Yang Fan, Liao Hongyu
Department of Surgery, Huazhong University of Science and Technology Hospital, Wuhan, Hubei, 430074, People's Republic of China.
Department of Obstetrics and Gynecology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei, 430074, People's Republic of China.
Int J Gen Med. 2022 Mar 25;15:3353-3361. doi: 10.2147/IJGM.S355913. eCollection 2022.
This study aimed to analyze the effect of obstetric factors on the development of pelvic floor dysfunction (PFD) in women in the early postpartum period.
Clinical data of 300 women who were reviewed in our outpatient clinic from July 2016 to December 2019 in the postpartum period were retrospectively analyzed. The occurrence of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) was assessed using the Pelvic Organ Prolapse Quantification System and International Consultation on Incontinence Questionnaire Short Form. Factors affecting the occurrence of PFD in women in the early postpartum period were analyzed using univariate and multifactorial logistic regression models.
A total of 46 cases of POP (15.33%) and 82 of SUI (27.33%) occurred in 300 women at 6-8 weeks after birth. Unconditional logistic regression confirmed that age ≥35 years, vaginal delivery, BMI before delivery ≥ 25 kg/m, perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia were risk factors influencing the occurrence of POP (OR > 1, P < 0.05), whereas age ≥ 35 years, vaginal delivery, perineal tear, protracted or prolonged second stage of labor, fetal macrosomia, and SUI during pregnancy were risk factors influencing the occurrence of SUI (OR> 1, P< 0.05).
Obstetric factors such as age, mode of delivery, perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia may increase the risk of developing PFD in women in the early postpartum period; hence, these risk factors should be correctly identified and promptly addressed to prevent the development of PFD.
本研究旨在分析产科因素对产后早期女性盆底功能障碍（PFD）发生发展的影响。
回顾性分析2016年7月至2019年12月在我院门诊接受产后复查的300名女性的临床资料。采用盆腔器官脱垂定量系统和国际尿失禁咨询问卷简表评估盆腔器官脱垂（POP）和压力性尿失禁（SUI）的发生情况。使用单因素和多因素逻辑回归模型分析影响产后早期女性PFD发生的因素。
300名女性在产后6 - 8周时，共发生46例POP（15.33%）和82例SUI（27.33%）。无条件逻辑回归证实，年龄≥35岁、阴道分娩、产前BMI≥25 kg/m、会阴裂伤、第二产程延长或滞产以及巨大儿是影响POP发生的危险因素（OR>1，P<0.05），而年龄≥35岁、阴道分娩、会阴裂伤、第二产程延长或滞产、巨大儿以及孕期SUI是影响SUI发生的危险因素（OR>1，P<0.05）。
年龄、分娩方式、会阴裂伤、第二产程延长或滞产以及巨大儿等产科因素可能增加产后早期女性发生PFD的风险；因此，应正确识别并及时处理这些危险因素，以预防PFD的发生。
