Abstract
Pelvic floor muscle dysfunctions can lead to urinary incontinence, a condition which often affects women both during pregnancy and after childbirth. As a result of this, certain exercises are recommended during and after pregnancy to prevent and treat this incontinence, and the BeBo Concept is one of these methods used to prevent pelvic floor muscle dysfunction. The aim of the present study was to evaluate the effects of a 6-week course of physical therapy according to the BeBo Concept on the improvement of perineal muscle strength and endurance as well as urinary continence in women after their first vaginal delivery. The study was conducted on a group of 56 women who were randomly assigned to the exercise (n = 30) or control (n = 26) group. The exercising group participated in a 6-week physical therapy program according to the BeBo Concept. Pelvic floor muscles were assessed using the perineometer and palpation Perfect Test. UDI6 and ICIQ-SF questionnaires were used to obtain information about the symptoms of urinary incontinence, evaluate the frequency, severity and impact of urine leakage on the quality of life. In all women after natural childbirth, regardless of treatment, it was observed that measured parameters improved, but the improvement was slightly more explicit in those who participated in the Bebo Concept exercise group (e.g. ICIQ-SF exercise group p = 0.001, control group p = 0.035). Due to its positive impact on the pelvic floor, this exercise program should be recommended to women after natural childbirth.
Highlights
The researchers noted that after natural childbirth, more than one-third of asymptomatic women developed urinary incontinence, and this lasted one year after delivery in two-thirds of that group[4]
Postpartum remission of stress urinary incontinence was observed and this can be explained by the resolution of hormonal and metabolic changes related to pregnancy and spontaneous healing of traumatic injuries resulting from natural d elivery[13]
It was decided to conduct the research in order to educate women about pelvic floor muscles (PFM) using the BeBo Concept as a method which is used to prevent and treat pelvic floor muscle dysfunction
Summary
The researchers noted that after natural childbirth, more than one-third of asymptomatic women developed urinary incontinence, and this lasted one year after delivery in two-thirds of that group[4]. Postpartum remission of stress urinary incontinence was observed and this can be explained by the resolution of hormonal and metabolic changes related to pregnancy and spontaneous healing of traumatic injuries resulting from natural d elivery[13]. The method is currently one of the concepts that is used to prevent pelvic floor muscle dysfunction. It is used in treatment of urological and gynecological disorders in women and men. The advantage of this method is a holistic approach to the human body, paying attention to the activation of the pelvic floor muscles, and to correct body posture, which in turn affects the functioning of the perineal muscles[16]. The idea of the method is based on five basic groups of exercises: awareness, mobilization, strengthening, relaxation exercises, and the integration of pelvic floor muscles into everyday activities[16,17]
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