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Pelvic floor function of 5143 women in early postpartum stage and analysis on the effect factors

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Author:
No author available
Journal Title:
Chinese Journal of Obstetrics and Gynecology
Issue:
8
DOI:
10.3760/cma.j.issn.0529-567x.2019.08.004
Key Word:
产后期;骨盆底;电生理学;盆底疾病;Postpartum peroid;Pelvic floor;Electrophysiology;Pelvic floor disorders

Abstract: Objective To describe the situation of early stage of pelvic floor function and investigate the effect factors in postpartum women.Methods A retrospective survey was conducted,and women who did regular examination and gave birth in Peking University People's Hospital and had an annual pelvic floor examination at 6-12 weeks after delivery from Sep.2012 to Dec.2017 were interviewed.General information and pelvic floor electrical physiological indexes were collected and analyzed.Results Totally 5 143 puerpera were included in the study.The normal strength of type Ⅰ muscle was 52.40% (2 695/5 143) and the normal strength of type Ⅱ muscle was 52.69% (2 710/5 143).The abnormal degree of fatigue of type Ⅰ muscle was 55.84% (2 872/5 143) and the abnormal degree of fatigue of type Ⅱ muscle was 27.34% (1 406 / 5 143).Pelvic floor dynamic pressure was (93 + 37) cmH2O (1 cmH2O=0.098 kPa).The incidence of stress urinary incontinence (SUI) was 23.49% (1 208/5 143) after delivery and it was as high as 57.58% (95/165) for women who had family history of pelvic floor dysfunction.Family history of pelvic floor dysfunction was the risk factor of the fatigue index of type Ⅰ and type Ⅱ muscle (P<0.05).The incidence of SUI was associated with vaginal delivery and age (>30 years old) and family history of pelvic floor dysfunction (P<0.01).Conclusions Pelvic floor electrical physiological indicators are reduced in about half of women in early postpartum stage.Age (>30 years old) and vaginal delivery and family history of pelvic floor dysfunction are the risk factors.

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