Clinical effect and prognostic factor of electric stimulation and biofeedback therapy on postpartum pelvic organ prolapse.

This was a retrospective analysis of medical records, and the authors say records may be incomplete or inaccurate. It came from one hospital, so the women may not represent other settings. There was no control group, so the 79.0% effective rate cannot be compared with usual care or no treatment. All women received electric stimulation, biofeedback, and pelvic floor muscle training instruction together, so the contribution of each component cannot be separated. The clinical effect criteria are referenced but not described in the supplied text. The statistical methods text says logistic regression used cognitive impairment as the dependent variable, while the results text says clinical effect was the dependent variable. 15 of 343 diagnosed women were excluded for missing data. The authors state the retrospective design can only establish associations, not causality.

Funding was from Health Humanities Research Center, Key Research Base of Philosophy and Social Sciences, Zigong City (Project No. JKRWY22-23 and Project No. JKRWY23-19), and Hospital Management Research Special Fund Project, Hospital Association, Sichuan Province (Project No. YG2307). The supplied text does not list commercial funding or a conflict of interest declaration beyond these grants.

Do not conclude that electric stimulation and biofeedback therapy alone improved postpartum prolapse. The women also received nurse-led pelvic floor muscle training teaching, there was no control group, and the authors state the retrospective design can only show associations, not causality.