Rogers Rebecca G, Leeman Larry L
Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, 1 University of New Mexico, MSC10 5580, Albuquerque, NM 87131-0001, USA.
Urol Clin North Am. 2007 Feb;34(1):13-21. doi: 10.1016/j.ucl.2006.10.005.
Genitourinary changes following childbirth and pregnancy are common, and include urinary and anal incontinence, pelvic pain, sexual dysfunction, and pelvic organ prolapse. At present, it is unclear whether or not these changes are a result of the pregnancy itself or the mode of delivery (cesarean section or vaginal birth). In this article, the authors aim to describe genitourinary postpartum pelvic floor changes, and review the literature regarding the impact of pregnancy or childbirth on these changes. Data is needed that compare the effects of pregnancy alone, cesarean delivery (labored and unlabored), and vaginal birth, so that physicians can better advise patients about the postpartum genitourinary tract changes they might expect.
分娩和怀孕后泌尿生殖系统的变化很常见，包括尿失禁和肛门失禁、盆腔疼痛、性功能障碍以及盆腔器官脱垂。目前，尚不清楚这些变化是怀孕本身还是分娩方式（剖宫产或顺产）导致的。在本文中，作者旨在描述产后泌尿生殖系统盆底的变化，并回顾关于怀孕或分娩对这些变化影响的文献。需要有数据来比较单纯怀孕、剖宫产（有产程和无产程）和顺产的影响，以便医生能够更好地就患者可能预期的产后泌尿生殖道变化向其提供建议。
