence of uterine prolapse and stress urinary incontinence, scores of PFDI-20 and PFIO-7 in the observation group were significantly lower than those in the control group (P < 0.05), and the number of pelvic floor muscle strength (greater than or equal to Ⅲ grade), VRP and VSP were significantly higher than those in the control group (P < 0.05). Conclusion Pelvic floor muscle exercise during the second trimester of pregnancy can effectively shorten the duration of labor, improve the birth rate, help to restore pelvic floor, vaginal muscle strength, and reduce the occurrence of uterine prolapse and stress urinary incontinence.
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