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| Analysis of factors affecting the compliance of postpartum pelvic floor muscle training |
| CAO Hui, ZHANG Liying, QIAN Jun
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| Department of Obstetrics, Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China |
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Abstract Objective To analyze the factors affecting the compliance of postpartum pelvic floor muscle training, so as to provide insights into prevention of postpartum pelvic floor dysfunction (PFD). Methods The lying-in women with delivery at the Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine were sampled using the convenient sampling method from August to December, 2021. Their compliance of pelvic floor muscle training was investigated using the questionnaires for compliance of pelvic floor muscle training, and their age, educational level, types of delivery, subjective symptoms of PFD, self-efficacy level and postpartum depression were collected. The factors affecting the compliance of postpartum pelvic floor muscle training were identified using a multivariable linear regression model. Results A total of 250 questionnaires were allocated, and 241 were recovered, with an effective recovery rate of 96.40%. The lying-in women had a mean age of (29.19±3.62) years, and 75.60% had an educational level of diploma and above. There were 31 women with depression (12.86%), 148 primiparous women (61.41%) and 164 women with vaginal delivery (68.05%). The mean score of compliance of postpartum pelvic floor muscle training was (10.38±4.10) scores. In addition, multivariable linear regression analysis identified an educational level of diploma and above (β'=0.377), subjective symptoms of PFD (β'=0.186), spouse support (β'=0.209), having received health education about pelvic floor rehabilitation (β'=0.221), a high self-efficacy score (β'=0.314) and presence of depressive symptoms (β'=-0.295) as factors affecting the compliance of postpartum pelvic floor muscle training. Conclusions The compliance of postpartum pelvic floor muscle training is associated with maternal educational levels, subjective symptoms of PFD, health education about pelvic floor rehabilitation, self-efficacy, depression and spouse support.
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Received: 07 March 2022
Revised: 25 April 2022
Published: 19 July 2022
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