Background / Aims: Pelvic floor muscle (PFM) physiotherapy is recommended first line treatment for urinary incontinence (UI) and pelvic organ prolapse (POP) . The PFM undergoes considerable stretch during vaginal birth, and for 21% to 36% of women, this results in injury (avulsion) to these muscles [2, 3]. Unequivocal evidence associates avulsion with POP and UI postpartum , but it is unclear if women with avulsion respond to physiotherapy treatment. Main aims of this pilot study were: 1) to evaluate the effect of physiotherapy for improving PFM morphometry, assessed using transperineal ultrasound (TPU), in primiparous women with diagnosed avulsion and compare this to standard postpartum care and 2) to compare the effect of physiotherapy in women with and without avulsion.
Counties Manukau Health