After Xiao Li gave birth to her baby, a difficult problem that plagued her diluted the joy of motherhood. She found that every time she sneezed or laughed with excitement, she had urine overflow. She also had back pain and abdominal swelling, and went to the hospital for a checkup and found that pelvic floor dysfunction was to blame. The phenomenon of “urine leakage” in postpartum women is mostly caused by pelvic floor dysfunction. In addition, many women also suffer from vaginal laxity, unsatisfactory sex life, abdominal cramps, frequent urination and uterine prolapse after giving birth. The prevalence of pelvic floor dysfunction is over 45%, but the consultation rate of patients is extremely low. I. Why does pelvic floor dysfunction occur after childbirth? Many mothers wonder why there is pelvic floor dysfunction. The function of the pelvic floor is like a hammock, holding up the bladder, uterus, rectum and other pelvic organs at the perineum and anus, maintaining a number of physiological functions such as conjugal pleasure, urination and defecation. In the process of pregnancy and childbirth, the pelvic floor muscles are inevitably damaged to varying degrees, resulting in pelvic floor muscle dysfunction. In other words, the elasticity of this “hammock” becomes poor, and the organs in its “net” cannot be fixed in their normal position, resulting in corresponding dysfunction. In the lighter cases, pelvic floor injury may be manifested as laxity of the birth canal, abdominal cramps, unsatisfactory sexual life or frequent urination and constipation; in the heavier cases, urinary incontinence, uterine prolapse, bladder prolapse, rectal prolapse and other diseases may occur, causing untold suffering. These clinical manifestations will increase the chances of appearing as we age. Second, pelvic floor dysfunction is not a failure to sit properly during the month. Many women are not properly aware of the importance of postpartum pelvic floor rehabilitation, and tend to focus on slimming and shaping, while blaming some of the symptoms of pelvic floor dysfunction on not sitting well during the month, delaying treatment. Many women have three major misconceptions about postpartum pelvic floor dysfunction: Misconception 1: pelvic floor repair is not important, only when the symptoms are heavy. Many women don’t understand pelvic floor dysfunction and blame many of the problems on not sitting well during the month, and “ignore” the problems, not knowing that this will miss the best time for pelvic floor repair. Most women suffer from pelvic floor disorders, but the severity varies. It is recommended to have a pelvic floor function check 42 days after delivery to detect problems and treat them as soon as possible. It is best to carry out pelvic floor rehabilitation in time to improve the quality of postpartum life and prevent problems such as abnormal urination during menopause. Pelvic floor rehabilitation can be said to be a “postpartum necessity”, but in fact, as early as the planned pregnancy, women need to learn how to accurately locate the muscle groups, correct contraction, step by step, the right amount of time, and persistent pelvic floor training. As pregnancy progresses, the uterus slowly increases in size and the pressure and damage to the pelvic floor grows with each passing day. Myth 2: Pelvic floor dysfunction only occurs in normal delivery. So, is pelvic floor dysfunction only for women with normal delivery? Most women with normal delivery have problems with dilatation of the birth canal, deformation of muscle fibers, loss of tone, pelvic instability and joint dislocation, and other pelvic floor muscle laxity. Do women who give birth by cesarean section not need to worry about this problem? It is true that some studies have concluded that the incidence of urinary incontinence and pelvic organ prolapse is significantly higher in those who deliver vaginally than in those who deliver by cesarean section, so vaginal delivery is an important cause of postpartum pelvic floor dysfunction, which may be related to direct damage to the fascial support structures and vaginal wall in the pelvis, as well as direct or indirect damage to the pelvic floor muscles and nerves, but it is not the only cause.” Factors such as pregnancy, decreased estrogen levels, and weight gain during pregnancy and delivery are among the most important causes of impaired pelvic function. That’s why some patients who have had a cesarean delivery also experience urinary incontinence and pelvic organ prolapse, which also require pelvic floor rehabilitation and should never be taken lightly. Myth 3: It is difficult to recover from pelvic floor dysfunction that has already occurred. The treatment of pelvic floor dysfunction is not complicated, and the treatment is very effective. Mild pelvic floor dysfunction patients only need to do their own pelvic floor muscle exercises at home under the guidance of their doctors. Patients with moderate to severe dysfunction can receive treatment such as electrical stimulation biofeedback in the hospital. In the case of urinary incontinence, for example, 65% of people can be completely cured and more than 95% can be relieved. The regular hospital will also develop individualized treatment plans for different patients and take the most suitable rehabilitation training methods. Currently, the main treatment modalities adopted for rehabilitation are electronic biofeedback, functional electrical stimulation, bladder training, Kegel exercises, etc. If you do not pay attention to receive any treatment, as they get older and their hormone level decreases, the muscles will become more and more relaxed, and the symptoms of pelvic floor dysfunctional disease will become more and more severe, and finally you will have to choose surgery.