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21 November 2023 : Clinical Research  

[In Press] Enhancement of Levator Ani Muscle Strength in Postpartum Women: The Impact of Pelvic Floor Muscle Training

R.M. Sonny Sasotya1ABCDEFG, Arnova Reswari ORCID logo1ABCDEF, Andi Kurniadi1CD, Wiryawan Permadi1CD, Eppy Darmadi Achmad1ABCDE, Akhmad Yogi Pramatirta1CD, Ayu Insafi Mulyantari ORCID logo1EF

Med Sci Monit In Press; DOI:   :: ID: 942758

Available online: 2023-11-21, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule


Levator ani muscle injuries during vaginal childbirth can lead to pelvic organ prolapse (POP). Pelvic floor muscle training (PFMT) is an effective conservative approach to alleviate these symptoms. This study aimed to compare outcomes with and without 3 months of PFMT in 34 women with levator ani muscle injury following vaginal delivery.
In a quasi-experimental study, 34 postpartum women were divided into 2 groups: one received PFMT along with home-based materials and regular follow-ups, while the other served as the control. We measured basal tone and maximal levator ani muscle contraction using the Peritron perineometer and assessed changes after 3 months.
The basal tone and maximal contraction of the levator ani muscle significantly increased following a 3-month intervention period both in PFMT and control group (P=0.0001). The maximal contraction of the levator ani muscle after a 3-month intervention period was significantly higher in PFMT group compared with control group (36.59±1.45 vs 27.76±13.35, P=0.0001), respectively. A significant positive correlation was found between basal tone and maximal contraction (r=0.806, P=0.0001).
A 3-month PFMT program effectively increased levator ani muscle strength in postpartum women compared to those who did not undergo PFMT.

Keywords: Delivery, Obstetric; Exercise Therapy; Pelvic Floor


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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750