中国医学创新2016，Vol.13Issue(34)：12-15,4.DOI:10.3969/j.issn.1674-4985.2016.34.004
不同待产方式对初产妇产后近期盆底功能的影响
Effect of Different Laboring Methods on Primipara Pelvic Muscle Strength in the Early Postpartum Period
摘要
Abstract
Objective:To compare different laboring methods on primipara pelvic muscle strength in the early postpartum period,seek the most beneficial laboring way.Method:From June 2015 to 2016 February the primiparas were selected,by voluntary they were divided into laboring in water 69 cases,traditional laboring 95 cases and epidural anesthesia laboring 75 cases.The underwent vaginal delivery,episiotomy and perineal laceration,infants Apgar score,SUI during pregnancy and at 42 days after delivery,POP-Q and pelvic floor electrical physiological indexes of vaginal delivery women were collectted and statistical analyzed.Result:The water group compared with traditional group,the cesarean section rate,perineal incision rate and the incidence of postpartum 42 days SUI were decreased(P<0.017),and Aa indicator point up(P<0.017).Compared with drug group,the water group of the first and second stage of labor time and episiotomy rate reduced, muscle strength of classⅠand class Ⅱ were better(P<0.017),Aa indicator point up(P<0.017).Conclusion:According to primipara,laboring in water could reduce the rate of cesarean section,episiotomy and SUI 42 days after birth.In the early postpartum period,it could reduce the degree of postpartum pelvic floor electrophysiological index injury and pelvic organ prolapse.It may have a protective effect on the pelvic floor function.关键词
水中待产/盆底电生理/压力性尿失禁/盆腔器官脱垂Key words
Laboring in water/Pelvic floor electrophysiology/Stress urinary incontinence/Pelvic organ prolapse引用本文复制引用
张志红,胡孟彩,鲍颖洁,黄杰,郑雪芹..不同待产方式对初产妇产后近期盆底功能的影响[J].中国医学创新,2016,13(34):12-15,4.基金项目
2013年度河南省医学科技攻关计划普通项目 （）
