{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T06:19:11Z","timestamp":1775110751786,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the therapeutic efficacy of Dabu-Yuanjian Tisheng formula combined with acupoint stimulation for postpartum pelvic floor dysfunction (PFD) compared with single-modality and standard rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, patient-preference observational study enrolled 212 postpartum women diagnosed with PFD, who chose one of four management options after standardized counseling. Group A received Dabu-Yuanjian Tisheng formula alone, Group B acupoint stimulation alone, Group C the combined therapy, and Group D standard electrical stimulation with biofeedback. Quota sampling targeted 53 participants per group. The 8-week intervention evaluated changes in POP-Q staging, urinary incontinence symptoms (ICIQ-SF), vaginal dynamic pressure, and traditional Chinese medicine (TCM) syndrome scores; pelvic floor muscle strength (Modified Oxford Scale) was assessed to characterize severity. Between-group comparisons used ANCOVA for continuous variables and proportional-odds models for ordinal outcomes, adjusted for prespecified covariates and baseline values. Missing data were handled via multiple imputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 212 participants (53 per group) were analyzed. Baseline characteristics were generally comparable. All groups showed significant pre- to post-treatment improvement across major outcomes (all\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.00001). After adjustment, selecting the combined therapy (Group C) was associated with the most favorable improvements across measured outcomes. Vaginal dynamic pressure improved more in Group C than in Group A (mean + 3.59,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.00001) and Group B (+ 2.21,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0340); Group D improved more than Group A (+ 2.30,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0277). For bladder neck\u2013symphysis distance (BSD), Group C improved more than Group A (+ 0.172,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.00209) and Group B (+ 0.246,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.00001). Reductions in ICIQ-SF and TCM scores showed similar patterns, with Group C achieving the largest gains (all\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.00001). POP-Q staging distribution differed significantly among groups (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.00001), favoring Group C. Sensitivity analyses confirmed robustness, with &amp;gt; 97% power for detecting clinically relevant differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this patient-preference cohort, the choice of Dabu-Yuanjian Tisheng formula combined with acupoint stimulation was associated with greater improvements in postpartum PFD outcomes compared to single-modality or standard rehabilitation. However, because treatment allocation was non-randomized and residual confounding cannot be excluded, these findings should be interpreted as supportive comparative evidence rather than definitive proof of superiority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1782551","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:25:42Z","timestamp":1775107542000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical effects of integrated Chinese medicine therapy for postpartum pelvic floor dysfunction: a prospective patient-preference cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Qingge","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Traditional Chinese Medicine, Hangzhou Women\u2019s Hospital, Hangzhou","place":["Zhejiang, 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China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaqin","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery, Hangzhou Women\u2019s Hospital, Hangzhou","place":["Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suju","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hangzhou Women\u2019s Hospital","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"564","DOI":"10.3238\/arztebl.2015.0564","article-title":"The investigation and treatment of female pelvic floor dysfunction.","volume":"112","author":"Jundt","year":"2015","journal-title":"Deutsch Arztebl Int."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e126","DOI":"10.1097\/AOG.0000000000003519","article-title":"Pelvic organ 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