The process of childbirth is experienced differently by each woman. On a clinical level it can be classified as natural, instrumental or caesarean section.
Is it possible that, depending on the type of birth, there are differences in the recovery of the pelvic floor?
According to scientific evidence, there are no significant differences between the types of delivery (instrumental delivery and caesarean section). It is important to take into account that training the pelvic floor muscles before or during pregnancy is a protective factor. This training, thanks to the fact that it allows the muscles to adapt to the effort, reduces labour significantly, from a statistical point of view.
It should not be forgotten that other factors such as fetal head circumference, number of deliveries or episiotomies can also be factors.
Gloria González Medina
References:
- Dannecker C. The effect of the pelvic floor training device Epi‐No on the maternal pelvic floor function six months after childbirth ‐ follow‐up study of a randomised controlled trial [Einfluss des Geburtstrainers Epi‐No auf die mutterliche Beckenbodenfunktion sechs Monate nech Entbinding ‐ Follow‐up einer prospektiven und randomisierten Studie]. Geburtshilfe und Frauenheilkunde 2004;64(11):1192‐8. [SR‐INCONT21149]
- Morkved S, Rommen K, Schei B, Salvesen KA, Bo K. No difference in urinary incontinence between training and control group six years after cessation of a randomized controlled tiral, but improved sexual satisfaction in the training group [Abstract 50]. Neurourology and Urodynamics 2007;26(5):667.
- Liang C, Ko P, Lin Y, Tseng L, Lo T, Wang AC. Effect of antenatal pelvic floor muscle exercises in prevention and treatment of urinary incontinence: a randomized controlled trial. (Abstract number 208). Neurourology and Urodynamics 2010;29(6):1105‐6.
