Volume 20 Issue 1
Jan.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(1): 76-79
WANG Qi, CHENG Xian-ying. Analysis between postpartum pelvic floor dysfunction and delivery related factors in primipara[J]. Chinese Journal of General Practice, 2022, 20(1): 76-79. doi: 10.16766/j.cnki.issn.1674-4152.002281
Citation: WANG Qi, CHENG Xian-ying. Analysis between postpartum pelvic floor dysfunction and delivery related factors in primipara[J]. Chinese Journal of General Practice, 2022, 20(1): 76-79. doi: 10.16766/j.cnki.issn.1674-4152.002281
shu

Analysis between postpartum pelvic floor dysfunction and delivery related factors in primipara

doi: 10.16766/j.cnki.issn.1674-4152.002281

  • Department of Obstetrics and Gynecology, Zhejiang Hospital, Hangzhou, Zhejiang 310030, China

Funds:

 2018ZB008

  • Received Date: 2020-08-23
    Available Online: 2022-03-03
    Abstract
  •   Objective  To explore the effect of delivery related factors on early pelvic floor dysfunction (PFD) in primipara.  Methods  By convenient sampling, 167 primiparas from March to August 2020 were selected as the research objects. All primiparas were screened by inclusion and exclusion criteria. According to the results of their routine follow-up 42 days after delivery, the primiparas were divided into PFD and non-PFD groups. The delivery mode, delivery process and fetal condition were compared between the two groups.  Results  (1) The PFD group had 14 cases of caesarean section, and the non-PFD group had 29 cases. The caesarean-section rate in the PFD group was significantly lower than that in the non-PFD group (χ2=5.233, P < 0.05). The PFD group had 23 cases of forceps delivery, and the non-PFD group had 1 case. The forceps delivery rate in the PFD group was significantly higher than that in the non-PFD group (χ2=20.167, P < 0.01). (2) The PFD group had 14 cases of natural process of labor, and the non-PFD group had 39 cases. The number of natural process of labor in the PFD group was significantly lower than that in the non-PFD group (χ2=11.792, P < 0.01). The numbers of abnormal first and second stages of labor in the PFD group were 27 and 21, whereas those in the non-PFD group were 7 and 4, respectively. The incidences of abnormal first and second stage of labor in the PFD group were significantly higher than those of the non-PFD group (all P < 0.01). (3) The numbers of persistent occipitotransverse position and persistent occipitoposterior position in the PFD group were 39 and 20, whereas those in the non-PFD group were 6 and 4, respectively. The incidences of persistent occipitotransverse position and persistent occipitoposterior position in the PFD group were significantly higher than those in the non-PFD group (all P < 0.01). (4) The PFD group had 10 cases of foetal macrosomia, and the non-PFD group had 2 cases. The incidence of foetal macrosomia in the PFD group was significantly higher than that in the non-PFD group (χ2=5.333, P < 0.05).  Conclusion  We should pay close attention to the process of labor and foetal condition. When abnormal labor process occurs, targeted treatment is needed. Only in this way can the incidence of pelvic floor dysfunction be reduced.

     

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