The relations between two different delivery methods and the post-partum pelvic floor muscle strength
10.3760/cma.j.issn.1008-6706.2011.18.022
- VernacularTitle:不同分娩方式与产后盆底肌力变化的相关性分析
- Author:
Yaodong YIN
- Publication Type:Journal Article
- Keywords:
Parturition;
Pelvic floor dyssynergia;
Urinary incontinence;
Pelvic muscle
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(18):2491-2492
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the effect of two different delivery methods on the post-partum pelvic floor muscle strength. Methods56 primipara were divided into two groups according to different delivery methods,34 primipara took elective caesarean section,while 22 took natrual delivery. In 1 ～ 6 months after childbirth, they were respectively undertaken pelvic floor dyssynergia and urinary incontinence after childbirth scoring, then carried out pelvic muscle testing. ResultsThe elective caesarean section group had 4 and 3 primiparas who were pelvic floor dyssynergia, the rate of pelvic floor dyssynergia of elective caesarean section group was 11.8％ and 8.882％, and 8 and 6 primiparas of natrual delivery had pelvic floor dyssynergia, the rate of pelvic floor dyssynergia of natrual delivery group was 36.4％ and 27.3％ at one and three months post-partum seperately,tbe rate of pelvic floor dyssynergia between elective caesarean section group and natrual delivery group was statistically different( P ＜ 0.05). The elective caesarean section group had 3 and 2 primiparas who were urinary incontinence after childbirth, the rate of urinary incontinence after childbirth of elective caesarean section group was 8.8％ and 5.9％ ,and 5 and 4 primiparas of natrual delivery had urinary incontinence after childbirth, the urinary incontinence after childbirth of natrual delivery group was 27.7％ and 18.2％, the rate of urinary incontinence after childbirth between elective caesarean section group and natrual delivery group was statistically different(P ＜0.05). The elective caesarean section group had 19 and 25 primiparas who got ≥3 score in pelvic floor testing,take up 55.8％ and 77.5％ in the elective caesarean section group,the natrual delivery group had 8 and 10 primiparas who got ≥3 score in pelvic floor testing,take up 36.4％ and 45.4％ in the natrual delivery group,the rate of ≥3 score in pelvic floor testing of elective caesarean section group was much more than natrual delivery group, and it was statistically different ( P ＜ 0.05 ). ConclusionRelative to natrual delivery, the rate of pelvic floor dyssynergia and urinary incontinence after childbirth was much less in elective caesarean section, and the pelvic floor testing score was more in elective caesarean section.
