{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:48:53Z","timestamp":1791578933285,"version":"4.3.4"},"reference-count":70,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Pregnancy is a unique life stage for women and is also an independent risk factor for pelvic floor disorders (PFD). Physiological changes during pregnancy can weaken pelvic floor support, potentially leading to common pelvic floor dysfunctions such as urinary incontinence, fecal incontinence, chronic pelvic pain, sexual dysfunction, rectus diastasis, and pelvic organ prolapse if left unaddressed. Early preventive interventions are recommended to reduce the overall incidence of PFD. This review aims to summarize various preventive health care strategies for pelvic floor health during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive review of the literature was conducted, focusing on studies related to pelvic floor health care during pregnancy. Relevant articles were selected based on their contributions to understanding preventive measures and interventions aimed at maintaining pelvic floor health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The research findings outline effective methods for pelvic floor health care during pregnancy, including health education, breathing exercises, pelvic floor muscle training, weight management, perineal massage, and holistic exercise programs. The literature search spanned six electronic databases (PubMed, Cochrane Library, Web of Science, CNKI, Wanfang, and Weipu) with 60 studies meeting inclusion criteria. Given the profound impact of pelvic floor dysfunction on women's quality of life, these strategies can specifically alleviate pelvic floor strain during pregnancy, improve delivery outcomes, promote postpartum recovery, and reduce the risk of PFD, thereby playing a significant role in supporting the overall health of mothers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Emphasizing early management of pelvic floor health is crucial for the recovery of pelvic floor tissues in pregnant women and should be widely implemented in clinical practice. Healthcare providers should consider each pregnant woman's individual health status, physical abilities, and maternal\u2010fetal safety to develop personalized exercise plans, employing appropriate strategies for early intervention against the pelvic floor during pregnancy which may successfully prevent pelvic floor disorders in women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70077","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T06:15:20Z","timestamp":1749536120000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Interventions for Maintaining Pelvic Floor Health During Pregnancy: A Systematic Review"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7351-0073","authenticated-orcid":false,"given":"Yuxuan","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanbo","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengting","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Minhang Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006672.pub3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010020\u201004302\u20108"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2006.12.008"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2019\/41732.13037"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2015042"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2013.09.007"},{"issue":"5","key":"e_1_2_7_8_1","first-page":"220","article-title":"Pilates and Pregnancy","volume":"8","author":"Balogh A","year":"2005","journal-title":"RCM Midwives: The Official Journal of the Royal College of Midwives"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.12.003"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000852"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003773"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010019\u201001243\u20101"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010024\u201007653\u20105"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2020.1842470"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010022\u201004474\u20109"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24481"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102018\u2010099780"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010018\u20103793\u20101"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010024\u201003410\u20102"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.04.036"},{"key":"e_1_2_7_21_1","unstructured":"\u201cThe Eatwell Guide.\u201d March2016. GOV.UK.https:\/\/www.gov.uk\/government\/publications\/the\u2010eatwell\u2010guide."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14875"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2018.00546"},{"key":"e_1_2_7_24_1","unstructured":"Fernando R. A. A.Williams andE. J.Adams.2007.RCOG Green Top Guidelines. Management of Third and Fourth Degree Perineal Tears Following Vaginal Delivery. RCOG Green Top Guidelines."},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eujim.2018.09.006"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010017\u20101543\u2010x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2015.11.003"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-42677-8_7"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010015\u20102663\u20103"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2022.07.027"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22728"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000285"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.05.004"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101396701"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010023\u201005700\u20104"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109378(48)90266\u2010x"},{"issue":"10","key":"e_1_2_7_37_1","first-page":"1139","article-title":"Can a Pilates Exercise Program Be Effective on Balance, Flexibility and Muscle Endurance? A Randomized Controlled Trial","volume":"56","author":"Kibar S.","year":"2016","journal-title":"Journal of Sports Medicine and Physical Fitness"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010023\u201002775\u20105"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010020\u201004550\u20108"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13334"},{"key":"e_1_2_7_41_1","unstructured":"Milsom I. D.Altman R.Cartwright et\u00a0al.2013.Epidemiology of Urinary Incontinence (UI) and Other Lower Urinary Tract Symptoms (LUTS) Pelvic Organ Prolapse (POP) and Anal Incontinence (AI).https:\/\/www.semanticscholar.org\/paper\/Epidemiology\u2010of\u2010urinary\u2010incontinence\u2010(UI)\u2010and\u2010other\u2010Milsom\u2010Altman\/7b6a43cc5cd026d56222564fc44bc9a62541107b."},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.28.3020"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160"},{"key":"e_1_2_7_44_1","volume-title":"Pelvic Floor Dysfunction: Prevention and Non\u2010surgical Management","year":"2021"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001137"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12005"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010017\u20103330\u20107"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010013\u20102061\u20107"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24297"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010008\u20100631\u2010x"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.21275\/SR22506115826"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2012.03426.x"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010010\u20101240\u2010z"},{"issue":"1","key":"e_1_2_7_54_1","first-page":"24","article-title":"Yoga From the Pelvic Floor","volume":"34","author":"Tenfelde S.","year":"2014","journal-title":"Beginnings"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1975"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737\u2010015\u20100571\u20107"},{"key":"e_1_2_7_57_1","volume-title":"Dietary Guidelines for Americans, 2020\u20132025","author":"U.S. Department of Agriculture,\u00a0and U.S. Department of Health and Human Services","year":"2020"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155274"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010008\u20100765\u2010x"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2006.01593.x"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007471.pub4"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1160733"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010024\u201005860\u2010x"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/6303820"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010022\u201005225\u20102"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010024\u201006586\u2010w"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201055724\u20104"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14744"},{"issue":"6","key":"e_1_2_7_69_1","first-page":"157","article-title":"\u57fa\u4e8e\u89c6\u9891\u54a8\u8be2\u7684WAFF\u8fd0\u52a8\u5bf9\u521d\u4ea7\u5987\u4ea7\u540e\u76c6\u5e95\u808c\u6062\u590d\u7684\u6548\u679c","volume":"39","author":"\u5218\u6c38\u946b, \u5f20\u5fd7\u5a1f, and \u82b1\u9999","year":"2023","journal-title":"\u4e2d\u56fd\u793e\u533a\u533b\u5e08"},{"issue":"8","key":"e_1_2_7_70_1","first-page":"1791","article-title":"\u5b55\u671f\u4f53\u80b2\u953b\u70bc\u5bf9\u4ea7\u540e6\u223c8\u5468\u5987\u5973\u76c6\u5e95\u808c\u529b\u7684\u5f71\u54cd","volume":"31","author":"\u53f6\u831c, \u4e18\u747e, \u5468\u6708\u5a23, and \u5434\u6c22\u51ef","year":"2023","journal-title":"\u4e2d\u56fd\u8ba1\u5212\u751f\u80b2\u5b66\u6742\u5fd7"},{"key":"e_1_2_7_71_1","unstructured":"\u738b\u5fe0\u6c11.2020.\u5973\u6027\u6162\u6027\u76c6\u8154\u75db\u8bca\u7597\u7cbe\u8981 . \u5317\u4eac\u79d1\u5b66\u51fa\u7248\u793e."}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T13:37:28Z","timestamp":1754660248000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.70077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,10]]},"references-count":70,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/pri.70077"],"URL":"https:\/\/doi.org\/10.1002\/pri.70077","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"value":"1358-2267","type":"print"},{"value":"1471-2865","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,10]]},"assertion":[{"value":"2025-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70077"}}