Influence factors analysis of early postpartum pelvic organ prolapse following transvaginal delivery in advanced maternal age primipara
10.3969/j.issn.1673-9701.2025.03.008
- VernacularTitle:经阴道分娩高龄初产妇产后早期盆腔器官脱垂发生的影响因素分析
- Author:
Weibo ZHU
1
;
Qixun LI
;
Lingrui KONG
;
Hanqing ZHAO
Author Information
1. 首都医科大学附属北京同仁医院门头沟医院妇产科,北京 102300
- Publication Type:Journal Article
- Keywords:
Elderly parturient women;
Pelvic organ prolapse;
Delivery balls;
Influence factors
- From:
China Modern Doctor
2025;63(3):36-39,117
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of early postpartum pelvic organ prolapse(POP)after vaginal delivery in advanced maternal age primipara.Methods Clinical data of 153 postpartum women were collected from Beijing Tongren Hospital Mentougou Campus,Capital Medical University,from June 2015 to May 2024.According to whether pelvic organ prolapse occurred during the 6-week postpartum reexamination of the primiparas,the parturients were divided into two groups:non-POP group(91 cases)and POP group(62 cases).Univariate and multivariate Logistic regression analyses were conducted to identify the independent factors influencing early postpartum POP.Subgroup analysis was also performed to assess the relationship between family history of POP and early postpartum POP after adjusting for confounding factors.Results Multivariate Logistic regression analysis revealed that neonatal birth weight,maternal pre-pregnancy body mass index(BMI),use of delivery balls,and family history of POP were independent factors associated with early postpartum POP occurrence(P＜0.05).Among the parturients who did not use of delivery balls,before and after using Logistic regression to adjust for birth weight,pre-pregnancy BMI and perineal laceration,the impact of family history of POP on the occurrence of POP was statistically significant(P＜0.05).However,among the parturients who used the delivery balls,regardless of whether the adjustment was made or not,the impact of family history of POP on the occurrence of POP was not statistically significant(P＞0.05).Conclusion Neonatal birth weight,maternal pre-pregnancy BMI,and family history of POP are risk factors for early postpartum POP,while the use of delivery balls is a protective factor.Women with a family history of POP are advised to use delivery balls to reduce the risk of early postpartum POP.
