Pelvic floor muscle training (PFMT) is recommended by the scientific literature. However, there are a number of recommendations for its appropriate use.
PFMT can be started 24 hours after delivery. It can be performed several times a day, with several repetitions. It is recommended during breastfeeding or artificial feeding. In addition, it can be accompanied by local cryotherapy. If there has been a caesarean section, these recommendations can also be followed.
The use of PFMT should be supervised by a trained health professional. It should be complemented by an adequate general and gynaecological medical history. In addition, an individualised exercise protocol should be established, taking into account the medical history (gynaecological aspects, previous sporting aspects) and the examination and assessment of the pelvic floor musculature.
High-impact activities in the abdominal area are not recommended until 4-6 months after childbirth.
PFMT can be complemented by other more specific therapeutic exercises, always under the supervision of a qualified health professional.
Gloria González Medina
References:
- Boyle R, Hay-Smith EJ, Cody JD, Mørkved S. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2012;(10):CD007471.
- Pelaez M, Gonzalez-Cerron S, Montejo R, Barakat R. Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: A randomized controlled trial. Neurourol Urodyn. 2014;33:67–71.
