Analysis of factors related to urinary incontinence and pelvic organ prolapsed on the 42-day after delivery
10.3760/cma.j.issn.1673-4904.2018.08.001
- VernacularTitle: 产后42天尿失禁及盆底器官脱垂相关因素分析
- Author:
Shuang XIAO
1
;
Lei FANG
;
Xuanyu ZHAO
Author Information
1. Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
- Publication Type:Journal Article
- Keywords:
Pelvic organ prolapsed;
Episiotomy;
Urinary incontinence
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(8):673-676
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the factors related to urinary incontinence and pelvic organ prolapsedon the 42-day after delivery.
Methods:A retrospective analysis was made on the data of 1 713 cases of pregnant women who received regular birth examination and delivered from June 2017 to September 2017 and whose medical records exsited on the 42-day after delivery. In this study, 1 402 patients were in vaginal delivery and 311 patients were in cesarean delivery. The occurrence of urinary incontinence and pelvic organ prolapsed and the general case characteristics of patients were analyzed.
Results:The incidence rate of stress urinary incontinence in vaginal delivery group was significantly higher than that in cesarean delivery group: 11.20%(157/1 402) vs. 5.79%(18/311), P=0.004. The incidence rate of urgency urinary incontinence and pelvic organ prolapse in two groups had no significant differences (P > 0.05). The age, prepregnancy body mass index (BMI), the rate of vaginal delivery in urinary incontinence patients were significantly higher than those in without urinary incontinence patients: (32.8 ± 3.6) years vs. (30.4 ± 3.8) years, P=0.006; (25.6 ± 5.1) kg/m2 vs. (23.5 ± 4.4) kg/m2, P=0.001; 90.04%(217/241) vs. 80.50%(1 185/1 472), P=0.004. The age, pre pregnancy BMI in pelvic organ prolapsed patients were significantly higher than those in without pelvic organ prolapsed patients: (32.3 ± 3.7) years vs. (31.5 ± 4.8) years, P=0.033; (24.4 ± 4.2) kg/m2 vs. (23.7 ± 3.4) kg/m2, P=0.013.
Conclusions:Pelvic floor dysfunction is more prone to maternal postpartum who receives side cutting or forceps delivery recently, and these maternal postpartum educations should be strengthened to reduce the incidence of severe pelvic floor dysfunction.
