Li Qunfeng, Liu Yanhong, Liu Yunli, Liu Qiongzhu, Jiang Liping, Zhang Xinling
Jinan University, Zhuhai Campus, Zhuhai, 519070, China.
Zhuhai Center for Maternal and Child Health Care, Department of Ultrasound, Zhuhai, 519001, Guangdong, China.
Int Urogynecol J. 2025 Jan;36(1):221-228. doi: 10.1007/s00192-024-06002-z. Epub 2024 Dec 20.
This study examines the effectiveness of yoga intervention on the early postpartum recovery of pelvic organ positions.
A prospective study was conducted from May to November 2020, involving women who had vaginal deliveries and underwent pelvic floor ultrasound examinations. The control group received no intervention, whereas the experimental group participated in weekly 60-min yoga sessions from 1 week to 3 months postpartum. Pelvic organ positions, including the bladder neck, uterus, and rectal ampulla, were measured via ultrasound at rest and during the Valsalva maneuver at 42 days and 3 months postpartum. The effectiveness of yoga was assessed using t tests.
A total of 128 women participated, with 66 in the control group and 62 in the experimental group. There were no significant differences between groups in age, parity, BMI, or fetal weight (p > 0.05). At 42 days postpartum, there were no significant changes in bladder neck and uterine positions at rest, except for a significant decrease in rectal ampulla position in the control group (p < 0.01). During the Valsalva maneuver, the experimental group showed significant improvement in all pelvic organ positions at 3 months compared with 42 days (p < 0.001), with better outcomes than the control group (p < 0.001).
Yoga intervention supports early postpartum recovery of pelvic organ positions.
本研究探讨瑜伽干预对产后早期盆腔器官位置恢复的有效性。
于2020年5月至11月进行一项前瞻性研究,纳入经阴道分娩并接受盆底超声检查的女性。对照组未接受任何干预,而实验组在产后1周-3个月每周参加60分钟的瑜伽课程。在产后42天和3个月时,通过超声测量静息状态及瓦尔萨尔瓦动作时的盆腔器官位置,包括膀胱颈、子宫和直肠壶腹。采用t检验评估瑜伽的有效性。
共有128名女性参与研究,其中对照组66名,实验组62名。两组在年龄、产次、体重指数或胎儿体重方面无显著差异(p>0.05)。产后42天时,静息状态下膀胱颈和子宫位置无显著变化,但对照组直肠壶腹位置显著下降(p<0.01)。在瓦尔萨尔瓦动作时,与产后42天相比,实验组在3个月时所有盆腔器官位置均有显著改善(p<0.001),且效果优于对照组(p<0.001)。
瑜伽干预有助于产后早期盆腔器官位置的恢复。