Impacts of delivery mode on pelvic floor function and maternal and infant outcomes of primiparas
Objective To investigate the differences of pelvic floor function in early postpartum period of primiparas under different delivery modes,and observe the impacts of different delivery modes on maternal and infant outcomes,so as to provide reference for pregnant women to choose delivery modes.Methods A total of 169 primiparas who gave girth in the Zhangzhou Affiliated Hospital of Fujian Medical University from October 2020 to April 2021 were selected as the research objects.All primiparas were re-examined 6-8 weeks after delivery and underwent pelvic floor ultrasound examination.According to different delivery modes,they were divided into the vaginal delivery group(n=71)and the cesarean section group(n=98).The pelvic floor muscle strength,delivery situation,clinical symptoms related to pelvic floor function and organ prolapse were compared between the two groups.Results The normal rate of pelvic floor muscle strength in the vaginal delivery group was 43.66％,lower than 62.24％in the cesarean section group,with statistically significant difference(P＜0.05).The cystocele and levator ani muscle's hole enlargement in the vaginal delivery group were all significantly higher than those in the cesarean section group,with statistically significant differences(P＜0.05).The hemorrhage volume and hospitalization time at 2 hours postpartum in the vaginal delivery group were all lower than those in the cesarean section group,with statistically significant differences(P＜0.05).There was no statistically significant difference in the incidence of adverse pregnancy outcome between the two groups of parturient(P＞0.05).Conclusion The cesarean section group and the vaginal delivery group each has their own advantages and disadvantages,and the cesarean section group has relatively small impact on the pelvic floor function of primipara in the early postpartum period.While 2 hours after delivery,the vaginal delivery group has less hemorrhage volume and shorter hospitalization time.Therefore,it is possible to comprehensively evaluate the maternal and fetal situation and choose a reasonable delivery mode in clinic.
PrimiparaVaginal deliveryCesarean sectionEarly postpartum pelvic floor functionMaternal and infant outcomes
万方数据
维普
