Are there differences in the results of pelvic floor training programmes (PFMT) according to the number of births?
The number of births (nulliparous or multiparous) influences the recovery of the pelvic floor muscles. In the case of nulliparous women, this musculature has not been subjected to the stress of childbirth. Pelvic floor education, initiated 2 months after delivery, has been found to significantly reduce adverse effects such as urinary incontinence. However, no other benefits were observed with respect to pelvic floor weakness or the behaviour of anatomical structures and their response to pelvic floor compression.
In the case of multiparous women, having had previous births, the woman is familiar with the process. However, it is likely that the pelvic floor musculature has suffered alterations from which it has not been able to fully recover. The evidence indicates that there are predisposing factors for this recovery. In other words, if there have been previous alterations such as urinary incontinence or chronic constipation, recovery may be more difficult.
Therefore, it is important to carry out adequate prevention of pelvic floor musculature in both nulliparous and multiparous women. In addition to knowing the woman’s previous gynaecological history.
Gloria González Medina
References:
- Meyer S, Hohlfeld P, Achtari C, De Grandi P. Pelvic floor education after vaginal delivery. Obstetrics and Gynecology 2001;97(5 Pt 1):673‐7. [SR‐INCONT12119]
- Ewings P, Spencer S, Marsh H, O’Sullivan M. Obstetric risk factors for urinary incontinence and preventative pelvic floor exercises: cohort study and nested randomized controlled trial. Journal of Obstetrics and Gynaecology 2005;25(6):558‐64. [SR‐INCONT21250]
