International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 52-58 http://medscipublisher.com/index.php/ijccr 57 conducted to explore ways to optimize these platforms. Potential improvements include integrating artificial intelligence for more precise training guidance, enhancing privacy protection to encourage patient use, and linking these systems with actual healthcare services. Better integration of e-health technologies into pelvic floor health management could significantly improve patient adherence and treatment outcomes. In this study, it was found that there was poor compliance of the combination of pelvic floor myoelectric stimulation and biofeedback therapy in parterients with natural delivery, and the compliance of the treatment was a protective factor of pelvic floor myoelectric physiology, and the pregnancy weight gain was identified as a risk factor of pelvic floor myoelectric physiology score. However, there are some limitations in this study, which did not consider potential confounding factors, such as BMI and previous diseases, etc., which may have an impact on the effect of pelvic floor electrical stimulation combined with biofeedback therapy. Follow-up studies can be further improved. Funding This research was funded by a grant from Beijing Municipal Hospital Research Incubation Program (PG202315). Conflict of Interest Disclosure The authors affirm that this research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest. Reference Araujo C.C., Marques A.D.A., and Juliato C.R., 2020, The adherence of home pelvic floor muscles training using a mobile device application for women with urinary incontinence: a randomized controlled trial, Urogynecology, 26(11): 697-703. https://doi.org/10.1097/SPV.0000000000000670 Bayat M., Eshraghi N., Naeiji Z., and Fathi M., 2021, Evaluation of awareness, adherence, and barriers of pelvic floor muscle training in pregnant women: a cross-sectional study, Urogynecology, 27(1): e122-e126. https://doi.org/10.1097/SPV.0000000000000852 Burkhart P.V., and Sabaté E., 2003, Adherence to long-term therapies: evidence for action, Journal of Nursing Scholarship, 35(3): 207. https://doi.org/10.1111/j.1547-5069.2003.tb00001.x Chinese Urological Association Female Urology Group, 2023, Chinese expert consensus on the diagnosis and treatment of pelvic organ prolapse and stress urinary incontinence, Chinese Journal of Urology, 6: 401-404. Corona-González J.G., Valderrama-Santillán J.J., Sosa-Bustamante G.P., Luna-Anguiano J.L.F., Paque-Bautista C., and González A.P., 2023, Home therapeutic adherence of pelvic floor muscle exercises in urinary incontinence, Revista Medica del Instituto Mexicano del Seguro Social, 61(Suppl 2): S148-S154. Dai B.B., Qiao J.H., Sun F.F., Bo C.L., Ding K.W., Su W., and Xu C.P., 2018, Analysis of psychological resilience level and its influencing factors in patients of postpartum pelvic floor dysfunction, Chinese Journal of Practical Nursing, 34(8): 590-595. Dou L., Wang W., 2025, Effect of pelvic floor electrical stimulation biofeedback combined with proprioceptive training on postpartum pelvic floor dysfunction, Chinese Journal of Family Planning, 33(1): 130-133, 139. Halski T., Ptaszkowski K., Słupska L., Dymarek R., and Paprocka-Borowicz M., 2017, Relationship between lower limb position and pelvic floor muscle surface electromyography activity in menopausal women: a prospective observational study, Clinical Interventions in Aging, 2017: 75-83. https://doi.org/10.2147/CIA.S121467 Harper R.C., Sheppard S., Stewart C., and Clark C.J., 2023, Exploring adherence to pelvic floor muscle training in women using mobile apps: scoping review, JMIR mHealth and uHealth, 11(1): e45947. https://doi.org/10.2196/45947 Huang J.L., Sun Y.F., and Liao L.M., 2022, Effects of body weight management during pregnancy and the main risk factors on postpartum pelvic floor function in overweight and obese women, Maternal and Child Health Care of China, 17: 3138-3141. Huang X.F., Xia H.W., and Wei H.W., 2018, Survey on pelvic floor dysfunction and risk factors analysis of pelvic floor muscle strength abnormalities among postpartum women from six cities in Guangxi, Guangxi Medical Journal, 40(19): 2261-2264, 2274. Jaffar A., Mohd-Sidik S., Foo C.N., Admodisastro N., Abdul Salam S.N., and Ismail N.D., 2022, Improving pelvic floor muscle training adherence among pregnant women: validation study, JMIR Human Factors, 9(1): e30989. https://doi.org/10.2196/30989 Latorre G.F., de Fraga R., Seleme M.R., Mueller C.V., and Berghmans B., 2019, An ideal e-health system for pelvic floor muscle training adherence: systematic review, Neurourology and Urodynamics, 38(1): 63-80. https://doi.org/10.1002/nau.23835
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