Early postpartum biofeedback assisted pelvic fl oor muscle training in primiparous women with second degree perineal laceration: Effect on sexual function and lower urinary tract symptoms

doi:10.1016/j.tjog.2020.11.011

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23282

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题名:	Early postpartum biofeedback assisted pelvic fl oor muscle training in primiparous women with second degree perineal laceration: Effect on sexual function and lower urinary tract symptoms
作者:	Wu, TF;Huang, LH;Lai, YF;Chen, GD;Ng, SC
关键词:	Primiparous;Second-degree perineal laceration;Early intervention;Supervised pelvic floor muscle training;Sexual function
日期:	2021
上传时间:	2022-08-05T09:34:45Z (UTC)
出版者:	ELSEVIER TAIWAN
ISSN:	1028-4559
摘要:	Objective: To evaluate the short-term effect of routine early postpartum electromyographic biofeedback assisted pelvic floor muscle training on sexual function and lower urinary tract symptoms. Materials and methods: From December 2016 to November 2017, primiparous women with vaginal delivery, who experienced non-extended second-degree perineal laceration were invited to participate. Seventy-five participants were assigned into a pelvic floor muscle training (PFMT) group or control group. Women in the PFMT group received supervised biofeedback-assisted pelvic floor muscle training at the 1st week and 4th week postpartum. Exercises were performed at home with the same protocol until 6 weeks postpartum. The Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ12) and the Urinary Distress Inventory short form questionnaire (UDI-6) were used to evaluate sexual function and lower urinary tract symptoms respectively at immediate postpartum, 6 weeks, 3 months, and 6 months postpartum. Results: Forty-five women (23 in PFMTgroup,22 in control group) completed all questionnaires at 6 months postpartum. For overall sexual function and the three sexual functional domains, no statistically significant difference was found in PISQ scores from baseline to 6 weeks, 3 months, and 6 months postpartum between the PFMT and control groups. For postpartum lower urinary tract symptoms, all symptoms gradually improved over time for both groups without a statistically significant difference between groups. Conclusion: Our study showed that supervised biofeedback-assisted pelvic floor muscle training started routinely at one week postpartum did not provide additional improvement in postpartum sexual function and lower urinary tract symptoms. (c) 2021 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
URI:	http://dx.doi.org/10.1016/j.tjog.2020.11.011 https://www.webofscience.com/wos/woscc/full-record/WOS:000631884400015 https://ir.csmu.edu.tw:8080/handle/310902500/23282
關聯:	TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY ,2021,v60,issue 1, P78-83
显示于类别:	[中山醫學大學研究成果] 期刊論文

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