Effect of the pelvic floor function training on the incidence rate of pelvic organ prolapse and electrical stimulation in the treatment of pelvic organ probpse

ObjectiveTo evaluate the effects of pelvic floor rehabilitation training on the incidence rate and electrical stimulation of pelvic organ prolapse(POP).

MethodsA total of 1 629 patients with delivery, pelvic floor muscle strength screening and treatment were divided into the control group(795 cases) and observation group(834 cases).In the control group, the regular pregnancy examination was conducted, no intervention during pregnancy was carried out, and the pelvic floor rehabilitation were implemented in patients with postpartum POP.In the observation group, the regular pregnancy examination and intervention during pregnancy(including health education, diet guidance, quality management and pelvic floor muscle training) were carried out, and the postpartum rehabilitation treatment, electrical stimulation combined with biofeedback therapy and maternal pelvic floor muscle function exercise were implemented.In two groups, the incidence of disease were analyzed at postpartum 42 d, and the improvement of puerpera POP were observed at postpartum 6 months.

ResultsAt postpartum 42 d, compared with the observation group, the proportion of the grade Ⅰ and Ⅱ muscle tension in the control groups was higher, and the results of POP-Q showed that the prevalence rate of SUI in control group(38.23%) was significantly higher than that in observation group(28.89%) (P < 0.05).At postpartum 6 moths, the results of the muscle tension test showed that the proportion of the grade Ⅰ and Ⅱmuscle tension in two groups significantly decreased.At postpartum 6 months, the results of POP-Q showed that the prevalence rate of SUI in two groups significantly decreased, and which in control group was higher than that in observation group(P < 0.05).After 6 months of treatment, the improvement of POP-Q in observation group was significantly better than that in control group(P < 0.05).

ConclusionsThe maternal pelvic floor rehabilitation training can effectively reduce the incidence rate of POP, and improve the effects of the electrical stimulation treatment.