Effect of pelvic floor muscle functional exercise on contractility, urination, and incidence of postpartum urinary incontinence of puerperae in early postpartum period

Abstract

Objective To investigate the effect of pelvic floor muscle functional exercise on contractility, urination, and incidence of urinary incontinence in puerperal women. Methods 240 primiparae admitted to our hospital from January, 2016 to January, 2017 were selected as observation objects, and were divided into a control group and a research group according to the admission order, 120 cases for each group. The control group received routine postpartum guidance; in addition, and the research group did early postpartum pelvic floor muscle function exercise. The contractility of pelvic floor muscle, urination status, and incidence of postpartum urinary incontinence were compared between the two groups. Results 3, 6, and 12 months after the nursing care, 56.67%, 72.50%, and 93.33% patients got pelvic floor muscle contractility ≥ grade 3 in the study group, and 43.33%, 55.00% and 80.83% in the control group (all P<0.05). The micturition scores 3, 6, and 12 months after the nursing care were lower in the study group than in the control group (all P<0.05). 3, 6, and 12 months after the nursing care, the incidences of urinary incontinence was 25.00%, 15.83%, and 5.83% in the study group, and were 39.17%, 27.50%, and 15.83% in the control group (all P<0.05). Conclusion Early postpartum pelvic floor muscle exercise can improve the pelvic floor muscle contractility and urination, and reduce the incidence of postpartum urinary incontinence. Key words: Postpartum; Early; Pelvic floor muscle function exercise; Pelvic floor muscle contractility; Urinary incontinence