Pelvic floor muscle training as a persistent nursing intervention: Effect on delivery outcome and pelvic floor myodynamia

摘要

PurposeTo evaluate the effect of pelvic floor muscle training as a nursing intervention on delivery outcomes and postpartum pelvic floor myodynamia.MethodsIn total, 106 nulliparas were randomised into an intervention group and control group. All nulliparas participated in a pelvic floor training programme led by a midwife. A pelvic floor physical therapist measured the women's pelvic floor myodynamia and taught them how to correctly perform pelvic muscle contractions before the intervention. A registered nurse monitored the intervention group via twice-weekly telephone checkups. The control group did not receive individual direction.ResultsThere were no differences in the rate of Caesarean section or elective Caesarean section between the two groups (χ2?=?3.446,p?=?0.076 andχ2?=?2.343,p?=?0.185, respectively). There was a difference in the timing of the second stage of labour between the two groups (t?=?2.101,p?=?0.040); no difference was observed in the timing of the other two stages of labour (t?=?1.771,p?=?0.081 andt?=?1.142,p?=?0.263, respectively). In addition, no differences were observed in the gestational weight gain (t?=?0.196,p?=?0.845), neonatal weight (t?=?0.113,p?=?0.911), rate of episiotomy (χ2?=?0.932,p?=?0.351) or rate of perineal laceration (χ2?=?0.022,p?=?0.982) between the two groups. The pelvic floor myodynamia of the intervention group had improved to a greater degree than that in the control group at 6 weeks and 3 months after delivery (p?