6th World Nursing and Healthcare Conference
Guangzhou Medical University, China
Title: Pelvic floor muscle training as a persistent nursing intervention: Effect on delivery outcome and pelvic floor myodynamia
Biography: Xin Wang
Purpose: To evaluate the effect of pelvic floor muscle training as a nursing intervention ondelivery outcomes and postpartum pelvic floor myodynamia. Methods: In total, 106 nulliparas were randomized into an intervention group and control group. All nulliparas participated in a pelvic floor training program led by a midwife. Apelvic 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. Results: There were no differences in the rate of Caesarean section or elective Caesarean section between the two groups. There was a difference in the timing of the second stage of labor between the two groups; no difference was observed in the timing of the other two stages of labor. In addition, no differences were observed in the gestational weight gain, neonatal weight, rate of episiotomyor rate of perineal laceration 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. Conclusion: Persistent nursing intervention for pregnant/postpartum women helped to shorten the second stage of labor and contributed to the recovery of postpartum pelvic floor myodynamia. The influence of this intervention on the delivery mode and rates of episiotomy and laceration of perineum was undiscovered. The medical staff should strengthen the health education about the pelvic floor functional rehabilitation.