The Effect of Pelvic Floor Exercises to Episiotomy in Nulliparous Women in Hamadan

Kegel exercises can improve episiotomy and increase women's satisfaction with vaginal delivery by increasing muscle strength and muscle fitness. The aim of this study was to investigate the effect of Kegel exercise on episiotomy in primiparous women referred to Fatemieh Hospital in Hamadan in 2018.

The present study is a clinical trial and was performed on 100 pregnant women referred to Fatemieh Maternity Hospital in Hamadan in 2018. Subjects were divided into experimental and control groups. Kegel Exercise Training was performed for the experimental group. Theoretical and group training was conducted in groups of 6 and one session each. Follow-up was done by telephone and attending physiological delivery sessions. The control group received no training and at the end of the study the frequency of episiotomy was evaluated in both groups. Data were analyzed using SPSS 21 and descriptive statistics. They were analyzed analytically.

The mean age of the experimental and control groups was 25.94 ± 3.35 and 26.36 ± 4.89, respectively. The two groups were homogeneous in terms of age, occupation, educational level, exercise, type of contraceptive method. In the experimental group 62% and in the control group 94% episiotomy was performed. According to the results, the episiotomy rate was 9.60 times lower in people who did not use the Kegel exercise.

The present study showed that Kegel exercise can enhance pelvic floor muscles and, by increasing endurance of these muscles, increasing pelvic perfusion and muscle relaxation, facilitates labor and reduces the need for episiotomy and reduces pain. Finds.