BACKGROUND Childbirth is a major risk factor for urinary incontinence (UI). As a result, pelvic floor muscle training (PFMT) is commonly recommended during and after pregnancy to prevent the onset of UI. PFMT is often classed as a physical activity (PA) behaviour, hence PA guidelines for postnatal women encourage PFMT alongside aerobic activities. However, postnatal lifestyle interventions tend to overlook PFMT which can be detrimental to women's health and future health risks, including urinary incontinence. This study aimed to explore perceptions and acceptability of a postnatal physical activity and PFMT intervention with postnatal women in Scotland. METHODS We recruited women who had given birth within the last 5 years by displaying posters in health centres and community centres in Stirling and through Facebook. Data was gathered via online and face-to-face focus groups, that were audio recorded and transcribed verbatim. Analytic themes were initially organised under related concepts derived from the topic guide and thematic analysis conducted. Subsequent analysis was by the Framework technique. RESULTS A total of seven online and face-to-face focus group discussions with 31 women identified there was a clear intention behaviour gap for engagement in PA, with both psychological and logistical barriers identified such as motivation and childcare. This was distinct from PFMT where there was a feeling of helplessness around not knowing how to perform a correct PFMT contraction subsequently resulting in women not adhering to PFMT guidance. Women felt there was no accessible PFMT advice available through the NHS. Some participants had received PFMT advice after childbirth and spoke of the Squeezee app being useful in adhering to a PFMT regimen but they did require additional teaching on how to do correct contractions. There was need for clarity and practical support for PFMT in the postnatal period with an approved intervention incorporating an accessible app being suggested by participants. CONCLUSIONS Women would like to be trained on postnatal PFMT but face barriers to accessing adequate information and education on how to do a PFMT contraction. An intervention combining PFMT training and an app would be the most useful for their needs and circumstances.

中文翻译：

---

产后盆底肌肉训练干预预防尿失禁的可接受性的定性探索。


背景技术分娩是尿失禁(UI)的主要危险因素。因此，通常建议在怀孕期间和怀孕后进行盆底肌肉训练 (PFMT)，以预防 UI 的发生。 PFMT 通常被归类为体力活动 (PA) 行为，因此针对产后妇女的 PA 指南鼓励将 PFMT 与有氧活动一起进行。然而，产后生活方式干预往往忽视 PFMT，这可能不利于女性健康和未来的健康风险，包括尿失禁。本研究旨在探讨苏格兰产后妇女对产后体育活动和 PFMT 干预的看法和可接受性。方法 我们通过在斯特灵的健康中心和社区中心张贴海报以及通过 Facebook 招募过去 5 年内生育过的女性。数据是通过在线和面对面的焦点小组收集的，这些数据被录音并逐字转录。分析主题最初是根据主题指南和主题分析得出的相关概念进行组织的。随后的分析是通过框架技术。结果 与 31 名女性进行的总共 7 次在线和面对面的焦点小组讨论发现，参与 PA 存在明显的意图行为差距，并发现了心理和后勤障碍，例如动机和儿童保育。这与 PFMT 不同，在 PFMT 中，不知道如何执行正确的 PFMT 收缩会产生一种无助感，从而导致女性不遵守 PFMT 指导。女性认为 NHS 无法提供可用的 PFMT 建议。 一些参与者在分娩后收到了 PFMT 建议，并表示 Squeezee 应用程序对于遵守 PFMT 方案很有用，但他们确实需要额外的指导如何进行正确的宫缩。需要对产后 PFMT 提供明确和实际的支持，并采用经批准的干预措施，其中包括参与者建议的可访问应用程序。结论 女性希望接受产后 PFMT 培训，但在获取有关如何进行 PFMT 宫缩的充分信息和教育方面面临障碍。结合 PFMT 培训和应用程序的干预措施对于他们的需求和情况最有用。