What sequela can you have if you don't do pelvic floor muscle repair after giving birth?

Hello, I'm very glad to answer your question. Do you need to do pelvic floor repair after delivery? It's best to go to the local regular hospital for a routine examination of postpartum rehabilitation 42 days after delivery. Because the pelvic floor muscles relax during pregnancy and after delivery, it will lead to uterine prolapse, vaginal wall prolapse and other symptoms. See how you recover and listen to the doctor's advice.

As for whether it is necessary to do it, it is up to you. If the conditions are better after giving birth, you can do pelvic repair, because after giving birth, the pelvis will be deformed and the pelvic floor muscles will relax. Women's delivery will cause pelvic floor muscle damage. If they don't pay attention for a long time, they will easily cause frequent urination, cough and leakage of urine, uterine prolapse, vaginal relaxation and constipation. Of course, you can do it without doing it, but it is easy to cause pelvic deformation, out of shape, big ass and so on.

If the postpartum recovery is good, you can also do your own anal lifting training later, or do some rehabilitation exercises with professional pelvic straps, or download online video learning at home, and you can also achieve a rehabilitation goal.

The relaxation of pelvic floor muscle ligament after delivery requires exercise. Some hospitals have carried out this project and can go to the postpartum repair center for repair.

Postpartum pelvic floor repair is not necessary for every precious mother to go to a hospital or a special place. Let's listen to a professional doctor to work out a plan that suits you according to your situation.

I hope my answer can help you!

Step 1: Identify the pelvic floor muscles

The identification method is simple: try to hold your urine when urinating. There will be a feeling that the perineum is tightened and lifted, along with the anus and urethra. These muscles that can prevent urination after contraction are the pelvic floor muscles.

Step 2: Specific exercise steps

The parturient is required to insist on lifting the anus every day, and at the same time, the following kinds of exercises are also carried out:

① Abdominal deep breathing exercise: the lying position of the pillow is removed, and the parturient puts his hands on the abdomen, so that the abdomen bulges obviously when inhaling, and the abdominal muscles are contracted as much as possible when exhaling; Then lift your hips from the bed and finally return to the initial position. The above process is an exercise step, 6 times a day, and you can take a break at intervals of 1 times.

② Exercise of rectus abdominis and pelvic floor muscles: The lying-in woman takes a supine position with her legs flexed, her thighs cling to her abdomen, her hands hold her legs and touch the toes. After deep exhalation exercise, the lying-in woman first sits forward, then lies down and takes deep inhalation exercise for 1 minutes, five times a day.

③ levator ani muscle exercise: The lying-in woman sits by the bed with her feet crossed, while her hands are flat on her thighs. When she stands up, she makes contractions and lifts her anus for 8s. After her muscles are relaxed, she sits down and exercises repeatedly, once for 15min and three times a day.

④ Perineal and anal contractions: First, the parturient should discharge all urine in the bladder. At the end of deep inhalation exercise, the perineum and anus should be forcibly contracted for 5s, and then repeated at intervals of 15s. Then, after rapid contraction for 1 times, the muscles should be relaxed for 8s, and the exercise should be repeated for 8min, five times a day.

It is inevitable that pelvic floor muscles will be damaged regardless of delivery or caesarean section. If the pelvic floor muscles are intact, you may be pregnant with a fake pregnancy. Of course, this is a joke, but it also shows a truth: everything has to pay a price. In addition to the pain of childbirth, the damage of pelvic floor muscles is an unspeakable price.

Pelvic floor muscle, figuratively speaking, is a hammock. Pelvic floor muscles connect the coccyx and pubis, and then lift our rectum, uterus, bladder, reproductive tract and urethra. Then after pregnancy, the fetus continues to develop and grow up, and the weight carried by the pelvic floor muscles is also increasing. The maximum load is about 15 ~ 2kg.

When such a heavy weight is pressed on the hammock, the pelvic floor muscles, including the membrane and ligaments, will become loose, broken and lose elasticity. Therefore, it is not only the expectant mothers who need to repair the pelvic floor muscles, but also the caesarean mothers. It's just that delivery is more serious.

The common manifestations are urinary leakage or incontinence, and you can't cough loudly or laugh loudly, because the abdominal pressure will press the bladder and rectum. Stress urinary incontinence occurs when the urethra is not supported. The same is true for others. Secondly, pelvic floor muscle damage will affect the life of husband and wife. More serious ones include: vaginal wall bulging, uterine prolapse and organ prolapse and other "sequelae."

1. Practice 426 breathing method after delivery.

Bao Ma takes a supine or prone position, inhales for 4 seconds to fill her chest and abdomen with gas, then holds her breath for 2 seconds before exhaling. Slow down when exhaling gas, and the process should last for 6 seconds. This method is the 426 breathing method. Why do you suggest that everyone practice breathing? Because the pelvic floor muscle and diaphragm are interactive, every time the diaphragm contracts, the pelvic floor muscle will respond accordingly.

2, levator ani movement and gluteal bridge

After 42 days after delivery, the confinement will be over. At this time, you can ask the doctor if you want to do pelvic floor muscle training in a targeted way when you go to the hospital for reexamination. If the pelvic floor muscle damage is not very serious, then you can practice and repair it at home. The common exercise methods are levator ani exercise or hip bridge exercise. However, this kind of exercise still suggests that you find a professional sports coach to learn. First, it is safe. Second, postpartum rehabilitation is a continuous process, not just a day or two.

In short, after giving birth, it is recommended that Bao Ma do pelvic floor repair, practice 426 breathing first during the second month, and then slowly increase the difficulty after 42 days after delivery. Don't worry too much, especially before exercising, make sure whether there is inflammation in the body. For example, if there is urinary tract infection or reproductive tract infection, levator ani exercise is not suitable. So do what you can!

thank you for reading.

The biggest victim of pelvic floor muscle relaxation is the female genital tract. After the genital tract is relaxed, the sensitivity is reduced, which seriously affects the life of husband and wife, making the life of husband and wife plummet. Secondly, the urethra is the victim. Women with relaxed pelvic floor muscles may have slight urinary incontinence, and uncontrollable urine will flow out when laughing, coughing and sneezing, which will bring unspeakable embarrassment to women. Seriously, even the stool will leak involuntarily, which often makes women fall into embarrassing inconvenience.

Pelvic floor muscles are the muscles of the pelvic floor. Pelvic floor muscles play the role of supporting the uterus, bladder, rectum, urethra, reproductive tract and other organs. They are the muscle groups that maintain these organs in normal positions and are not easily felt by people. After pregnancy, as the uterus grows heavier and heavier, the pressure in the pelvic cavity gradually increases and presses on the pelvic floor muscles, which will make the pelvic floor muscles stretch and suffer certain damage. The exertion during childbirth will also make the pelvic floor muscle be strongly pulled, which will leave this muscle with the regret of becoming slack after delivery.

There are many connective tissues such as fascia and ligament in the pelvic floor muscle, which support the pelvic floor muscle, and it is these connective tissues that support the pelvic floor muscle after pregnancy and during childbirth. It is the support of connective tissue in these pelvic floor muscles that keeps the enlarged uterus and other organs from prolapsed after pregnancy. Therefore, if the relaxed pelvic floor muscles after childbirth want to restore their prenatal support, women need to step up self-exercise after childbirth, so as to recover the pelvic floor muscles as much as possible and avoid the embarrassment of urine and urine leakage and the decline of the quality of life of couples mentioned above. Moreover, if the pelvic floor myofascia is not exercised in time to recover its strength, it may break because it can't be supported, and it can't be recovered at that time. For women, this result will be very painful and cannot be changed by any means.

The relaxation of pelvic floor muscles after injury is not like confinement. If the first confinement fails, the second one can make up for it. After pelvic floor muscle injury, the first child did not recover after delivery, and the second child was more injured and had less chance of recovery. The increase of uterus during pregnancy brings the pressure of pelvic floor muscle relaxation gradually, which can not be recovered immediately after delivery, and it is entirely up to postpartum women to exercise themselves. One thing to remember is that no matter what kind of exercise, the recovery of pelvic floor muscles can not be restored to the original state before delivery, and there will be some differences. Therefore, it is suggested that women who have passed the postpartum health examination 42 days after delivery and have recovered almost in all aspects of their bodies should start the recovery exercise of pelvic floor muscles.

The period from 42 days postpartum to half a year postpartum is the best period for pelvic floor muscles to resume exercise, and the simplest and most effective exercise method is levator ani exercise. Moreover, this exercise does not need to start until the end of the month. It can start when the mother decides to recover her physical strength. The sooner she starts exercising, the better the effect will be. Now there is also a yoga exercise to restore the pelvic floor muscles. If you feel that you need and have the ability to do it, postpartum mothers can also choose to use yoga to repair the pelvic floor muscles. Of course, all kinds of exercises or trainings about physical recovery after childbirth should be carried out after the postpartum physical examination doctor determines that all aspects are recovered enough to start exercising. Don't blindly choose exercise methods or start exercising too early, so as not to affect physical recovery and bring other injuries to the body.

based on my years of experience in obstetrics and gynecology, I tell you that the need for pelvic floor muscle repair mainly depends on the degree of pelvic floor muscle function recovery. Then we need to find out the following questions about pelvic floor muscles.

Pelvic floor muscle is a part of female pelvic floor supporting tissue. Pelvic floor supporting tissues are all muscles, fascia and ligaments that close the pelvic outlet. These pelvic floor muscles crisscross with fascia and ligaments, like a powerful net bag, to protect the normal position and function of pelvic organs, in which pelvic floor muscles play an important supporting role.

It's difficult to understand the technical terms in this article. Let's put it in a common way: the pelvic floor muscle is the muscle in the vulva and anus, and forms a "net bag" together with other tissues to cover the uterus, bladder, vagina, rectum, etc., so as to prevent them from sagging and ensure the position and function of these organs.

During pregnancy in October, the weight of fetus, amniotic fluid, placenta and enlarged uterus increased by 1-2 times compared with that before pregnancy. This weight was pressed on the "net bag", which caused long-term weight bearing of pelvic floor tissues, and tearing injury of pelvic floor muscles, fascia and ligaments during delivery. The double effects made the "net bag" overwhelmed and caused pelvic floor dysfunction.

Because of pregnancy and childbirth, the "mesh bag" of pelvic floor muscles is damaged, resulting in pelvic floor dysfunction. If the "mesh bag" is not strong enough, pelvic organ prolapse, such as uterine prolapse, stress urinary incontinence, sexual dysfunction and chronic pelvic pain will occur. If it is not repaired after delivery, the symptoms will be aggravated, especially with the increase of age, the pelvic floor muscles will further deteriorate, which will seriously affect the quality of life.

When returning to the hospital for follow-up visit 42 days after delivery, there will be pelvic floor dysfunction detection items. The main detection indexes are pelvic floor muscle strength and organ prolapse score, that is, POP-Q score. Muscle strength is divided into ~5 grades, and grade 5 muscle strength is normal. Whether treatment is needed depends on the muscle strength and the degree of organ prolapse.

The main methods are anorectal exercise, vaginal dumbbell and pelvic floor bioelectrical feedback therapy. These treatments are effective and can effectively improve the symptoms of pelvic floor dysfunction and improve the quality of life.

It is suitable for patients with pelvic floor muscle injury in various postpartum stages, and ordinary women can also take it as health care. This treatment can be done by the patient at home. Methods: Contraction of anus was performed for 3 seconds for 15 minutes, 2~3 times a day. This exercise can exercise pelvic floor muscle function, make muscles stronger, increase muscle tension and restore normal function as soon as possible. This is not only a therapeutic measure but also a preventive measure. Bao Ma can start to do anal contraction exercise in the second trimester. Studies have confirmed that it can effectively reduce the incidence of postpartum pelvic floor dysfunction.

As the name implies, it is to exercise vaginal muscles, just like ordinary dumbbells exercise arm muscle strength. The principle and purpose are the same as anal contraction, but one is different with bare hands and the other with instruments. Vaginal dumbbell is similar in size to thumb, with tail line. After being inserted into vagina, it will perform anal contraction. According to the weight, dumbbells are divided into 1~5, and the fifth is the heaviest. If the fifth dumbbell is placed in the vagina to contract the vaginal muscles and cough, if the dumbbell does not fall out, the muscle strength will reach level 5, which is normal muscle strength.

This treatment method must be operated by professionals in the pelvic floor functional therapy department of the hospital. Through electrical stimulation and biofeedback, the injured muscles and nerves can be corrected, the pelvic floor muscle function can be restored as soon as possible, the symptoms of pelvic floor dysfunction can be alleviated or even cured, and sexual dysfunction can be improved.

hi, sisters!

I'm glad to share with you my postpartum feelings as a new baby mom born in 199s.

Below, my answer only represents my personal ideas and experience. If it is of reference value to you, I am very happy. Don't mind if you don't like it!

I've seen many problems about pelvic floor muscle (pelvic floor muscle relaxation) that postpartum and expectant mothers are very concerned about on the Internet.

It is also said that if you pay for this, you will pay the IQ tax ...

However, some treasure moms give feedback that pelvic floor muscle repair is really good!

Let me share my personal ideas and feelings ~

I think this is also due to personal physical conditions. Some precious mothers have given birth to two children, but they are still in better condition than those who have only given birth to one child without pelvic floor muscle repair.

Let's go back to myself. I didn't do pelvic floor muscle repair.

I am the first child, and because I have no experience 42 days after delivery, I just think that I can know if I need to do this pelvic floor muscle if I go to a 3A hospital.

however, when I came back from the hospital, I found out that people don't care about you at all.

I just took a routine B-ultrasound to see the recovery of the uterus, so I didn't go into this aspect of pelvic floor muscle.

But I know the changes of pelvic floor muscles before and after delivery.

I was born in grade 2, and I found it was a little wider myself (although my husband kept saying it wasn't). However, coughing or laughing and leaking urine did not happen to me.

Personally, if you have spare money or a second-born mother, you should do pelvic floor muscle repair for your own good!

Of course, friends who want to save money or sisters who feel suspicious and hesitant can do free pelvic floor muscle repair training by themselves!

For example, you can tie a pelvic girdle, learn a tutorial video of prosthetic movements online, or do your own levator ani exercises later.

Ps: If I am lucky enough to have a second child (not just to have enough to eat and wear warm clothes), I will definitely have pelvic floor muscle repair after my second child!

above, I hope I can help my sisters!

I'm Meng Ma Qiyue, who has a baby girl in May and a half, and I'm updating the audio column of complementary food feeding!

I hope we can learn together.