Comparative Analysis of the Preventive Effects of Water Delivery and Traditional Delivery on Postpartum Pelvic Floor Dysfunction Diseases
Objective:To analyze the preventive effects of underwater delivery and traditional delivery on postpartum pelvic floor dysfunction(PFD).Methods:A retrospective analysis was conducted on the clinical data of 60 pregnant women who underwent vaginal trial delivery in the hospital from April 2022 to April 2023.They were divided into two groups based on the wishes of the pregnant women.32 cases were in the traditional group,and 28 cases were in the water group.The incidence of pelvic organ prolapse(POP),stress urinary incontinence(SUI),pelvic floor electrophysiological indexes,labor time,postpartum hemorrhage 2 h,neonatal 1min Apgar score,neonatal weight and cesarean section rate were compared between the two groups.Results:The incidence of POP and SUI in the water group was significantly lower than that in the traditional group(x2=4.115,4.391;P＜0.05).The muscle strength grades of type I and type n pelvic floor muscle fibers in the water group were higher than those in the traditional group,and the difference was statistically significant(Z=2.781,2.401;P＜0.05).The time of the first stage of labor in the water group was shorter than that in the traditional group,and the difference was statistically significant(t=2.227,P＜0.05).There were no statistically significant differences in the time of the second and third stages of labor,the amount of blood loss two hours after delivery,the Apgar score of newborns at 1 min,and the weight of newborns between the two groups(t=0.501,0.339,0.980,0.478,0.255;P＞0.05).The cesarean section rate of the water group was lower than that of the traditional group,and the difference was statistically significant(x2=4.391,P＜0.05).Conclusion:Water delivery is better than traditional delivery in the prevention of postpartum PFD,which can shorten the time of the first stage of labor,promote natural delivery,reduce the incidence of POP and SUI,reduce the damage to pelvic floor muscle fiber,and has no significant effect on maternal and infant outcomes.
Postpartum pelvic floor dysfunction diseaseWaiting for delivery in waterPelvic floor electrophysiological indicatorsStress urinary incontinenceCesarean section rate
万方数据
维普
