Pregnancy, delivery and number of fetuses: full-term pregnancy, vaginal delivery, too long delivery process, overweight fetus, large number of fetuses, need to use natural delivery or negative pressure suction, the higher the incidence.
Age: postpartum, menopause and menopause, female hormone deficiency.
Increased abdominal pressure: obesity, chronic lung disease, heavy manual workers, chronic cough or chronic constipation.
After pelvic surgery: especially after radical operation of cervical cancer.
Repair method: Kegel exercise (pelvic floor muscle repair)
The first stage-[step by step, endless hope]
Basic training method: slowly contract and clamp the anus, and constantly contract to the muscles around the vagina and urethral orifice. At this time, the contracted muscle is pelvic floor muscle (or levator ani), so repeated slow contraction and relaxation is pelvic floor muscle movement. Be careful not to use the abdomen. If you hold your breath or exert improper force, it will increase the pressure on the pelvic floor muscles.
The second stage-[step by step, getting better]
Simple standing exercise: slowly lift the anus to tighten the pelvic floor muscles, pinch the buttocks and toes 10 seconds, and then slowly relax and rest for 20 seconds.
Reflexive training: When changing posture, coughing, sneezing, lifting heavy objects and needing abdominal force, pelvic floor muscles should contract reflexively quickly and forcefully, which can effectively avoid urine leakage. Find out your muscle contraction ability, increase your muscle contraction ability, and maintain a certain amount of muscle contraction practice. ※.
The third stage-[Be familiar with it and keep the results forever]
A. With the daily activities, the intensity can be gradually increased. B. whether you are sitting, standing or lying down. At the same time, it can also be done in daily activities such as work and housework.
My top article is about training from the first day after delivery to one year after delivery. You can refer to it
The pelvic floor is composed of multiple layers of muscles and fascia, like a hammock, which hangs the urethra, bladder, vagina, rectum and other organs tightly together, thus participating in controlling urination and defecation, maintaining the sealing of vagina and other physiological functions.
However, due to some reasons, especially postpartum, women's pelvic floor muscles will be damaged to varying degrees, which will lead to a series of symptoms such as urinary incontinence, bladder uterine prolapse, chronic pelvic inflammatory disease and vaginal relaxation.
So, what causes pelvic floor muscle relaxation?
1. In the process of pregnancy, the changes of hormones in the expectant mother's body and the gradual enlargement of the uterus with the increase of gestational age will pull the surrounding pelvic fascia, ligaments and muscles to a certain extent, weakening the supporting force, thus causing damage to the mother's pelvic floor tissue.
2. During natural childbirth, with the progress of the Great Wall, it begins to decline, which can further aggravate the damage of pelvic floor muscles and nerves, especially for women who are assisted by forceps or have perineal tears during childbirth, which is likely to cause excessive traction on pelvic floor fascia, ligaments and muscles, making the injury more serious.
3. If manual labor, especially heavy manual labor, is carried out too early after delivery, it will have a great impact on the recovery of pelvic floor tissue tension, and the uterus that has not recovered will move down to varying degrees.
Therefore, 42 days after delivery, the new mother should have a postpartum examination to see how her pelvic floor muscles are repaired. Generally, the doctor will first ask the parturient whether she has sneezed or coughed involuntarily to leak urine. Then through the general gynecological examination, observe whether the parturient has vaginal prolapse, cervical prolapse and so on. , and then evaluate the pelvic floor muscle strength if necessary.
The results of pelvic floor muscle strength evaluation should be between 3 and 5, but most postpartum new mothers have only 0-2 pelvic floor muscle strength, so they need corresponding rehabilitation training.
1, do anal contraction every day.
The parturient lies flat, then bends his knees to do anal contraction, that is, contracts the muscles of the buttocks, and then lifts the anus upwards. The urethra, vagina and anus should be closed when the parturient is doing anal contraction exercise. Kaigl's muscle contraction time is 5 seconds. Then slowly relax and contract again after 5- 10 seconds.
This can be done at ordinary times, the number is not limited, and you can exercise when you have time. After a period of training, the tension of pelvic floor muscles will be greatly improved, the muscles around the vagina will become rich and powerful, and the symptoms of vaginal relaxation will be improved.
Step 2 hold your urine
During urination, consciously hold your urine for a few minutes, stop urination, and then continue urination later. Repeatedly, after a period of exercise, the tension of muscles around the vagina can be improved and the vagina becomes narrow.
Step 3: Shrinking exercises
The new mother lies flat, relaxes her body, gently inserts her fingers into the vagina, contracts the vagina, clamps the vagina, relaxes after a few minutes, and repeats several times. Time can be gradually extended to strengthen the muscle strength of pelvic floor muscles.
4. Go to the hospital for professional repair.
If the new mother has a slightly serious pelvic floor muscle injury after delivery, she can go to the hospital for professional repair. Doctors will use instruments and drugs to activate the activity of vaginal smooth muscle cells, promote the repair of vaginal birth injury, restore the elasticity of smooth muscle, tighten the inner wall of vagina and help improve symptoms.
Your pelvic floor is a net composed of muscles, ligaments and tissues, which spans the pelvis and is the organ that supports the pelvic cavity. Pelvic floor muscles include uterus, birth canal and bladder.
1, due to childbirth
During pregnancy and childbirth, the muscles of the pelvic floor stretch. The baby's weight, hormones that relax tissues and the force of childbirth will relax the muscles of the pelvic floor. When pelvic floor is weakened or damaged, women may leak urine. The relaxation of pelvic floor muscles can lead to physical discomfort, including the feeling of falling. Because the uterus, intestine and bladder will squeeze the wall of the birth canal.
2, caused by age
With the increase of age, the strength of pelvic floor will weaken, so the relaxation of pelvic floor muscles is more likely to occur in older women than younger women.
The specific way is to do levator ani exercise every day. Every time it lasts 10 second, then relax and practice about ten times a day.
Pelvic floor muscle repair can be done one month after delivery, or when mom thinks she is comfortable.
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