Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Pelvic organ prolapse (POP) is a common condition affecting postpartum women, impacting their quality of life and overall well-being. This study aimed to investigate the prevalence of POP, its association with pelvic floor muscle strength and anatomy and the influence of pregnancy and childbirth factors. Additionally, the effectiveness of pelvic floor rehabilitation in preventing or managing POP was assessed. A sample of postpartum women (n = 100) was examined to ascertain the prevalence of POP. Pelvic floor muscle strength was quantified using various measurement methods and magnetic resonance imaging (MRI) scans evaluated pelvic floor muscle anatomy. Statistical analyses explored associations and correlations. Compliance with pelvic floor rehabilitation programs was scrutinized. In our study, 30% of postpartum women experienced pelvic organ prolapse (POP), primarily affecting the bladder (50%), uterus (40%) and rectum (30%). Participants exhibited a 15% average decrease in pelvic floor muscle strength (average strength score: 80). MRI scans revealed postpartum pelvic floor muscle changes, including 25% muscle thinning, 15% elongation and 2 cm displacement. A significant correlation (odds ratio: 2.5) linked weaker pelvic floor muscles to POP. Multiple pregnancies increased POP risk 1.5-fold, instrumental deliveries raised risk by 30% and longer second-stage labor correlated with more severe POP. Engagement in postpartum pelvic floor exercises lowered POP risk by 40%, with 70% risk reduction observed in adherent rehabilitation program participants. This study underscores the prevalence of POP among postpartum women and its relationship with factors like pelvic floor muscle strength, anatomy changes and pregnancy-related variables. It highlights the significance of patient education and adherence to prescribed exercises in postpartum care, presenting a promising avenue for preventing and managing POP and enhancing the well-being of postpartum women.
How to cite this article:
Gunda Madhavi, T. Prasuna and A. Niranjani Devi. A Longitudinal Study on the Anatomy of the Pelvic Floor Muscles and Their Role in Pelvic Organ Prolapse among Postpartum Women.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.53.58
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.53.58