Is postpartum pelvic rehabilitation necessary?

Young women may not be particularly clear about the disease of pelvic floor dysfunction, but pelvic floor dysfunction is more likely to occur in middle-aged women, and its main symptom is urinary incontinence. The main cause of pelvic floor dysfunction is childbirth, so some women will undergo pelvic floor function recovery after childbirth, but do all women need pelvic floor function recovery training after childbirth?

1. Pelvic floor dysfunction, an unspeakable secret.

In the outpatient clinic, there are often such patients - getting up in the middle of the night to urinate, and as soon as they sit up, they can't help but urinate in their pants; they are afraid of not being able to control their urination in public places, so they have to put on sanitary napkins or diapers before going out... The reason for urine leakage when laughing out loud can be traced back to childbirth!

The incidence of pelvic floor muscle dysfunction in married and childbearing women is about 30%-40%, with the highest concentration of patients in their 40s and 50s. Among patients with pelvic floor dysfunction, more than half have varying degrees of urination abnormalities. Many people don’t know that pelvic floor dysfunction in middle-aged and elderly people may be caused by childbirth injuries decades ago.

Between the female pelvis and lower limbs, there are only supporting structures such as the pelvic floor muscles. The pelvic floor muscles, like a spring bed, hold up and support pelvic organs such as the bladder, uterus, and rectum, and have multiple physiological functions, including controlling urination and defecation, maintaining vaginal tightness, etc. During pregnancy and childbirth, women will inevitably suffer varying degrees of damage to their pelvic floor muscles.

2. Do mothers who have undergone cesarean section not need pelvic floor rehabilitation?

Whether women give birth naturally or by caesarean section, they need pelvic floor rehabilitation after delivery. During pregnancy, the pelvic floor becomes loose under the action of the progesterone relaxin. As the fetus grows, the fetal position moves downward, and the pelvic floor is squeezed more and more.

After delivery, as the fetus is delivered, some ligaments rupture and the elasticity of the "spring bed" decreases, making it unable to fix the organs in their normal position, resulting in functional disorders such as incontinence and organ prolapse. Therefore, women who give birth naturally or by caesarean section need to undergo a pelvic floor function assessment after delivery.

Compared with foreigners, Chinese pregnant women have smaller pelvises, but the babies they give birth to are just as big as foreign babies. Therefore, pelvic floor relaxation after childbirth is very common among Chinese women. The sequelae of pelvic floor relaxation that truly affects the quality of life may not appear until decades later, so it has not attracted the attention of many people.

3. Postpartum pelvic floor training to prevent diseases 25 years later.

Statistics conducted abroad show that one-third of women experience pelvic floor relaxation after giving birth, which affects urination. Although it cannot be considered urinary incontinence in the strict sense at this time, the proportion of this group of people developing urinary incontinence when they reach their forties or fifties is very high. Therefore, abroad, female pelvic floor function restoration is being promoted as a government task. In developed countries and regions such as Europe, America, Japan and South Korea, the issue of female pelvic floor dysfunction has been taken seriously as early as two or three decades ago, and regular pelvic floor muscle training has been conducted on women 42 days after delivery.

4. The earlier you start pelvic floor rehabilitation training, the better the effect.

The first year after childbirth is the "golden time" for the recovery of pelvic floor muscle function. The earlier you start training, the better the effect. If you don't do any training, as you age, your hormone levels drop, your muscles become loose, and the symptoms will become more and more serious. When people reach middle age or old age, they are likely to experience mild to moderate stress cramps or varying degrees of stress urinary incontinence, and some may even develop uterine prolapse.

Postpartum pelvic floor rehabilitation: awakening the beauty of women's inherent beauty

The celebrities' curvy figures and beautiful faces after giving birth make new mothers envious! But what you don't see is that they attach great importance to pelvic floor rehabilitation.

Urinary incontinence, sexual unhappiness, uterine prolapse... these are embarrassing things we have never seen celebrities do in entertainment news. The importance they attach to pelvic floor rehabilitation may be far beyond your imagination.