盆底功能障碍与分娩的流行病学：最新进展
The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update.
作者信息
Hallock Jennifer L, Handa Victoria L
机构信息
Female Pelvic Medicine & Reconstructive Surgery, Johns Hopkins School of Medicine, 4940 Eastern Avenue, 301 Building, Suite 3200, Baltimore, MD 21224, USA.
Gynecology & Obstetrics, Johns Hopkins School of Medicine, 4940 Eastern Avenue, 301 Building, Suite 3200, Baltimore, MD 21224, USA.
出版信息
Obstet Gynecol Clin North Am. 2016 Mar;43(1):1-13. doi: 10.1016/j.ogc.2015.10.008.
Abstract
Using a lifespan model, this article presents new scientific findings regarding risk factors for pelvic floor disorders (PFDs), focusing on the role of childbirth in the development of single or multiple coexisting PFDs. Phase I of the model includes predisposing factors, such as genetic predisposition and race. Phase II includes inciting factors, such as obstetric events. Prolapse, urinary incontinence (UI), and fecal incontinence (FI) are more common among vaginally parous women, although the impact of vaginal delivery on risk of FI is less dramatic than prolapse and UI. Phase III includes intervening factors, such as age and obesity.
摘要
本文采用寿命模型，呈现了关于盆底功能障碍（PFDs）风险因素的新科学发现，重点关注分娩在单一或多种并存的PFDs发生发展中的作用。该模型的第一阶段包括易感因素，如遗传易感性和种族。第二阶段包括诱发因素，如产科事件。脱垂、尿失禁（UI）和粪失禁（FI）在经阴道分娩的女性中更为常见，尽管阴道分娩对FI风险的影响不如脱垂和UI那么显著。第三阶段包括干预因素，如年龄和肥胖。
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