Comparison of the effects of early pelvic floor muscle rehabilitation on postpartum pelvic floor rehabilitation and sexual function in different delivery methods / 中国基层医药

ABSTRACT

Objective To observe the effect of early pelvic floor muscle rehabilitation on postpartum pelvic floor rehabilitation and sexual function in different delivery methods.Methods Ninety-three parturient women who admitted to the Department of Obstetrics and Gynecology in Taizhou Hospital from January 2018 to December 2018 were divided into cesarean section group (53 cases) and vaginal delivery group (40 cases) according to the mode of delivery.Early pelvic floor muscle rehabilitation was performed in both two groups.Maternal pelvic floor rehabilitation was assessed by pelvic floor muscle pressure and muscle fiber contraction ,and maternal sexual function was assessed by sexual function status score.Results Before treatment,the sustained systolic blood pressure of type Ⅰ muscle fibers[(28.14 ±3.03)cmH2 O vs.(27.66 ±3.14)cmH2 O],the duration of type Ⅰ muscle fibers[(9.54 ±1.04)s vs.(9.66 ±1.00) s], the rapid systolic blood pressure of type Ⅱ muscle fibers [( 48.14 ±3.03 ) cmH2 O vs. (47.66 ±3.14)cmH2 O],and the contraction of type Ⅱmuscle fibers[(2.54 ±1.04) vs.(2.66 ±1.00)] had no statistically significant differences between the two groups ( t ＝0.401,0.312,2.401,0.324,all P＞0.05).After treatment,the sustained systolic blood pressure of type Ⅰ muscle fibers, duration of type Ⅰ muscle fibers, rapid systolic blood pressure of type Ⅱmuscle fibers,and the contraction of type Ⅱmuscle fibers had statistically signifi-cant differences between the two groups (t＝10.642,10.214,10.672,10.254,all P＜0.05).There were no statisti-cally significant differences in resting pressure and pelvic systolic pressure between the two groups before intervention (all P＞0.05).After intervention,both two indicators were elevated ,and the differences were statistically significant compared with before treatment (t＝12.093,14.152,all P＜0.05).The resting pressure and pelvic systolic pressure in the cesarean section group were higher than those in the vaginal delivery group ,the differences were statistically significant (t＝11.642,10.234,all P＜0.05).Compared with before intervention ,the indicators and total scores of sexual function in the cesarean section group were better than those in the vaginal delivery group ,the differences were statistically significant (t＝15.401,17.312,19.645,19.401,17.312,all P＜0.05).After intervention,the maternal sexual function indicators and total score in the two groups were increased ,and the differences between the two groups were not statistically significant (t＝0.642,1.214,0.468,0.668,0.068,all P＞0.05).Conclusion Early pelvic floor rehabilitation is beneficial to the recovery of pelvic floor and sexual function .