Influencing factors and the nursing intervention of the postpartum pelvic floor dysfunction of women after vaginal delivery
Objective:To explore the status and the influencing factors of the postpartum pelvic floor dysfunction(PFD)of women after vaginal delivery.Methods:190 women who had successfully undergone vaginal delivery in the hospital from February 2019 to October 2023,and had PFD screened in the 42th day after delivery were selected in this study.According to the presence or absence of PFD,these women were divided into group A(women with PFD)and group B(women without PFD).The maternal clinical and delivery data,the laboratory indicators of the women in the two groups were collected.Univariate and logistic multivariate regression analysis were used to determine the PFD high-risk factors of the women after vaginal delivery.Results:The incidence of PFD of the women after vaginal delivery was 35.8％.Univariate analysis showed that there were significant differences in the age,the gestational weeks,the la-bor analgesia situation,the second stage of labor,the episiotomy situation,the neonatal weight and the 25-hydroxyvi-tamin D level of the women after vaginal delivery between group A and group B.Multi-factor analysis showed that the advanced age,the more gestational weeks,the long second stage of labor,the episiotomy and the high neonatal weight of the women were the independent risk factors of their postpartum PFD after vaginal delivery,and the high 25 hy-droxy vitamin D level of the women was their protection factor of the postpartum PFD after vaginal delivery(all P＜0.05).Conclusion:The incidence of the postpartum PFD of the women after vaginal delivery is still high,and the age≥35 years old,＞40 gestational weeks,the duration of the second stage of labor＞1.5h,the episiotomy,the neonatal weight＞3.5 kg and the low 25-hydroxyvitamin D level of the women are the risk factors of their postpartum PFD,so which should be great paid attention to in clinic,and the target nursing intervention measures should be conducted to promote the physical and mental health of the postpartum women.
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