Fine Paul, Burgio Kathryn, Borello-France Diane, Richter Holly, Whitehead William, Weber Anne, Brown Morton
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Am J Obstet Gynecol. 2007 Jul;197(1):107.e1-5. doi: 10.1016/j.ajog.2007.02.052.
The purpose of this study was to describe the teaching and practicing of pelvic floor muscle exercise (PFME) before and after delivery.
This was a secondary data analysis from a prospective multicenter cohort study, the Childbirth and Pelvic Symptoms study, by the Pelvic Floor Disorders Network. Primiparous women (n = 759) with term singleton delivery were interviewed 6 months after delivery.
Sixty-four percent of the women had been taught PFME, most with verbal (76%) and/or written instructions (55%) and a few (10%) during pelvic examination. Women with anal sphincter tears were not more likely to receive instruction or reminders after delivery. More white women (75%) were taught PFME than were Asian women (48%), African American women (36%), or Hispanic women (39%; P < .0001). More women with college education (74%) were taught, compared with women without a college education (37%; P < .0001). Of those women who were taught, 68% performed PFME after delivery, and 63% were still performing the exercises 6 months after delivery.
Results reveal tremendous potential for the improvement of PFME education and targeting at-risk women in the peripartum period.
本研究旨在描述分娩前后盆底肌肉锻炼（PFME）的教学与实践情况。
这是一项对盆底功能障碍网络开展的前瞻性多中心队列研究“分娩与盆腔症状研究”的二次数据分析。对足月单胎分娩的初产妇（n = 759）在产后6个月进行访谈。
64%的女性接受过PFME教学，大多数是通过口头（76%）和/或书面指导（55%），少数（10%）是在盆腔检查时接受指导。发生肛门括约肌撕裂的女性在产后接受指导或提醒的可能性并不更高。接受PFME教学的白人女性（75%）多于亚洲女性（48%）、非裔美国女性（36%）或西班牙裔女性（39%；P <.0001）。接受大学教育的女性中接受教学的比例（74%）高于未接受大学教育的女性（37%；P <.0001）。在接受教学的女性中，68%在产后进行了PFME，63%在产后6个月仍在进行锻炼。
结果显示，在围产期改善PFME教育并针对高危女性具有巨大潜力。
