Effects of Kegel exercises since 28 weeks of gestation on pelvic floor function in late pregnancy,labor and postpartum period
Objective To investigate the effects of Kegel exercise from 28 weeks of gestation on pelvic floor function in late pregnancy,labor and delivery and postpartum.Methods A total of 360 cases of primigravid women who were examined in this hospital from January 2020 to December 2020 were selected as the study subjects,and were divided into 180 cases of the control group and the observation group by using the method of randomized numerical table.The control group was given routine prenatal checkups,and the observation group was instructed by specialists to carry out Kegel exercise intervention since 28 weeks of gestation,and observed and compared the indicators of late pregnancy,delivery outcome and postpartum pelvic floor function of the two groups after the intervention.Results There was no difference between the two groups when comparing the degree of urinary incontinence at 28 weeks of gestation(P>0.05);when comparing the degree of urinary incontinence between the two groups at 36 weeks of gestation,the propor-tion of moderate and severe urinary incontinence in the observation group was significantly less than that in the control group(P<0.05);the rate of neonatal asphyxia,postpartum hemorrhage and postpartum urinary retention in the obser-vation group was significantly less than that in the control group(P<0.05);there was no difference in the rate of peri-neal tearing in the observation group when compared with the control group(P>0.05);the rates of perineal lateral cut and perineal integrity in the observation group were significantly higher than those in the control group(P<0.05);and the postnatal fiber tension scores of class Ⅰ and Ⅱ of the superficial and deep pelvic floor muscles in the observation group were significantly greater than those in the control group(P<0.05).Conclusions Kegel exercise training signif-icantly reduces pelvic floor dysfunctional symptoms during pregnancy and the postpartum period,improves perineal intactness and birth outcomes,promotes postpartum pelvic floor muscle fiber muscle strength recovery,enhances mater-nal postpartum pelvic floor dynamic pressure,and significantly reduces the risk of disc floor dysfunctional disorders.
PregnancyKegel exercisesLate pregnancyLaborPelvic floor function
NETL
NSTL
万方数据
维普
