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产后缓解外阴痛辅助工具的研发。

Development of aids to relieve vulvodynia during the postpartum period.

作者信息

Watanabe Kaori, Totsu Yumiko

机构信息

Department of Midwifery, National College of Nursing, Japan, Tokyo, Japan.

出版信息

Glob Health Med. 2024 Apr 30;6(2):149-155. doi: 10.35772/ghm.2023.01045.

Abstract

Postpartum women live with a low quality of life due to pain caused by episiotomy and perineal laceration. In particular, they endure pain when sitting for long periods of time to breastfeed. The purpose of this study is to develop a sitting aid to alleviate postpartum vulvodynia. This study was conducted in the following four phases from July 2017 to May 2019. They are: material selection and molding, cleaning and disinfection testing, pressure distribution measurement testing, and trial testing by postpartum women. The main material was a 100% polypropylene object with a three-dimensional reticular fiber spring structure and fiber density of 3.8 kg/m. As a result, a sitting aid that withstands washing and disinfection well in the medical field and is breathable. It had moderate resilience and elasticity and reduced pressure on the seating surface for women weighing approximately 45 kg and 55 kg, but we were skeptical about its use for women weighing more than that. The completed sitting aid is noninvasively effective in improving the quality of life of many postpartum women, but the density and thickness of the main material should be reexamined to meet the needs of women in a wider weight range. In addition, a self-administered questionnaire survey of trial users revealed that some women did not experience relief from vulvodynia even after using the sitting aid. Such women also had physical problems such as discomfort in the lower back, difficulty breastfeeding, and difficulty standing up. For women with multiple physical problems, individual causes should be addressed.

摘要

由于会阴切开术和会阴裂伤引起的疼痛,产后女性的生活质量较低。特别是,她们在长时间坐着喂奶时会忍受疼痛。本研究的目的是开发一种坐具辅助装置,以缓解产后外阴疼痛。本研究于2017年7月至2019年5月分以下四个阶段进行。它们是:材料选择与成型、清洁与消毒测试、压力分布测量测试以及产后女性试用测试。主要材料是一种100%聚丙烯制品,具有三维网状纤维弹簧结构,纤维密度为3.8 kg/m。结果,开发出一种在医疗领域能很好地耐受清洗和消毒且透气的坐具辅助装置。它具有适度的弹性和回弹性,对于体重约45公斤和55公斤的女性,能减轻座位表面的压力,但对于体重超过此范围的女性,其适用性我们持怀疑态度。制成的坐具辅助装置在无创改善许多产后女性生活质量方面是有效的,但主要材料的密度和厚度应重新审视,以满足更广泛体重范围女性的需求。此外,对试用者的自我管理问卷调查显示,一些女性即使使用了坐具辅助装置,外阴疼痛也没有缓解。这些女性还存在诸如腰部不适、母乳喂养困难和起身困难等身体问题。对于有多种身体问题的女性,应针对个体原因进行处理。

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