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In this protocol, our team intend to conduct a nation-wide multicenter cohort research to screening for PFD symptoms in early postnatal women in China. Beside clinically significant symptoms, we will also measure the recovery trend of pelvic muscle function, aiming to determine the clinically significant alterations that are sensitive to predict the PFD risks. This is an observational prospective cohort study, following a natural regular clinical visit process. Patients will voluntarily decide whether to receive PFD related treatments and the types of treatments to adopt. Therefore, we will also be able to compare the effectiveness of treatments.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postpartum pelvic floor rehabilitation | Behavioral | biofeedback with Pelvic floor muscle training (PFMT) |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary incontinence | UI will be diagnosed via gynecological examination and self-reported symptoms | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pelvic organ prolapse | Physical examinations will be performed to diagnose the incidence and degree of organ prolapse (i.e. anterior vaginal wall prolapse, posterior vaginal wall prolapse, uterine prolapse, and vaginal apex prolapse) according to the Pelvic Organ Prolapse Quantification (POP-Q). | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pelvic muscle function | In palpation, pelvic floor muscle strength will be graded based on the Oxford Muscle Scale and Electronic-muscle strength Medical Record system | 6 months |
Inclusion Criteria:
Exclusion Criteria:
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All adult women in early postnatal period, 42 days+15 days after delivery, are eligible to participate.
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