Best evidence summary of pelvic floor muscle exercises for preventing pelvic floor dysfunction in pregnancy
10.3760/cma.j.cn115682-20231224-02767
- VernacularTitle:盆底肌锻炼预防妊娠期盆底功能障碍性疾病的最佳证据总结
- Author:
Jia WANG
1
;
Qiongliang DU
;
Mengnan HOU
;
Xiaowei MO
;
Yan WU
;
Xiaoli YANG
;
Liping MENG
;
Chenyun XU
;
Honghua GUO
Author Information
1. 海南医科大学国际护理学院,海口 570000
- Publication Type:Journal Article
- Keywords:
Gravida;
Pregnancy;
Pelvic floor muscle exercise;
Pelvic floor dysfunction;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(2):184-191
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify and summarize the best evidence for pelvic floor muscle exercises (PFME) in preventing pelvic floor dysfunction (PFD) during pregnancy.Methods:A systematic search was conducted in databases including UpToData, Cochrane Library, PubMed, Web of Science, Embase, China National Knowledge Infrastructure, VIP, Wanfang Data, SinoMed, Yiigle, and Joanna Briggs Institute Evidence Based Healthcare Center Database and so on. The search spanned from January 1, 2018, to March 16, 2023. Two researchers independently evaluated the quality of clinical decision-making articles, expert consensus, and systematic reviews, while four researchers appraised the quality of guidelines. Evidence extraction and grading were performed independently by two researchers.Results:A total of nine documents were included: three guidelines, two clinical decision-making articles, one expert consensus, and three systematic reviews. A total of 20 evidence-based recommendations were summarized in six categories: indications and contraindications, assessment, implementation plans, supervision and follow-up, management, and outcome evaluation.Conclusions:PFME during pregnancy is effective in preventing PFD. Healthcare providers should integrate best evidence into clinical practice to develop tailored PFME plans for pregnant women, aiming to prevent PFD.