Danesh Shahraki Azar, Hajhashemi Maryam, Movahedi Minoo, Abbasi Fatemeh
Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2025 Apr 30;14:37. doi: 10.4103/abr.abr_548_24. eCollection 2025.
Mode of delivery is associated with pelvic floor dysfunction (PFD). Therefore, this study aimed to investigate the relationship between delivery type and PFD six-month after delivery.
This case-control study included primigravida females who had a normal vaginal delivery with episiotomy (VDE) or uncomplicated cesarean section. All participants underwent an evaluation to check the strength and endurance of the pelvic floor muscles (PFM), intravaginal pressure measurement, electromyographic activity recording of the PFM, and Pelvic Floor Distress Inventory-20 (PFDI-20) questionnaire.
In total, 260 patients were enrolled in our study and divided equally into two groups: uncomplicated cesarean delivery and VDE. Our findings showed significant differences in PFM dysfunction, electrical activity, strength, endurance, and vaginal pressure between the two groups. Patients who underwent an uncomplicated cesarean delivery had better outcomes.
Our study demonstrated that the severity of PFD in women who underwent uncomplicated cesarean section was lower than that in women who underwent VDE. VDE may cause PFM injury.
分娩方式与盆底功能障碍（PFD）有关。因此，本研究旨在调查分娩类型与产后六个月盆底功能障碍之间的关系。
本病例对照研究纳入了经阴道顺产并进行会阴切开术（VDE）或无并发症剖宫产的初产妇。所有参与者均接受了评估，以检查盆底肌肉（PFM）的力量和耐力、阴道内压力测量、PFM的肌电图活动记录以及盆底困扰量表-20（PFDI-20）问卷调查。
本研究共纳入260例患者，平均分为两组：无并发症剖宫产组和VDE组。我们的研究结果显示，两组之间在PFM功能障碍、电活动、力量、耐力和阴道压力方面存在显著差异。接受无并发症剖宫产的患者预后较好。
我们的研究表明，接受无并发症剖宫产的女性盆底功能障碍的严重程度低于接受VDE的女性。VDE可能会导致PFM损伤。
