PELVIC FLOOR MUSCLES TRAINING BY THE METHOD OF BIOLOGICAL FEEDBACK IN PRIMIGRAVIDAS AFTER VAGINAL DELIVERY
Basic risk factors, provoking pelvic floor muscle dysfunction are: pregnancy, vaginal delivery, obstetric trauma, systemic dysplasia of connective tissue. The frequency of the disease in women of reproductive age varies from 26 to 31%. All over the world, different modifications of Kegel’s exercise complexes are used for strengthening pelvic floor muscles. However, nowadays, there are no clear clinical guidelines, target circle of patients is not defined, there are no specific schemes of therapy and evidence base is absent. Health care providers don’t motivate women enough to perform pelvic floor muscles strengthening exercises regularly at home, they don’t use biofeedback method, as control.In results of our study, in comparison with other groups, women after first vaginal delivery with episiotomy had the lowest indi-ces of pelvic floor muscle strength. By the authors opinion, it might be caused by maximal perineal trauma during delivery. In this group usage of exercise complex for pelvic floor muscles strengthening with biofeedback significantly improves pelvic floor muscle contraction strength. Usage of exercise complex in women after first vaginal delivery without episiotomy did not have significant impact on pelvic floor muscle contraction strength.Indices of pelvic floor muscles contraction strength after 8 months postpartum don’t restore up to the indices before pregnancy. Further prolonged researches are required in order to define whether it is generally possible to restore completely postpartum functional opportunities of pelvic floor muscles.