Chinese expert consensus on primary prevention for pelvic floor dysfunction during pregnancy

Abstract

ObjectivePregnancy has been identified as a risk factor for pelvic floor dysfunction (PFD). The aim of this study was to establish primary prevention measures for PFD during pregnancy and reduce the overall incidence of PFD.MethodsWe assembled a panel of 36 experts, including gynecologists, obstetricians, and physiotherapists. Through surveys and expert meetings, the panel reviewed and assessed the safety and effectiveness of various clinical interventions. Based on expert comments from Round 1, a revised list of 8 clinical interventions was developed and submitted for a second round of expert review.ResultsA consensus was reached on the importance of implementing prevention measures to protect pelvic floor function during pregnancy. Experts particularly emphasized the significance of health education, weight management, pelvic floor muscle training, respiratory training, overall exercise, physical activity, and perineal massage.ConclusionThe expert consensus provides comprehensive clinical measures to safeguard pelvic floor function during pregnancy. This paper represents the initial step toward developing scientific recommendations for pregnant women regarding the primary prevention of PFD. Future research should focus on the implementation of these recommendations in clinical practice.

Current state and influencing factors of social alienation in patients with stress urinary incontinence

“…28 Chinese expert consensus on primary prevention for PFD during pregnancy has recommended that through incorporation of exercise tolerance, obstetric considerations and personalised pregnancy exercise programmes, healthcare professionals can ensure the safety and health of pregnant women and their infants. 29…”

Embarking on a brand new journey withGynecology and Obstetrics Clinical Medicine

“…Over the past 3 years, the journal has published numerous articles and presented summaries of practical experiences in China, including a Chinese expert consensus on fertility-preserving treatment for young women with early-stage well-differentiated endometrial cancer, 1 primary prevention strategies for pelvic floor dysfunction during pregnancy 2 and guidelines for cervical cancer screening. 3 Some articles have received wide attention and provide insight into the field of precision treatment for ovarian cancer 4 and natural orifice transluminal endoscopic surgery in gynaecology.…”