Int J Cur Res Rev | Vol 12 • Issue 22 • November 2020 S-13 Corresponding Author: Dr. Neema Acharya, Department of OBGY, DMIMS (Deemed To Be University), Maharashtra, India. Contact: 9326692511; Email: neemasacharya@gmail.com ISSN: 2231-2196 (Print) ISSN: 0975-5241 (Online) Received: 25.08.2020 Revised: 22.09.2020 Accepted: 30.10.2020 Published: 30.11.2020 International Journal of Current Research and Review DOI: http://dx.doi.org/10.31782/IJCRR.2020.SP71 INTRODUCTION The long term quality of life of women is affected by many issues related to childbirth and menstrual problems. 1 Urinary and faecal incontinence and pelvic organ prolapse, classified as pelvic floor disorders/dysfunction are commonly found in women. 2 Pelvic floor muscles (PFM) muscles comprise of the pelvic diaphragm muscles and the urogenital diaphragm muscles. The weakness of the PFM is the main cause of pel- vic floor muscle dysfunction. The incidence of pelvic floor dysfunction is more in the low- income population may be because women in this strata have more parity and less access to the health care system and also . ABSTRACT Introduction: Pelvic floor dysfunction is a common gynaecological problem affecting women’s health apart from their quality of life. It manifests as Urinary and faecal incontinence and pelvic organ prolapse. The present evidence is not conclusive about the need and long term benefits of pelvic floor muscle rehabilitation. Objectives: The present study is aimed to study the effect of antenatal and postnatal rehabilitation of the pelvic floor by pelvic floor muscle training. Methods: The occurrence of pelvic floor muscle. The dysfunction will be assessed periodically in a cohort of women who receive pelvic floor muscle training antenatally and postnatally and compared with that in a comparable cohort of women who didn’t receive. Results: The anticipated results are that the pelvic floor muscle dysfunction will be significantly more in women who did not receive muscle training. Conclusion: The occurrence of pelvic floor muscle dysfunction will be significantly more in a cohort of women who receive pelvic floor muscle training antenatally and postnatally and compared with that in a comparable cohort of women who didn’t receive. Key Words: Stress, Urinary incontinence, Pelvic floor muscle, Pelvic organ prolapse The Effect of Antenatal and Postnatal Pelvic Floor Muscle Training on the Risk of Developing Pelvic Floor Dysfunction - A Cohort Study Neema Acharya 1 , Manjusha Agrawal 2 , Priyanka Singh 3 , Tejaswini Fating 4 1 Professor and Head , Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Deemed to be University), Maharashtra, India; 2 Professor, Department of OBGY, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Deemed to be University), Maharashtra, India; 3 Junior Resident, Department of OBGY, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Deemed to be University), Maharashtra, India; 4 Post Graduate Student ,Dept of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences(Deemed University),Sawangi (Deemed To Be University), Maharashtra, India. IJCRR Section: Healthcare Sci. Journal Impact Factor: 6.1 (2018) ICV: 90.90 (2018) Copyright@IJCRR Study Protocol resume the heavy work pattern early after childbirth. 3 One of the important contributing factors is instrumental deliv- ery which commonly follows difficult or prolonged labour resulting in damage to pelvic floor muscle integrity. Stress urinary incontinence (SUI), as a manifestation of pelvic floor dysfunction, is quite common and has a significant effect on the quality of life of these women. 4,5 As per a Cochrane Systematic review, women who received a structured pelvic floor muscle training (PFMT) programme right from the first trimester may reduce the risk of develop- ing urinary incontinence in late pregnancy and postpartum. In a developing country like India women who are poor and malnourished, resume work early and with a low body mass