What does it mean to plan ahead? Take a look at a French health policy: a course of pelvic floor rehabilitation training is offered to all mothers with the aim of preventing them from developing urinary incontinence 25 years later. Many young mothers value postpartum trimming, when in fact it is just as important to repair the pelvic floor after childbirth. The problem goes back to childbirth. 57-year-old Ms. Zhao has been incontinent for 10 years, and when she walks fast, climbs stairs, or coughs, she often wets her pants because of leakage, which is embarrassing as hell. In the gynecology clinic every day to see several patients like Ms. Zhao, they are afraid that in public places can not control urination, before going out had to pad sanitary napkins or diapers …… married, fertile women with pelvic floor dysfunction prevalence of about 30-40%, the most concentrated patients in their forties and fifties, pelvic floor dysfunction patients, half of More than half of the patients with pelvic floor dysfunction have varying degrees of urinary abnormalities. Many people are unaware that the occurrence of pelvic floor dysfunction in middle and old age is likely to have been triggered by a childbirth injury decades ago. Between the female pelvis and the lower extremities, there are only supporting structures such as the pelvic floor muscles. Like a bed of springs, the pelvic floor muscles support and support the pelvic organs such as the bladder, uterus, and rectum, and manage several physiological functions, including controlling urination and defecation, maintaining vaginal tightness, and increasing sexual pleasure. During pregnancy and childbirth, women inevitably cause varying degrees of damage to the pelvic floor muscles. During pregnancy, the pelvic floor becomes lax under the effect of progesterone, and as the fetus grows slowly and shifts downward, the pelvic floor is squeezed more and more. During delivery, as the fetus is delivered, some of the ligaments are loosened and the “spring bed” becomes less elastic, so that the organs cannot be fixed in their normal position, resulting in dysfunction, such as urinary and fecal incontinence and organ prolapse. Compared with foreigners, Chinese mothers have a small pelvis, but the babies they give birth to are as big as foreign babies, so pelvic floor laxity is very common among Chinese women after giving birth. However, the sequelae of pelvic floor laxity, which really affects the quality of life, may not be reflected until decades later, so it does not attract much attention. Training 40 days after childbirth is to prevent the disease 25 years later About 1/3 of women who give birth develop pelvic floor laxity and affect urination. Therefore, pelvic floor function repair for women is being promoted as a governmental work in foreign countries. In developed countries and regions such as Europe, America, Japan and Korea, attention has been paid to female pelvic floor dysfunction as early as 20 to 30 years ago, and routine pelvic floor muscle training is provided to women 40 days after delivery. In France, for example, the government encourages women to train their pelvic floor at home one to two weeks after delivery, most often by insisting on doing “pelvic floor exercises”. Forty days after delivery, the government then provides a course of free pelvic floor rehabilitation training, a course of ten sessions. Before the training, the mother will be examined to determine the damaged area of the pelvic floor, and then take different treatment, such as bioelectric stimulation, pelvic floor muscle training, etc. There is a saying that if a woman has received pelvic floor rehabilitation training, the French government will pay for her treatment for free decades later, even if she develops urinary incontinence. But if a woman gives up the opportunity to train for free, she will have to pay for her own medical care if a series of health problems arise later because of pelvic floor dysfunction. Many people can’t imagine that the training done 40 days after giving birth is to prevent urinary incontinence 25 years later, which is actually a real rainy day. The Chinese concept of menstruation is deeply rooted, and many women are reluctant to train prematurely. In fact, in China, the pelvic floor dysfunction prevention and treatment program has been launched, and more and more hospitals are carrying out pelvic floor rehabilitation training. But a real problem is that few women are actively asking to participate. “Many people don’t have such an awareness of health care, and few people think that doing pelvic floor training after childbirth can prevent incontinence so many years later, which seems so far away. There is also a realistic barrier that many elders will object to the Chinese emphasis on sitting on the moon, having the mother lie down more, and checking and exercising pelvic floor function early on.” One year after giving birth is the “golden time” for pelvic floor muscle function recovery, 1-2 weeks after giving birth is the most suitable for pelvic floor rehabilitation training at home, 42 days after giving birth should go to the hospital to do a pelvic floor function check, find the problem early treatment, timely pelvic floor rehabilitation training, the earlier the training, the better the effect. If you do not do any training, as you get older, hormone levels decline, muscles become flaccid, symptoms will become more and more serious, and in middle and old age, it is likely that mild to moderate stress cramps or varying degrees of stress incontinence, and some even develop to uterine prolapse. It is not difficult to do pelvic floor training at home, and the recommended exercise is the “pelvic floor function exercise”, which involves consciously contracting the vagina, as it is difficult for beginners to appreciate the strength of vaginal contractions. While contracting the pelvic floor muscle group, try to avoid contraction of other muscles such as thighs, back and abdominal muscles. The intensity and duration of training can be gradually increased, starting with contracting the urethra, anus and perineum for 5-10 seconds at a time and then relaxing, repeating the above actions at 5-10 second intervals for 5 minutes, twice a day. Gradually increase the amount of training later. Anal contraction exercises are also effective: take a lying or sitting position at will, inhale slowly and deeply while actively contracting the vaginal and anal sphincters, hold your breath and keep contracting for 5 seconds. Do this 20-30 times per set, 3 sets per day, the longer you do it, the better. A special reminder is that patients who leak before urinating if they exercise vigorously should seek professional help in a hospital. If it progresses to very serious incontinence, it will require surgical treatment, and it will be more than worth it.