Bø Kari, Owe Katrine Mari, Nystad Wenche
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Am J Obstet Gynecol. 2007 Jul;197(1):49.e1-5. doi: 10.1016/j.ajog.2007.02.014.
This study was undertaken to estimate the association between pelvic floor muscle training and demographic and health related factors that may influence pelvic floor muscle training postpartum.
This analysis includes the first 17,978 women enrolled in the Norwegian Mother and Child Cohort Study who answered questions about pelvic floor muscle training (n = 17,744). We used logistic regression analyses, and the results are presented as crude and adjusted odds ratios with 95% CI.
Women doing regular pelvic floor muscle training were more educated, likely to participate in general fitness activities, and had more children. Women experiencing urinary leakage and pelvic girdle pain postpartum were also more likely to do pelvic floor muscle training (adjusted odds ratio = 1.26, 95% CI 1.18-1.35; adjusted odds ratio = 1.31, 95% CI 1.23-1.39). Those who smoked daily or were delivered by cesarean were less likely to do pelvic floor muscle training (adjusted odds ratio = 0.81, 95% CI 0.72-0.91; adjusted odds ratio = 0.56, 95% CI 0.51-0.61).
There is a need for more research concerning effective strategies to enhance postpartum pelvic floor muscle training.
本研究旨在评估盆底肌肉训练与可能影响产后盆底肌肉训练的人口统计学和健康相关因素之间的关联。
该分析纳入了挪威母婴队列研究中最初招募的17978名女性，她们回答了有关盆底肌肉训练的问题（n = 17744）。我们使用了逻辑回归分析，结果以粗比值比和调整后的比值比以及95%置信区间呈现。
进行常规盆底肌肉训练的女性受教育程度更高，更有可能参加一般健身活动，且子女更多。产后经历尿失禁和骨盆带疼痛的女性也更有可能进行盆底肌肉训练（调整后的比值比 = 1.26，95%置信区间1.18 - 1.35；调整后的比值比 = 1.31，95%置信区间1.23 - 1.39）。那些每天吸烟或剖宫产分娩的女性进行盆底肌肉训练的可能性较小（调整后的比值比 = 0.81，95%置信区间0.72 - 0.91；调整后的比值比 = 0.56，95%置信区间0.51 - 0.61）。
需要更多关于有效策略以加强产后盆底肌肉训练的研究。
