Prophylaxis of pelvic organs prolapse in women after childbirth

Abstract

Purpose: to assess the strength of the pelvic floor muscles and the effectiveness of prevention measures for pelvic organ prolapse after childbirth in women with risk factors. Material and methods. Included 180 patients. In group I (n = 45) – gynecological pessarium was used after childbirth; in group II (n = 45) – pelvic floor muscle training (Kegel exercises) was used; in group III (n = 45) – no treatment was received. In group IV (control, n = 45) women without risk factors for prolapse to control functional parameters. Used: vaginal palpation assessment scale of Oxford. Results. The increase in the strength of the pelvic floor muscles in group II was more effective than in other groups and in 22.2% of patients reached 5 points (very strong contractions) compared with 6,6% – in groups I and IV (p<0,05). A significant increase in the strength of the pelvic floor muscle contraction was not observed in group III. The overall effectiveness of the treatment was 95,6%. Among those who did not receive treatment, the muscles remained weak in 22,2% (p = 0,03). Conclusion: increasing the strength of the pelvic floor muscles in groups I and II, indicates the effectiveness of the timely prevention of pelvic organ prolapse in women with risk factors for the development of this disease, immediately after birth.