Skip to main content

Advertisement

Log in

The effect of pelvic floor muscle exercises applied during pregnancy on genito-pelvic pain level in postpartum period

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

The goal of the study is to determine the effect of pelvic floor muscle exercises on genito-pelvic pain levels during the postpartum period.

Methods

The data of the study, which was carried out in a randomized controlled experimental design, were collected in the antenatal policlinic of a public hospital from June–December 2019. There were 60 pregnant women in the experimental and control groups. Pelvic floor muscle exercises were applied to the pregnant women in the experimental group from the 30th week of gestation to the 6th week postpartum. The control group was not given pelvic floor muscle exercise training, and only data collection forms were filled in. During the study, the Descriptive Form, Verbal Category Scale, Pelvic Floor Distress Inventory-20, and Labour and Postpartum Information Form were given to the pregnant women in both groups.

Results

After pregnant women in the experimental group performed pelvic floor muscle exercises, pain levels were significantly lower than in the control group (p < 0.01). Pelvic Floor Distress Inventory-20 total score and sub-dimension scores of the experimental group were statistically significantly lower than in the control group (p < 0.01). In addition, a statistically significant difference was found (p < 0.01) in the postpartum 72 h findings of the experimental group in which pelvic floor muscle exercises were applied compared to the control group.

Conclusions

According to the result of the study, as the gestational weeks progress, the genito-pelvic pain increases. Pelvic floor muscle exercises applied during pregnancy prevent the development and progression of pelvic floor disorders in both the antenatal and postnatal periods.

Trial registration

NCT05343520

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Bortolini MAT, Drutz HP, Lovatsis D, Alarab M. Vaginal delivery and pelvic floor dysfunction: current evidence and implications for future research. Int Urogynecol J. 2010;21(8):1025–30.

    Article  CAS  Google Scholar 

  2. Paterson LQ, Davis SN, Khalife S, Amsel R, Binik YM. Persistent genital and pelvic pain after childbirth. J Sex Med. 2009;6(1):215–21.

    Article  Google Scholar 

  3. Bartellas E, Crane JM, Daley M, Bennett KA, Hutchens D. Sexuality and sexual activity in pregnancy. BJOG Int J Obstet Gy. 2000;107(8):964–8.

    Article  CAS  Google Scholar 

  4. Vermelis JM, Wassen MM, Fiddelers AA, Nijhuis JG, Marcus MA. Prevalence and predictors of chronic pain after labor and delivery. Curr Opin Anaesthesiol. 2010;23(3):295–9.

    Article  Google Scholar 

  5. Eisenach JC, Pan PH, Smiley R, Lavand'homme P, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain. 2008;140(1):87–94.

    Article  Google Scholar 

  6. Declercq E, Cunningham DK, Johnson C, Sakala C. Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth. 2008;35(1):16–24.

    Article  Google Scholar 

  7. Population Reference Bureau. 2016 World Population Data Sheet. Washington, DC. 2016.

  8. Rosen NO, Pukall C. Comparing the prevalence, risk factors, and repercussions of postpartum genito-pelvic pain and dyspareunia. Sex Med Rev. 2016;4(2):126–35.

    Article  Google Scholar 

  9. Thakar R, Stanton S. Management of genital prolapse. BMJ. 2002;324:1258–62.

    Article  Google Scholar 

  10. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948;56(2):238–48.

    Article  CAS  Google Scholar 

  11. Bo K. Pelvic floor muscle exercise for the treatment of stress urinary incontinence: an exercise physiology perspective. Int Urogynecol J. 1995;6(5):282–91.

    Article  Google Scholar 

  12. Herschorn S. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs. Rev Urol. 2004;6(Suppl 5):S2.

    PubMed  PubMed Central  Google Scholar 

  13. Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn. 2005;24(4):374.

    Article  Google Scholar 

  14. Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J. 2017;28(2):191–213.

    Article  Google Scholar 

  15. Sobhgol SS, Smith CA, Dahlen HG. The effect of antenatal pelvic floor muscle exercises on labour and birth outcomes: a systematic review and meta-analysis. Int Urogynecol J 2020; 1-15.

  16. Melzack R, Katz J. The MC Gill Pain Questionnaire: Appraised and Current Status, Handbook of Pain Assessment. New York: The Guilford Press; 1992. p. 152–68.

    Google Scholar 

  17. Eti-Aslan F. The assessment methods of pain. Cumhuriyet Univ J. 2002;6(1):9–16.

    Google Scholar 

  18. Owe KM, Nystad W, Bø K. Correlates of regular exercise during pregnancy: the Norwegian mother and child cohort study. Scand J Med Sci Sports. 2009;19(5):637–45.

    Article  CAS  Google Scholar 

  19. Agur W, Steggles P, Waterfield M, Freeman R. Does antenatal pelvic floor muscle training affect the outcome of labour? A randomised controlled trial. Int Urogynecol J. 2008;19(1):85–8.

    Article  Google Scholar 

  20. Pourkhiz Z, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Haj-Ebrahimi S, Ghaderi F. Effect of pelvic floor muscle training on female sexual function during pregnancy and postpartum: A randomized controlled trial. Iran. Red Crescent Med J. 2017;19(10):e63218.

    Google Scholar 

  21. Schreiner L, Crivelatti I, de Oliveira JM, Nygaard CC, Dos Santos TG. Systematic review of pelvic floor interventions during pregnancy. Int J Gynaecol Obstet. 2018;143(1):10–8.

    Article  Google Scholar 

  22. Youssef A, Brunelli E, Pilu G, Dietz HP. The maternal pelvic floor and labor outcome. Am J Obstet Gynecol. 2021;3(6):100452.

    Google Scholar 

  23. UNICEF, U. How to implement baby friendly standards. A guide for maternity settings. 2011. UK: London. https://www.unicef.org.uk/wp-content/uploads/sites/2/2014/02/Baby_Friendly_guidance_2012.pdf. 2011.

  24. Işık G, Cetisli NE, Baskaya VA. Postpartum pain, fatigue levels and breastfeeding self-efficacy according to type of birth. Deuhfed. 2018;11(3):224–32.

    Google Scholar 

  25. Buchanan J, Beckmann M. Postpartum voiding dysfunction: identifying the risk factors. Aust N Z J Obstet Gynaecol. 2014;54(1):41–5.

    Article  Google Scholar 

  26. Van Lankveld JJ, Granot M, Schultz WCW, Binik YM, Wesselmann U, Pukall CF, et al. Women's sexual pain disorders. L Sex Med. 2010;7(1):615–31.

    Article  Google Scholar 

  27. Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women's sexual health after childbirth. BJOG Int J Obstet Gy. 2000;107(2):186–95.

    Article  CAS  Google Scholar 

  28. Alappattu MJ, Bishop MD. Psychological factors in chronic pelvic pain in women: relevance and application of the fear-avoidance model of pain. Phys Ther. 2011;91(10):1542–50.

    Article  Google Scholar 

  29. Glowacka M, Rosen N, Chorney J, Snelgrove E, George RB. Prevalence and predictors of genito-pelvic pain in pregnancy and postpartum: the prospective impact of fear avoidance. J Sex Med. 2014;11(12):3021–34.

    Article  Google Scholar 

  30. Dias LA, Driusso P, Aita DL, Quintana SM, Bø K, Ferreira CH. Effect of pelvic floor muscle training on labour and newborn outcomes: a randomized controlled trial. Braz J Phys Ther. 2011;15(6):487–93.

    Article  Google Scholar 

  31. Franco EM, Parés D, Colomé NL, Paredes JRM, Tardiu LA. Urinary incontinence during pregnancy. Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol. 2014;182:86–90.

    Article  Google Scholar 

  32. Ren S, Gao Y, Yang Z, Li J, Xuan R, Liu J, et al. The effect of pelvic floor muscle training on pelvic floor dysfunction in pregnant and postpartum women. J Phys Act Health. 2020;4(1):130–41.

    Article  Google Scholar 

  33. Hagen S, Glazener C, McClurg D, Macarthur C, Elders A, Herbison P, et al. Pelvic floor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): a multicentre randomised controlled trial. Lancet. 2017;389(10067):393–402.

    Article  Google Scholar 

  34. Gagnon LH, Boucher J, Robert M. Impact of pelvic floor muscle training in the postpartum period. Int Urogynecol J. 2016;27(2):255–60.

    Article  Google Scholar 

Download references

Acknowledgements

The authors are responsible for the content of this article. We extend our thanks to all of the staff at the medical center where the study was conducted. The article has not been sent to any other journal for publication.

Funding

There were no sources of grant funding used for this publication.

Author information

Authors and Affiliations

Authors

Contributions

HDK, GY designed the research study.

GY performed the research.

HDK, GY analyzed the data.

HDK, GY wrote the manuscript.

All authors contributed to editorial changes in the manuscript.

All authors read and approved the final manuscript.

Corresponding author

Correspondence to Hüsniye Dinç Kaya.

Ethics declarations

Conflict of interest

The authors declared no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yetişkin, G., Dinç Kaya, H. The effect of pelvic floor muscle exercises applied during pregnancy on genito-pelvic pain level in postpartum period. Int Urogynecol J 33, 2791–2799 (2022). https://doi.org/10.1007/s00192-022-05225-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-022-05225-2

Keywords

Navigation