The best time to repair pelvic floor muscles

Pelvic floor muscle repair is an issue that many mothers are very concerned about, because after giving birth, they will feel that their body shape has shown signs of serious change, so the repair work becomes particularly important. It should also be noted that it is necessary to start repair about one month after delivery, otherwise it will have a bad effect on wound healing. Do not do some strenuous exercise immediately, but improve step by step.

Contraindications

1. Pregnant women’s abdomen

2. Postpartum lochia is not clean or during menstruation

3. Patients with pacemakers

4. Malignant tumor area

5. Surgical scar rupture

6. Neurological diseases

Key points of recovery

1. Women who have given birth more than 42 days ago, whose uterus has recovered well and have no infection can have their pelvic floor muscles tested in time to determine the extent of the injury.

2. Use the instrument to feel and learn to contract - relax the pelvic floor muscles, learn to identify and consciously control the pelvic floor muscles, and master the correct method of pelvic floor muscle contraction (avoid abdominal muscle contraction).

3. Under the guidance of a doctor, apply comprehensive techniques and conduct targeted training based on individual symptoms and the extent of pelvic floor muscle damage (the degree and type of muscle fiber damage).

4. After completing 10-15 pelvic floor muscle exercises, you can do self-exercise.

5. Proceed step by step, do it at the right time and in the right amount, and persist.

6. Women with urinary incontinence and pelvic organ prolapse need to use electrical stimulation and biofeedback therapy, and extend the treatment course appropriately. (Related link: Pelvic floor muscle rehabilitation training method)

Strictly speaking, all women in mid- and late-term pregnancy and postpartum are suitable for pelvic floor muscle rehabilitation training. For those who have the following conditions, pelvic floor muscle rehabilitation should be performed as early as possible:

① Weakened pelvic floor muscle strength. If unable to resist resistance, contraction duration ≤3s (pelvic floor muscle strength rating ≤3) or vaginal contraction pressure ≤30cmH2O.

② Urinary incontinence occurs after delivery or persists after delivery.

③ Pelvic organ prolapse occurs after delivery, such as POP-Q system score 1 or above, especially with bulging of the anterior and posterior vaginal walls.