Background:
Pelvic floor disorders affect many women globally.
Objective:
To provide a critical appraisal of the literature on the effects of pelvic floor disorders on the quality of life and
functioning of pregnant and postnatal women. Methods: Available literature was reviewed and summarized to discuss the
definitions, pelvic floor anatomy, dysfunctions, and the mechanism of the condition, and more specifically, on the
strengthening exercises for the pelvic floor muscles.
Results:
Pelvic floor disorder is an important public health concern because of the high prevalence, deleterious effects on
pregnancy, and its outcomes as well as impacts on the health care system. They include genuine urinary incontinence,
bladder and bowel incontinence, pelvic pain, weakness of the pelvic muscles, weakness of the muscles of the core
stability, as well as the prolapse of pelvic organs. Pregnancy and subsequent vaginal delivery are associated causes of
pelvic floor muscle disorders. Approximately 60% and 50% of community settlers and residents of nursing homes
respectively are affected by urinary incontinence and the numbers increase with hysterectomy. Multiple birth, obesity,
chronic coughs, overweight babies, and heavy lifting are associated risk factors. Treatment of pelvic floor muscle
disorders should involve an increased physical activity prescription among women diagnosed with weaker pelvic floor
muscles, engaging the multidisciplinary team, increasing the quality of life and functioning of women during and after
pregnancy. Training aimed at strengthening the pelvic floor muscles is beneficial and prevention of dysfunctions.
Conclusion:
Structured and well organised pelvic floor muscle training regimen also known as Kegel exercises are
important in preventing disorders of the pelvic floor during pregnancy and after delivery.
Association of endogenous circulating sex steroids and condition-specific quality of life domains in postmenopausal women with pelvic floor disorders
