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Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery

PURPOSE: This study sought to explore the obstetric factors affecting early postpartum pelvic floor function of primiparas after vaginal delivery. PATIENTS AND METHODS: We included 3362 primiparas who underwent postpartum re-examination in International Peace Maternity and Child Health Hospital at 4...

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Autores principales: Chi, Xiaolei, Yu, Shushu, Zhu, Kun, Chen, Yiyao, Chu, Yi, Chen, Xinliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879044/
https://www.ncbi.nlm.nih.gov/pubmed/36713132
http://dx.doi.org/10.2147/IJWH.S390626
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author Chi, Xiaolei
Yu, Shushu
Zhu, Kun
Chen, Yiyao
Chu, Yi
Chen, Xinliang
author_facet Chi, Xiaolei
Yu, Shushu
Zhu, Kun
Chen, Yiyao
Chu, Yi
Chen, Xinliang
author_sort Chi, Xiaolei
collection PubMed
description PURPOSE: This study sought to explore the obstetric factors affecting early postpartum pelvic floor function of primiparas after vaginal delivery. PATIENTS AND METHODS: We included 3362 primiparas who underwent postpartum re-examination in International Peace Maternity and Child Health Hospital at 42–60 days after delivery. The Glazer Protocol was used to evaluate their pelvic floor function, and univariate and multivariate logistic regression analyses were performed to identify obstetric factors that might affect it. RESULTS: Forceps-assisted delivery significantly increased the risk of the decline in fast- and slow-twitch muscle strength in the early postpartum period when compared with natural vaginal delivery (P < 0.05). Women with a pre-pregnancy body mass index (BMI) of ≥18.5 kg/m(2) had a decreased risk of decline in fast-twitch muscle strength than those with a pre-pregnancy BMI of <18.5 kg/m(2) (P < 0.05). Women who had a pre-pregnancy BMI of 24.0 to <28.0 kg/m(2) bore a decreased risk of decline in slow-twitch muscle strength than those with a pre-pregnancy BMI of <18.5 kg/m(2) (P < 0.05). The risk of decline in fast-twitch muscle strength and slow-twitch muscle in women with anemia during pregnancy was significantly increased (P < 0.05); women with second-stage labors of >2 h had an increased risk of fast-twitch and slow-twitch muscle strength decline than those with <2 h (P < 0.05). CONCLUSION: Both pre-pregnancy underweight and obesity may cause impairment of early postpartum pelvic floor function. Forceps delivery, anemia during pregnancy, and the length of second stage of labor are independent factors leading to pelvic floor function impairment.
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spelling pubmed-98790442023-01-27 Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery Chi, Xiaolei Yu, Shushu Zhu, Kun Chen, Yiyao Chu, Yi Chen, Xinliang Int J Womens Health Original Research PURPOSE: This study sought to explore the obstetric factors affecting early postpartum pelvic floor function of primiparas after vaginal delivery. PATIENTS AND METHODS: We included 3362 primiparas who underwent postpartum re-examination in International Peace Maternity and Child Health Hospital at 42–60 days after delivery. The Glazer Protocol was used to evaluate their pelvic floor function, and univariate and multivariate logistic regression analyses were performed to identify obstetric factors that might affect it. RESULTS: Forceps-assisted delivery significantly increased the risk of the decline in fast- and slow-twitch muscle strength in the early postpartum period when compared with natural vaginal delivery (P < 0.05). Women with a pre-pregnancy body mass index (BMI) of ≥18.5 kg/m(2) had a decreased risk of decline in fast-twitch muscle strength than those with a pre-pregnancy BMI of <18.5 kg/m(2) (P < 0.05). Women who had a pre-pregnancy BMI of 24.0 to <28.0 kg/m(2) bore a decreased risk of decline in slow-twitch muscle strength than those with a pre-pregnancy BMI of <18.5 kg/m(2) (P < 0.05). The risk of decline in fast-twitch muscle strength and slow-twitch muscle in women with anemia during pregnancy was significantly increased (P < 0.05); women with second-stage labors of >2 h had an increased risk of fast-twitch and slow-twitch muscle strength decline than those with <2 h (P < 0.05). CONCLUSION: Both pre-pregnancy underweight and obesity may cause impairment of early postpartum pelvic floor function. Forceps delivery, anemia during pregnancy, and the length of second stage of labor are independent factors leading to pelvic floor function impairment. Dove 2023-01-22 /pmc/articles/PMC9879044/ /pubmed/36713132 http://dx.doi.org/10.2147/IJWH.S390626 Text en © 2023 Chi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Chi, Xiaolei
Yu, Shushu
Zhu, Kun
Chen, Yiyao
Chu, Yi
Chen, Xinliang
Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title_full Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title_fullStr Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title_full_unstemmed Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title_short Influence of Different Obstetric Factors on Early Postpartum Pelvic Floor Function in Primiparas After Vaginal Delivery
title_sort influence of different obstetric factors on early postpartum pelvic floor function in primiparas after vaginal delivery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879044/
https://www.ncbi.nlm.nih.gov/pubmed/36713132
http://dx.doi.org/10.2147/IJWH.S390626
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