Мать и дитя в Кузбассе (Nov 2017)
PREVENTION OF POSTPARTUM PELVIC FLOOR DYSFUNCTION BY USING PHYSICAL METHODS. REVIEW
Abstract
The review analyzes 589 publications found in the databases: PubMed, Cochrane, Medscape, Medline, femb, e-library, Russian State Library (RSL) devoted to the issue of pelvic floor dysfunction in women of reproductive age after childbirth. It has been established that in women of reproductive age, 85.5 % have pelvic organs disorders after delivery: urination disorder – 70.1 %, defecation violation – 36.5 %, sexual dysfunction – increases from 20 % in the postpartum period, to 50 % 80 % in the long term. 40 % of reproductive age women have incontinence and prolapse of pelvic organs already during pregnancy, which persist for 6-8 weeks of the postpartum period in most of them. Flowing asymptomatically and remaining not diagnosed at the time, early forms of prolapse of pelvic organs reduce the quality of life of young women. Considerable attention is paid mainly to surgical methods of treatment of prolapse of pelvic organs. The obtained results indicate that in most cases this method gives a short-term effect, but does not completely eliminate the causes of the disease. In most cases this leads to a high frequency of relapse, reaching in some cases 50 %. All this affects the physical and psycho-emotional state of a woman, leads to social problems and a decrease in the quality of life. Conclusion. Thus, pelvic floor dysfunction is a significant problem for women of reproductive age in the postpartum period and, subsequently, leads to prolapse of pelvic organs.
