{"id":6549,"date":"2023-06-13T16:08:41","date_gmt":"2023-06-13T16:08:41","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/postpartum-pelvic-floor-considerations-fr\/"},"modified":"2023-06-13T16:34:38","modified_gmt":"2023-06-13T16:34:38","slug":"postpartum-pelvic-floor-considerations-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/postpartum-pelvic-floor-considerations-fr\/","title":{"rendered":"Consid\u00e9rations sur le plancher pelvien post-partum"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Jess_Bell\" title=\"User:Jess Bell\">Jess Bell<\/a> \u00e0 partir d&rsquo;un cours d&rsquo;<a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ibukun-afolabi\/\">Ibukun Afolabi<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a> et <a href=\"\/User:Carin_Hunter\" class=\"mw-userlink\" title=\"User:Carin Hunter\"><bdi>Carin Hunter<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Defining_the_Postpartum_Period\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">D\u00e9finition de la p\u00e9riode post-partum la p\u00e9riode post-partum<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#The_Fourth_Trimester\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Le quatri\u00e8me trimestre<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Expectations_for_Recovery\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Les attentes en mati\u00e8re de r\u00e9cup\u00e9ration<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Discharge_from_Obstetric_Care\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Lib\u00e9ration des soins obst\u00e9triques<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Normal_and_Abnormal_Experiences\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Les exp\u00e9riences normales et anormales<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Perineal_and_Vulvar_Care_Practices\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">La pratique de soins au niveau du p\u00e9rin\u00e9e et de la vulve <\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Healthy_and_Pressure-Free_Bowel_Movements\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Une fonction intestinale saine et sans pression sur le plancher pelvien<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Postpartum_Abdominal_Wall_Support\"><span class=\"tocnumber\">8<\/span> Le s<span class=\"toctext\">outien de la paroi abdominale en post-partum<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Resuming_Penetrative_Intercourse\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Reprendre les relations sexuelles avec p\u00e9n\u00e9tration <\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Activities_of_Daily_Living\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">Les activit\u00e9s de vie quotidienne<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#References\"><span class=\"tocnumber\">11<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Defining_the_Postpartum_Period\">D\u00e9finition de la p\u00e9riode post-partum <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Defining the Postpartum Period\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=1\" title=\"Edit section: Defining the Postpartum Period\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La p\u00e9riode post-partum a \u00e9t\u00e9 divis\u00e9e en trois phases : <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>La phase initiale \/ phase aigu\u00eb couvre les 6 \u00e0 12 premi\u00e8res heures apr\u00e8s la naissance<\/li>\n<li>La phase subaigu\u00eb dure entre deux et six semaines<\/li>\n<li>La phase post-partum diff\u00e9r\u00e9e (suivant la phase subaigu\u00eb) peut durer jusqu&rsquo;\u00e0 6 mois <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> ou plus <sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les effets de l&rsquo;accouchement sont g\u00e9n\u00e9ralement ressentis le plus fortement au cours des 12 premi\u00e8res semaines post-partum. <sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Ces 12 premi\u00e8res semaines sont \u00e9galement appel\u00e9es le quatri\u00e8me trimestre. <sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> Par contre, en r\u00e9alit\u00e9, l&rsquo;accouchement peut avoir un impact sur la sant\u00e9 pelvienne de la m\u00e8re pendant bien plus longtemps pass\u00e9 le quatri\u00e8me trimestre. La sant\u00e9 pelvienne doit donc \u00eatre le centre de nos pr\u00e9occupations pendant la p\u00e9riode post-partum, car les bases de la sant\u00e9 pelvienne \u00e9tablies pendant cette p\u00e9riode peuvent avoir un impact \u00e0 long terme sur l&rsquo;\u00e9tat de sant\u00e9 de ces m\u00e8res.<sup id=\"cite_ref-:1_2-2\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"The_Fourth_Trimester\">Le quatri\u00e8me trimestre <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: The Fourth Trimester\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=2\" title=\"Edit section: The Fourth Trimester\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Au cours du quatri\u00e8me trimestre, les tissus sont encore en cours de gu\u00e9rison et le corps est en train de \u00ab\u00a0se retrouver\u00a0\u00bb. <sup id=\"cite_ref-:1_2-3\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Au cours des deux \u00e0 six premi\u00e8res semaines en particulier, le corps subit des changements importants en termes de : <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>H\u00e9modynamique<\/li>\n<li>R\u00e9cup\u00e9ration g\u00e9nito-urinaire<\/li>\n<li>M\u00e9tabolisme<\/li>\n<li>\u00c9tat \u00e9motionnel<\/li>\n<\/ul>\n<p>Dans la p\u00e9riode post-partum diff\u00e9r\u00e9e les changements tendent \u00e0 \u00eatre tr\u00e8s progressifs et il n&rsquo;est pas fr\u00e9quent d&rsquo;y observer des pathologies. <sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> En raison de tous ces changements physiques et \u00e9motionnels, il est important que les femmes ne sollicitent pas trop leurs tissus. L&rsquo;accent devrait plut\u00f4t \u00eatre mis sur : <sup id=\"cite_ref-:1_2-4\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Le repos<\/li>\n<li>La r\u00e9cup\u00e9ration<\/li>\n<li>La reconstitution<\/li>\n<li>Les pratiques ayant une fonction r\u00e9paratrice<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/APczZl9bJ1E?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Expectations_for_Recovery\">Les attentes en mati\u00e8re de r\u00e9cup\u00e9ration <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Expectations for Recovery\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=3\" title=\"Edit section: Expectations for Recovery\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il peut \u00eatre n\u00e9cessaire de discuter avec les femmes de leurs attentes en mati\u00e8re de r\u00e9cup\u00e9ration. Savage <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> sugg\u00e8re que l&rsquo;\u00e9laboration d&rsquo;un plan d&rsquo;action dirig\u00e9 vers le bien-\u00eatre peut aider les futures m\u00e8res et leurs familles \u00e0 \u00eatre proactives et \u00e0 se pr\u00e9parer \u00e0 r\u00e9pondre \u00e0 leurs besoins physiques et \u00e9motionnels apr\u00e8s la naissance du b\u00e9b\u00e9. Mais aussi, il est important de noter que de nombreuses femmes qui sont rendues au quatri\u00e8me trimestre devront planifier aussi : <sup id=\"cite_ref-:1_2-5\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Leur retour au travail<\/li>\n<li>La garde d&rsquo;enfants<\/li>\n<li>Reprendre suffisamment de force pour tout g\u00e9rer seule<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Discharge_from_Obstetric_Care\">Lib\u00e9ration des soins obst\u00e9triques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Discharge from Obstetric Care\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=4\" title=\"Edit section: Discharge from Obstetric Care\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>De nombreuses femmes seront lib\u00e9r\u00e9es par leur sage-femme ou leur obst\u00e9tricien apr\u00e8s leur suivi de six semaines, \u00e0 moins qu&rsquo;il n&rsquo;y ait un probl\u00e8me m\u00e9dical sp\u00e9cifique. <sup id=\"cite_ref-:1_2-6\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2) <\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> Ces d\u00e9lais ou ces normes peuvent varier d&rsquo;un pays \u00e0 l&rsquo;autre.<\/p>\n<p>Au moment de leur lib\u00e9ration, ces femmes ne b\u00e9n\u00e9ficient pas toutes d&rsquo;un examen complet de leur plancher pelvien. Lorsque cela est s\u00e9curitaire et appropri\u00e9, un physioth\u00e9rapeute sp\u00e9cialis\u00e9 en sant\u00e9 pelvienne des femmes peut proc\u00e9der \u00e0 cette <a href=\"\/Physiotherapy_Assessment_and_Treatment_of_the_Pelvic_Floor\" class=\"mw-redirect\" title=\"Physiotherapy Assessment and Treatment of the Pelvic Floor\">\u00e9valuation<\/a> si n\u00e9cessaire. L&rsquo;\u00e9valuation du plancher pelvien se produit souvent apr\u00e8s cinq \u00e0 six semaines, une fois que les saignements ont cess\u00e9. <sup id=\"cite_ref-:1_2-7\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Il est \u00e9galement possible d&rsquo;apprendre aux patientes \u00e0 effectuer un auto-examen de leur vulve et de la r\u00e9gion p\u00e9rin\u00e9ale \u00e0 l&rsquo;aide d&rsquo;un miroir.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/fhiVYX4DUGE?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>Le reste de cette page aborde six \u00e9l\u00e9ments sp\u00e9cifiques que les physioth\u00e9rapeutes sp\u00e9cialis\u00e9s en sant\u00e9 pelvienne peuvent v\u00e9rifier avec leurs patientes avant l&rsquo;\u00e9valuation des six semaines afin d&rsquo;am\u00e9liorer leur sant\u00e9 pelvienne.<\/p>\n<h2><span class=\"mw-headline\" id=\"Normal_and_Abnormal_Experiences\">Les exp\u00e9riences normales et anormales <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Normal and Abnormal Experiences\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=5\" title=\"Edit section: Normal and Abnormal Experiences\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Selon Finlayson et al, <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> de nombreuses femmes ne se sentent pas pr\u00e9par\u00e9es \u00e0 l&rsquo;impact physique et psychologique de l&rsquo;accouchement ou \u00e0 leur r\u00e9cup\u00e9ration post-partum. Les sensations et exp\u00e9riences suivantes sont consid\u00e9r\u00e9es comme normales au cours des six premi\u00e8res semaines post-partum : <sup id=\"cite_ref-:1_2-8\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Le corps est encore en mode \u00ab\u00a0accouchement\u00a0\u00bb (c&rsquo;est-\u00e0-dire ouvert, ligaments souples)\n<ul>\n<li>La cicatrisation du tissu conjonctif et des tissus mous demande au moins six semaines<\/li>\n<\/ul>\n<\/li>\n<li>Le syst\u00e8me de stabilisation (muscles stabilisateurs internes) est compromis et n\u00e9cessitera un r\u00e9entra\u00eenement<\/li>\n<li>La vulve \/ le vagin ont possiblement un aspect et une sensation diff\u00e9rents apr\u00e8s un accouchement par voie naturelle<\/li>\n<\/ul>\n<ul>\n<li>Iimpression que le fond du bassin est en train de tomber<\/li>\n<li>Impression de lourdeur ou de pression pelvienne<\/li>\n<li>Inconfort ou douleur au niveau des hanches, du bas du dos, du bassin, du p\u00e9rin\u00e9e<\/li>\n<li>Un ventre tout mou et Jello (agissant comme de la gel\u00e9e)<\/li>\n<li>Observation d&rsquo;une forme de <a href=\"\/Diastasis_Recti_Abdominis_and_Pelvic_Floor_Dysfunction\" title=\"Diastasis Recti Abdominis and Pelvic Floor Dysfunction\">d\u00f4me ou de tente qui se forme dans l&rsquo;abdomen<\/a> lorsque l&rsquo;on essaie de s&rsquo;asseoir ou de soulever des objets.<\/li>\n<li>Difficult\u00e9 \u00e0 contr\u00f4ler les pertes d&rsquo;urine, de selles ou de gaz<\/li>\n<li>S\u00e9cheresse ou sensibilit\u00e9 des tissus vaginaux (cela peut persister en raison de changements hormonaux)<\/li>\n<li>Sentiment de vivre dans un corps inconnu \/ diff\u00e9rent<\/li>\n<\/ul>\n<p>Au bout de six \u00e0 huit semaines, et certainement au bout de douze semaines, ces sensations auront g\u00e9n\u00e9ralement disparu d&rsquo;elles-m\u00eames. <sup id=\"cite_ref-:1_2-9\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Il ne doit pas demeurer d&rsquo;<a href=\"\/Common_Women%27s_Pelvic_Health_Conditions#Incontinence\" title=\"Affections pelviennes courantes chez la femme\">incontinence<\/a> ou de fuites permanentes, ni de sentiment d&rsquo;instabilit\u00e9, ou autres. Les femmes qui continuent \u00e0 ressentir ces sensations devraient \u00eatre encourag\u00e9es \u00e0 consulter un physioth\u00e9rapeute sp\u00e9cialis\u00e9 en sant\u00e9 pelvienne.<\/p>\n<h2><span class=\"mw-headline\" id=\"Perineal_and_Vulvar_Care_Practices\">La pratique de soins au niveau du p\u00e9rin\u00e9e et de la vulve <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Perineal and Vulvar Care Practices\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=6\" title=\"Edit section: Perineal and Vulvar Care Practices\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>On estime que plus de 85 % des femmes subissent un traumatisme p\u00e9rin\u00e9al pendant l&rsquo;accouchement, le plus souvent une \u00e9pisiotomie ou une d\u00e9chirure. <sup id=\"cite_ref-:2_9-0\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup> Les complications associ\u00e9es incluent la douleur, l&rsquo;inconfort, l&rsquo;infection, la douleur pelvienne persistante, la dyspareunie, la faiblesse du plancher pelvien, l&rsquo;incontinence urinaire, la dysfonction sexuelle, la d\u00e9pression et l&rsquo;instabilit\u00e9 de l&rsquo;humeur. <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>Les complications des d\u00e9chirures ou de l&rsquo;\u00e9pisiotomie peuvent avoir un impact imm\u00e9diat ou \u00e0 plus long terme et peuvent affecter, entre autres : <sup id=\"cite_ref-:2_9-1\" class=\"reference\"><a href=\"#cite_note-:2-9\">(9)<\/a><\/sup><\/p>\n<ul>\n<li>La mobilit\u00e9<\/li>\n<li>L&rsquo;\u00e9limination v\u00e9sicale ou intestinale<\/li>\n<li>Les soins aux nouveau-n\u00e9s<\/li>\n<li>Les activit\u00e9s de la vie quotidienne<\/li>\n<\/ul>\n<p>Les pratiques suivantes peuvent \u00eatre b\u00e9n\u00e9fiques pour les soins du p\u00e9rin\u00e9e etde la vulve en post-partum imm\u00e9diat : <sup id=\"cite_ref-:1_2-10\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Utiliser des Padsicles (serviettes hygi\u00e9niques r\u00e9frig\u00e9r\u00e9es ou congel\u00e9es) et des plantes particuli\u00e8res (qui facilitent la gu\u00e9rison des tissus) peut diminuer la douleur p\u00e9rin\u00e9ale et r\u00e9duire l&rsquo;inflammation et l&rsquo;oed\u00e8me.<\/li>\n<li>Laisser s\u00e9cher la zone \u00e0 l&rsquo;air libre de temps en temps peut favoriser la cicatrisation et r\u00e9duire le risque d&rsquo;irritation ou d&rsquo;infection.<\/li>\n<li>Choisir des aliments riches en nutriments <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> et s&rsquo;hydrater ad\u00e9quatement peut favoriser la gu\u00e9rison<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/e88EHQwNobY?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Healthy_and_Pressure-Free_Bowel_Movements\">Une fonction intestinale saine et sans pression sur le plancher pelvien <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Healthy and Pressure-Free Bowel Movements\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=7\" title=\"Edit section: Healthy and Pressure-Free Bowel Movements\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La constipation est une affection fr\u00e9quente chez les femmes en post-partum, entra\u00eenant des douleurs, inconforts et difficult\u00e9s \u00e0 \u00e9vacuer (besoin de pousser). Le risque de constipation post-partum peut \u00eatre augment\u00e9 par les \u00e9l\u00e9ments suivants : <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>H\u00e9morro\u00efdes<\/li>\n<li>Douleur autour d&rsquo;une \u00e9pisiotomie<\/li>\n<li>Effets des hormones de grossesse<\/li>\n<li>H\u00e9matiniques utilis\u00e9s pendant la grossesse, tels que l&rsquo;acide folique et les sels de fer : <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup>\n<ul>\n<li>Ces m\u00e9dicaments peuvent \u00eatre administr\u00e9s pour pr\u00e9venir l&rsquo;an\u00e9mie et assurer le d\u00e9veloppement normal du f\u0153tus<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Des strat\u00e9gies visant \u00e0 encourager une \u00e9vacuation saine et sans pression imm\u00e9diatement sur le plancher pelvien apr\u00e8s l&rsquo;accouchement incluent : <sup id=\"cite_ref-:1_2-11\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Utiliser un <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.squattypotty.com\/\">squatty potty<\/a> (tabouret pour soulever les pieds)<\/li>\n<li>Ne pas forcer<\/li>\n<li>Masser l&rsquo;abdomen \u00e0 l&rsquo;aide du massage \u00ab\u00a0ILU\u00a0\u00bb (c&rsquo;est-\u00e0-dire un massage dans la forme des lettres I, L et U). Voir ci-dessous<\/li>\n<li>Soutienir manuellement le p\u00e9rin\u00e9e<\/li>\n<li>Choisir des aliments et des boissons ad\u00e9quates<\/li>\n<\/ul>\n<p>Les vid\u00e9os suivantes (en anglais) fournissent des informations suppl\u00e9mentaires sur la position aidante \u00ab\u00a0squatty potty\u00a0\u00bb \u00e0 la toilette (\u00e0 gauche), l&rsquo;\u00e9vacuation apr\u00e8s l&rsquo;accouchement (au centre) et le massage ILU (\u00e0 droite).<\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/Q0BvNW_pBxE?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/868g5csQN-M?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/JTOkKVlBHzk?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Postpartum_Abdominal_Wall_Support\">Le soutien de la paroi abdominale en post-partum <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Postpartum Abdominal Wall Support\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=8\" title=\"Edit section: Postpartum Abdominal Wall Support\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Apr\u00e8s un accouchement, les muscles abdominaux pourront reprendre leur r\u00f4le de stabilisateurs primaires de la colonne vert\u00e9brale. Par contre, ces muscles ont \u00e9t\u00e9 \u00e9tir\u00e9s ou souvent sur-\u00e9tir\u00e9s pendant la grossesse. <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup> Il est donc important de discuter du soutien de la paroi abdominale avec les patientes au cours des six premi\u00e8res semaines suivant l&rsquo;accouchement pour : <sup id=\"cite_ref-:1_2-12\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Faciliter la gu\u00e9rison et apporter un soutien\n<ul>\n<li>Utilisation d&rsquo;une ceinture abdominale ad\u00e9quate<\/li>\n<\/ul>\n<\/li>\n<li>R\u00e9tablir l&rsquo;\u00e9quilibre\n<ul>\n<li>Encourager un bon alignement du diaphragme respiratoire au-dessus du plancher pelvien<\/li>\n<\/ul>\n<\/li>\n<li>G\u00e9rer la pression\n<ul>\n<li>\u00c9viter toute compression du ventre qui mettrait un stress sur le plancher pelvien ou le diaphragme<\/li>\n<li>Postures et positions<\/li>\n<li>Position du diaphragme et des c\u00f4tes<\/li>\n<li>Style de respiration<\/li>\n<li>Plancher pelvien<\/li>\n<li>V\u00eatements (ceintures, porte-b\u00e9b\u00e9s)<\/li>\n<li>Perception de soi (port de ceintures de taille de type \u00ab\u00a0waist trainers\u00a0\u00bb, rentrer le ventre)<\/li>\n<\/ul>\n<\/li>\n<li>Reconnecter avec les stabilisateurs centraux\n<ul>\n<li>Les r\u00e9activer en douceur, reprise de conscience<\/li>\n<li>V\u00e9rifier la pr\u00e9sence ou non d&rsquo;une <a href=\"\/Diastasis_Recti_Abdominis_and_Pelvic_Floor_Dysfunction\" title=\"Diastasis Recti Abdominis and Pelvic Floor Dysfunction\">diastase recti<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Retrouver le contr\u00f4le moteur et la coordination du plancher pelvien\n<ul>\n<li>Mouvements simples en d\u00e9cubitus dorsal, tels que des lev\u00e9es altern\u00e9es de genoux pli\u00e9s ou un simple exercice de palourde<\/li>\n<li>Enseigner le knack\n<ul>\n<li>Le knack consiste \u00e0 pr\u00e9contracter les muscles du plancher pelvien avant de tousser ou d&rsquo;\u00e9ternuer <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup> ou avant tout autre \u00e9v\u00e9nement g\u00e9n\u00e9rateur de pression<\/li>\n<li>Il s&rsquo;agit d&rsquo;une strat\u00e9gie du cerveau et du corps pour \u00e9viter les fuites d&rsquo;urine<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Se r\u00e9entra\u00eener progressivement en se concentrant sur la fonction<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/thDPPG-PNhg?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/ETqg8q_oGyA?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/cSBd7tn0SeI?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Resuming_Penetrative_Intercourse\">Reprendre les relations sexuelles avec p\u00e9n\u00e9tration <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resuming Penetrative Intercourse\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=9\" title=\"Edit section: Resuming Penetrative Intercourse\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Diverses \u00e9tudes se sont pench\u00e9es sur l&rsquo;exp\u00e9rience des m\u00e8res en mati\u00e8re de relations sexuelles pendant la p\u00e9riode post-partum :<\/p>\n<ul>\n<li>Connolly et al. ont constat\u00e9 que 57 % des femmes reprenaient les relations sexuelles \u00e0 6 semaines, 82 % \u00e0 12 semaines et 90 % \u00e0 24 semaines post-partum <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/li>\n<li>Barrett et al. <sup id=\"cite_ref-:3_25-0\" class=\"reference\"><a href=\"#cite_note-:3-25\">(25)<\/a><\/sup> ont constat\u00e9 que 89 % des femmes reprenaient leurs relations sexuelles dans les six mois suivant l&rsquo;accouchement\n<ul>\n<li>83 % des femmes \u00e9prouvent des probl\u00e8mes sexuels au cours des trois premiers mois suivant l&rsquo;accouchement, contre 64 % au bout de six mois<\/li>\n<li>Des probl\u00e8mes sexuels ant\u00e9rieurs \u00e0 la grossesse \u00e9taient constat\u00e9s chez 38 % des femmes<\/li>\n<li>La dyspareunie au cours des trois premiers mois suivant la naissance \u00e9tait associ\u00e9e \u00e0 des accouchements par voie naturelle et \u00e0 des ant\u00e9c\u00e9dents de dyspareunie<\/li>\n<li>Il n&rsquo;y avait pas d&rsquo;association entre la dyspareunie et le type d&rsquo;accouchement lors du suivi apr\u00e8s six mois <sup id=\"cite_ref-:3_25-1\" class=\"reference\"><a href=\"#cite_note-:3-25\">(25)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Korzeniewski et al.<sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup> ont constat\u00e9 que les femmes reprenaient g\u00e9n\u00e9ralement leurs relations sexuelles au d\u00e9but de la p\u00e9riode post-partum, p\u00e9riode durant laquelle la pr\u00e9valence des probl\u00e8mes de sant\u00e9 sexuelle \u00e9tait \u00e9lev\u00e9e<\/li>\n<\/ul>\n<p>Il est utile d&rsquo;informer les femmes que les relations sexuelles ne doivent pas \u00eatre douloureuses et que si un inconfort persiste, elles doivent demander de l&rsquo;aide. Elles devraient ensuite travailler \u00e0 accro\u00eetre le plaisir si celui-ci a \u00e9t\u00e9 affect\u00e9 par la naissance.<sup id=\"cite_ref-:1_2-13\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/BM4r2SU1YRk?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Activities_of_Daily_Living\">Les activit\u00e9s de vie quotidienne <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Activities of Daily Living\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=10\" title=\"Edit section: Activities of Daily Living\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les femmes doivent \u00eatre encourag\u00e9es \u00e0 faire attention \u00e0 leur plancher pelvien lorsqu&rsquo;elles participent aux activit\u00e9s de vie quotidienne. Les m\u00e8res sont souvent impliqu\u00e9es dans des activit\u00e9s telles que : <sup id=\"cite_ref-:1_2-14\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Soulever des charges<\/li>\n<li>Pousser<\/li>\n<li>Porter<\/li>\n<li>Se pencher<\/li>\n<li>Se garder en \u00e9quilibre<\/li>\n<li>Position de d\u00e9cubitus dorsal prolong\u00e9<\/li>\n<li>Position assise prolong\u00e9e<\/li>\n<li>Rester debout<\/li>\n<li>Activit\u00e9s au sol<\/li>\n<\/ul>\n<p>Les strat\u00e9gies d&rsquo;aide \u00e0 ces activit\u00e9s consistent \u00e0 encourager les m\u00e8res \u00e0 : <sup id=\"cite_ref-:1_2-15\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Engager le plancher pelvien avant tout effort<\/li>\n<li>Surveiller la douleur ou l&rsquo;inconfort<\/li>\n<li>Essayer d&rsquo;effectuer une t\u00e2che de diff\u00e9rentes mani\u00e8res<\/li>\n<li>Varier les activit\u00e9s<\/li>\n<li>Viser la sym\u00e9trie gauche\/droite et l&rsquo;\u00e9quilibre<\/li>\n<li>Utiliser des accessoires, des rouleaux, des oreillers, des cales et des tabourets.<\/li>\n<li>Visualiser ce qui se passe au niveau du plancher pelvien dans diff\u00e9rentes positions ou lors des diff\u00e9rents mouvements et t\u00e2ches<\/li>\n<li>Limiter les positions statiques prolong\u00e9es<\/li>\n<li>Porter et transporter toute charge en la gardant pr\u00e8s du centre de gravit\u00e9<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Postpartum_Pelvic_Floor_Considerations&amp;action=edit&amp;section=11\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup><\/span> <span class=\"reference-text\">Romano M, Cacciatore A, Giordano R, La Rosa B. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3279173\/\">Postpartum period: three distinct but continuous phases<\/a>. <i>J Prenat Med<\/i>. 2010;4(2):22-5.<\/span><\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-2\">2.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-3\">2.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-4\">2.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-5\">2.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-6\">2.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-7\">2.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-8\">2.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-9\">2.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-10\">2.10<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-11\">2.11<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-12\">2.12<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-13\">2.13<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-14\">2.14<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-15\">2.15<\/a><\/sup><\/span> <span class=\"reference-text\">Afolabi I. 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Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=BM4r2SU1YRk\">https:\/\/www.youtube.com\/watch?v=BM4r2SU1YRk<\/a> (last accessed 18\/1\/2022)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230606190351 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.105 seconds Real time usage: 0.110 seconds Preprocessor visited node count: 489\/1000000 Post\u2010expand include size: 334\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 7637\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 8.506 1 Special:Contributors\/Postpartum_Pelvic_Floor_Considerations 100.00% 8.506 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Jess Bell \u00e0 partir d&rsquo;un cours d&rsquo;Ibukun Afolabi Principaux contributeurs &#8211; Jess Bell, Kim Jackson et Carin Hunter Contenu 1 D\u00e9finition de la p\u00e9riode post-partum la p\u00e9riode post-partum 2 Le quatri\u00e8me trimestre 3 Les attentes en mati\u00e8re de r\u00e9cup\u00e9ration 4 Lib\u00e9ration des soins obst\u00e9triques 5 Les exp\u00e9riences normales et anormales 6 La [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6549","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6549","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=6549"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6549\/revisions"}],"predecessor-version":[{"id":6550,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/6549\/revisions\/6550"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=6549"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}