Is postpartum pelvic repair useful?

For mothers, the pelvis will undergo major changes during the delivery process, especially becoming loose from a narrow position. They may even become unable to control urination due to functional disorders of the pelvic floor. Therefore, many women need to undergo pelvic repair, but some women do not agree. So is postpartum pelvic repair useful? This depends on whether the chosen institution is a formal one and whether the operating physician has rich experience. Generally speaking, this type of repair is effective.

Postpartum pelvic recovery is very important for mothers. Did you know, moms? Let’s take a look at a health policy in France: providing all mothers with a course of pelvic floor muscle function rehabilitation training, in order to prevent them from suffering from urinary incontinence 25 years later. Many young mothers attach great importance to postpartum weight loss, but are not very familiar with postpartum pelvic floor muscle rehabilitation.

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 mothers' 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 repair?

Whether women give birth naturally or by caesarean section, they need pelvic repair 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 do pelvic recovery 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 the pelvic repair, the better the effect

The six months after childbirth is the "golden time" for pelvic recovery. 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.