Department of Obstetrics and Gynecology, Soroka University Medical Center, Beer Sheva, Israel.
Joyce Irving Goldman Medical School, Ben Gurion University of the Negev, Jerusalem, Israel.
J Matern Fetal Neonatal Med. 2022 Nov;35(22):4418-4423. doi: 10.1080/14767058.2020.1850679. Epub 2021 Jan 17.
Pelvic floor dysfunction (PFD) most commonly results from weakened or injured muscles and ligaments whose purpose is to support the pelvic floor. Many studies have placed vaginal delivery and prolonged second stage of labor (SSL) as major risk factors for PFD, supposedly through generating enhanced pressure in the pelvic area. Although many studies describe the effects of vaginal delivery and labor on structure and function of the pelvic floor, not much is known regarding PFD deriving from pregnancy and its prevalence and severity in the postpartum. We aimed to evaluate whether a correlation exists between PFD symptoms during pregnancy and the duration of the SSL.
We conducted a cross sectional study of 200 women who gave birth at Soroka University Medical Center, Beer-Sheva, Israel. Those who had consented completed the Pelvic Floor Distress Inventory-20 (PFDI-20), a condition specific questionnaire developed to measure quality-of-life and the extent of injury to the pelvic floor in women with all forms of PFD. The duration of the SSL and clinical and obstetrical characteristics were retrieved from the participants' medical records. We assessed correlations using Spearman's correlation coefficient.
PFD during pregnancy was found to be correlated to the duration of the SSL (R = -0.183, = .021). When evaluating each component of the PFDI-20 separately, CRAD was significantly correlated with the duration of the SSL (R = -0.195, = .014).
There is a correlation between PFD symptoms during pregnancy, specifically symptoms of CRAD and the duration of the SSL.
盆底功能障碍（PFD）最常见的原因是支撑盆底的肌肉和韧带变弱或受伤。许多研究将阴道分娩和第二产程延长（SSL）作为 PFD 的主要危险因素，据称这会增加骨盆区域的压力。尽管许多研究描述了阴道分娩和分娩对盆底结构和功能的影响，但对于源自妊娠的 PFD 及其在产后的患病率和严重程度知之甚少。我们旨在评估妊娠期间 PFD 症状与 SSL 持续时间之间是否存在相关性。
我们对 200 名在以色列 Beer-Sheva 的 Soroka 大学医学中心分娩的妇女进行了横断面研究。那些同意的人完成了盆底窘迫量表-20（PFDI-20），这是一种专门用于测量所有类型 PFD 女性生活质量和盆底损伤程度的问卷。SSL 的持续时间以及临床和产科特征从参与者的病历中检索。我们使用 Spearman 相关系数评估相关性。
妊娠期间的 PFD 与 SSL 的持续时间相关（R=-0.183，=0.021）。当分别评估 PFDI-20 的每个组成部分时，CRAD 与 SSL 的持续时间呈显著相关（R=-0.195，=0.014）。
妊娠期间的 PFD 症状，特别是 CRAD 症状与 SSL 的持续时间之间存在相关性。
