经产妇再次分娩后盆底功能自然康复情况
作者: |
1陈松妍,
1梁东芝
1 武汉市第三医院光谷院区妇产科,武汉 430074 |
通讯: |
梁东芝
Email: 247479651@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2020.07.012 |
基金: | 湖北省自然科学基金(2013CFB359);武汉市卫生与计划生育委员会(WZ16B06)。 |
摘要
目的:探讨经产妇再次分娩后盆底功能自然康复情况。方法:回顾性分析武汉市第三医院光谷院区2016年11月至2018年6月1 052例再次分娩的经产妇临床资料,分析产妇分娩后盆底功能自然恢复状态,记录盆底障碍发生情况,分析其危险因素。结果:1 052例再次分娩的经产妇中,采用剖宫产分娩的孕妇514例,其中117例发生盆底功能障碍,发生率为22.76%;采用阴道分娩的孕妇538例,其中169例发生盆底功能障碍,发生率为31.47%,阴道分娩孕妇盆底功能障碍发生率高于剖宫产,差异有统计学意义(P<0.05);logistic回归分析显示孕次、体重增长、临产后剖腹产、妊娠期压力性尿失禁、既往阴道分娩史是剖宫产产妇盆底功能障碍发生的独立危险因素;logistic回归分析显示年龄、孕次、体重增长、妊娠期压力性尿失禁、既往阴道分娩史、会阴部撕裂、新生儿体重>4 kg、第一与第二产程时间过长是阴道分娩产妇盆底功能障碍发生的独立危险因素。结论:自然康复情况下,产后盆底功能障碍发生率较高,临床上应针对疾病发生的危险因素,针对性采取干预措施,减少产后盆底功能障碍的发生。
关键词:
经产妇;分娩;盆底功能;自然康复
Natural rehabilitation status of pelvic floor function in pluriparas after re-deliver
CorrespondingAuthor: LIANG Dongzhi Email: 247479651@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.07.012
Foundation: This work was supported by the Natural Science Foundation of Hubei Province (2013CFB359) and Health and Family Planning Commission in Wuhan (WZ16B06), China.
Abstract
Objective: To explore natural rehabilitation status of pelvic floor function in pluriparas after re-deliver. Methods: A retrospective analysis was performed on the clinical data of 1 052 pluriparas undergoing re-deliver during the period from November 2016 to June 2018 in the hospital. The natural recovery status of pelvic floor function after maternal delivery was analyzed. The occurrence of pelvic floor disorders was recorded. The risk factors were analyzed. Results: Among 1 052 pluriparas undergoing re-deliver, there were 514 cases undergoing cesarean section. And there were 117 cases with pelvic floor dysfunction, with incidence of 22.76%. There were 538 cases undergoing vaginal delivery. And there were 169 cases with pelvic floor dysfunction, with incidence of 31.47%. The incidence of pelvic floor dysfunction in pregnant women undergoing vaginal delivery was higher than that undergoing cesarean section (P<0.05). Logistic regression analysis showed times of pregnancy, weight gain, cesarean section after labor, gestational stress incontinence, and previous vaginal delivery history were independent risk factors for pelvic floor dysfunction in cesarean section puerperae. Logistic regression analysis showed age, times of pregnancy, weight gain, gestational stress incontinence, previous vaginal delivery history, perineal tear, neonatal body mass more than 4 kg, and long first and second stage of labor were independent risk factors for pelvic floor dysfunction in vaginal delivery puerperae. Conclusion: Under natural rehabilitation, incidence of pelvic floor dysfunction is relatively higher. Clinically, intervention measures should be taken to reduce occurrence of postpartum pelvic dysfunction aiming at risk factors of the disease.
Keywords:
pluripara; deliver; pelvic floor function; natural rehabilitation