Influence of WAFF Abdominal and Pelvic Mechanical Exercise Combined with Pelvic Floor Muscle Training during Pregnancy on the Recovery of Pelvic Floor Muscle Function in Primiparas after Childbirth
10.13241/j.cnki.pmb.2025.19.011
- VernacularTitle:妊娠期WAFF腹盆力学运动联合盆底肌训练对初产妇产后盆底肌功能恢复的影响
- Author:
Lin ZHU
1
;
Su-ling WEN
1
;
Mei-yuan GAO
1
Author Information
1. 福建省龙岩人民医院产科 福建龙岩 364000
- Publication Type:Journal Article
- Keywords:
Pregnancy period;
WAFF abdominal and pelvic mechanical exercise;
Pelvic floor muscle training;
Primiparas;
Pelvic floor muscle function
- From:
Progress in Modern Biomedicine
2025;25(19):3114-3121
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of WAFF abdominal and pelvic mechanical exercise combined with pelvic floor muscle training during pregnancy on the recovery of pelvic floor muscle function in primiparas after childbirth.Methods:This study was a prospective case-control study,a total of 100 primiparas with a pregnancy of more than 16 weeks who were admitted to Longyan People's Hospital of Fujian from October 2021 to November 2023 were recruited and and randomly divided into control group(n=50)and observation group(n=50).The control group received pelvic floor muscle training,while the observation group received WAFF abdominal and pelvic mechanical exercise on the basis of the control group.The weight gain during pregnancy,mode of delivery,newborn birth weight,duration of second stage of labor,pelvic floor muscle strength,incidence of postpartum pelvic floor organ prolapse,incidence of stress urinary incontinence,pelvic floor electrophysiological indicators,and psychological states[Self rating Anxiety Scale(SAS),Self rating Depression Scale(SDS)]between two groups were compared.Results:The newborn birth weight in the observation group was lighter than that in the control group,the weight gain during pregnancy was less than that in the control group,the duration of second stage of labor was shorter than that in the control group,the number of cases of cesarean section was less than that in the control group,and incidence of postpartum pelvic floor organ prolapse,incidence of stress urinary incontinence were lower than those in the control group(P＜0.05).The pelvic floor muscle strength in the observation group was better than that in the control group at 42 d postpartum(P＜0.05).The fatigue levels of Class Ⅰ and Class Ⅱ muscle fibers in the observation group were lower than those in the control group,while the vaginal dynamic pressure,Class Ⅰ muscle fiber strength,and Class Ⅱ muscle fiber strength were higher than those in the control group(P＜0.05).The SAS and SDS scores in the observation group after intervention were lower than those in the control group(P＜0.05).Conclusion:WAFF abdominal and pelvic mechanical exercise combined with pelvic floor muscle training during pregnancy can effectively improve the pregnancy outcomes of primiparous women,improve pelvic floor electrophysiological indicators and psychological states,and reduce the incidence of postpartum pelvic floor organ prolapse and stress urinary incontinence.
