Ключевые слова
Аннотация
Pelvic floor muscle dysfunction is a common condition in women during the postpartum period and is associated with vaginal delivery, prolonged labor, perineal trauma, and hormonal changes. Weakness of the pelvic floor muscles can lead to urinary incontinence, pelvic organ prolapse, sexual dysfunction, and a significant decline in quality of life. Early rehabilitation of pelvic floor muscles after childbirth is considered a key preventive and therapeutic measure.
Various methods have been proposed for pelvic floor muscle strengthening, including traditional pelvic floor muscle training, biofeedback-assisted exercises, electrical stimulation, and physiotherapy-based rehabilitation programs. However, the comparative effectiveness of these methods in postpartum women requires systematic evaluation to guide clinical practice.
Библиографические ссылки
Wang X., et al. Pressure-mediated biofeedback with pelvic floor muscle training for urinary incontinence: randomized clinical trial.
JAMA Network Open. 2024. Study comparing PFMT with biofeedback versus PFMT alone in postpartum women.
Biofeedback electrical stimulation combined with pelvic floor muscle training on postpartum stress urinary incontinence: a meta-analysis.
International Federation of Gynecology and Obstetrics (IFGO). 2025. Meta-analysis showing BFES + PFMT improves muscle strength and reduces incontinence compared with single interventions.
Pelvic floor muscle training with biofeedback or feedback from a physiotherapist for urinary and anal incontinence after childbirth — systematic review.
BMC Women’s Health. 2023. Assesses PFMT with or without physiotherapist biofeedback in postpartum incontinence.
Acta Obstet. Et Gynecol. Scand. 2013. Randomized controlled trial included in systematic reviews of PFMT.
Effectiveness of pelvic floor muscle strengthening exercises to prevent and treat urinary incontinence in postpartum women: systematic review.
ScienceDirect. 2025 review showing moderate to strong evidence supporting PFMT for postpartum UI prevention/treatment.
Efficacy of Kegel exercises combined with electrical stimulation on the restoration of postpartum pelvic floor muscle function.
Guang’an People’s Hospital retrospective study. 2025. Demonstrates combined Kegel + electrical stimulation improves pelvic floor outcomes.
Clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor functional exercise on postpartum pelvic organ prolapse.
PubMed. 2025. Shows combined ES biofeedback + PFMT yields better functional recovery than exercise alone.
Effect of pelvic floor muscle training and perineal massage during late pregnancy on postpartum pelvic floor function.
ScienceDirect RCT. Although focused on prenatal component, contributes to understanding PFMT benefits