Does postpartum pelvic floor muscle need to be examined? need
It is best to evaluate pelvic floor muscles 42 days after delivery, which is the best time for postpartum pelvic floor muscle rehabilitation training. Women who have given birth and are over 30 years old should undergo pelvic floor muscle rehabilitation training under the guidance of a doctor as soon as possible to prevent future troubles. In postpartum rehabilitation training, the doctor will evaluate the physical condition of the parturient, and if necessary, the machine can be used for corresponding rehabilitation training.
What does postpartum pelvic floor function need? Usually, the routine examination mainly includes perineum and general gynecological examination 1. Perineal examination: mainly check whether there is a wound in perineum, the wound healing, perineal elasticity, whether the vaginal orifice can be closed, the downward displacement of perineal plane when the maximum screen force is downward and its relationship with the plane of ischial tubercle. Check the pain and temperature sensation in the distribution area of perineal sacral nerve to find out whether there is nerve injury. 2, general gynecological examination: understand the position and recovery of the uterus.
What are the pelvic floor muscle function evaluations?
1, pelvic floor muscle function evaluation: mainly including pelvic floor muscle strength and vaginal systolic pressure. Pelvic floor muscle strength mainly evaluates muscle contraction strength, resistance, muscle contraction duration, fatigue, symmetry, repetitive contraction ability and rapid contraction times. Vaginal systolic pressure indicates the comprehensive muscle strength level of superficial and deep vaginal muscles.
2. Rectal examination: used to evaluate whether the anal sphincter is damaged at rest and spontaneous contraction. Precautions are not suitable for people: pregnant women. Taboo before examination: the examination should be 3-7 days after menstruation is clean. Requirements during inspection: the inspection should be relaxed, and the inspected needs to make corresponding actions to cooperate. During the examination, the maternal medical history, routine examination and pelvic floor muscle function evaluation were asked. Doctors should carefully ask about the medical history, including whether there are high-risk factors such as chronic constipation, chronic cough and diabetes that can easily lead to PFD. Normal examination showed no wound, redness, induration, tenderness or tenderness, pelvic floor muscles were normal, and anal sphincter was damaged.
Pelvic floor muscle strength evaluation, the normal evaluation results should be between 3-5. But in most cases, the new mother's muscle strength is only 0-2, and she needs to be rehabilitated accordingly. If the lying-in woman has pelvic floor relaxation, the doctor will provide different treatment schemes for female friends according to the damaged parts and conditions of pelvic floor.
The treatment of pelvic floor dysfunction can be divided into surgical treatment and non-surgical treatment.
Non-surgical treatment mainly includes pelvic floor muscle exercise, biofeedback therapy and electrical stimulation therapy, which can really correct injured muscles and nerves and have long-term curative effect.
In Europe, America, Japan and South Korea and other developed countries and regions, pelvic floor muscle assessment, biofeedback training and electrical stimulation therapy have been popularized. Women who have been given routine pelvic floor muscle training for 42 days after delivery have greatly reduced the incidence of pelvic floor dysfunction diseases such as pelvic organ prolapse and urinary incontinence. At the same time, the nerves and muscles of the pelvic floor are awakened, so that the vagina can better return to a tight state, thereby improving the quality, pleasure and climax of sexual life.
Pelvic floor evaluation and biofeedback training therapy are guided by the measurement of surface electromyography and urethral systolic pressure, and the feedback shows EMG or pressure curve. By influencing the display and sound prompts, patients can understand their pelvic floor muscle function more clearly and intuitively and participate in the treatment. Combined with individualized electrical stimulation therapy, it can awaken and activate pelvic floor muscles, and accelerate the recovery of tension and elasticity of vaginal and pelvic floor muscles after delivery, which has a good effect on preventing and treating postpartum pelvic floor diseases such as vaginal prolapse, relaxation and urinary incontinence.
"Pelvic floor prevention" is not only a pelvic floor evaluation and biofeedback technology. Obese women with stress urinary incontinence can lose 5%- 10%, and the frequency of urinary incontinence will be reduced by more than 50%.
How to check pelvis after delivery? How to check the pelvis after delivery? Generally, a re-examination and pelvic floor muscle examination are done every 42 days, that is, stuffing a ball into the lower body, then inhaling and exhaling according to the computer prompt, and checking in this way, the score of 60 or above will be passed.
How to contract pelvis after delivery
1. Lateral movement: The lying-in woman lies on her back on the edge of the bed, with her hips on the edge of the bed and her legs straight up, hanging above the bed without touching the ground. Hold the edge of the bed with both hands to prevent falling. Then straighten your legs and lift them slowly. When your legs are raised above your body, hold your legs with your hands, let them lean against your abdomen and keep your knees straight. Finally, slowly lower your legs and restore your original posture. Repeat this 6 times each time and exercise once a day, and the long-term effect is remarkable.
2, vertical movement: maternal standing posture, legs slightly apart, and then contraction of hip muscles, so that hip muscles intertwined, thighs together, knees turned outwards. Then start to contract the sphincter, so that the vagina will contract upwards, and so on. This method is mainly to improve the contractility of vagina, change the state of muscle relaxation, improve the contractility of the same room vagina, and have a harmonious and happy sex life. 3. Use professional pelvic girdle: The pelvic girdle is not the postpartum girdle we often say now, but the postpartum professional pelvic correction girdle. Pelvic orthosis should be examined by orthopedic surgeons before determining the appropriate model and size. Pelvic correction belt is an effective measure to restore pelvis quickly. At present, the most commonly used is the rhombic pelvic correction belt.
Postpartum pelvic examination is very important and necessary to restore health as soon as possible after delivery. And after childbirth, you must learn more about the action of contracting pelvis and practice more at ordinary times. Only by doing these and related nursing work well can we recover our physical strength and perfect figure as soon as possible.