1095例孕妇盆腔脏器脱垂影响因素分析

Influencing Factors of Pelvic Organ Prolapse during Pregnancy

目的了解妇女在妊娠期盆腔脏器脱垂状况,并分析其相关影响因素。方法采用问卷调查2011年1—9月在广州市4家医院产科门诊检查的孕妇1 095例,分析可能影响孕期盆腔脏器脱垂的因素。结果盆腔脏器脱垂状况得0分者367例占33.52%,得1分者354例占32.33%,得2分及以上者374例占34.15%。多因素分析显示:孕期盆腔脏器脱垂状况主要与孕妇的年龄、既往分娩方式、孕周相关(P<0.05),未发现与孕妇的流产次数、孕期体质量指数相关(P>0.05)。结论孕期大部分妇女出现盆腔脏器脱垂状况,主要与孕妇的年龄、既往分娩方式、孕周等因素相关。医护人员应对高危人群进行适时干预,预防或减轻盆腔脏器脱垂状况的发生。

Objective To understand the status of pelvic organ prolapse （POP） during pregnancy and to explore its influencing factors. Methods A survey was conducted among 1 095 pregnant women for prevalence of POP with Pelvic Floor Distress Inventory-Short Form 20 and for influencing factors of POP by a self-designed questionnaire. Results Among 1 095 pregnant women, 33.52% scored 0, 32.33% scored 1, and 34.15% scored 2 and above. Multi-factor analysis indicated that influencing factors of pelvic organ prolapse included age, delivery mode and gestational weeks （P〈0.05） and there was no relationship between pelvic organ prolapse and abortion times and BMI during pregnancy （P〉0.05）. Conclusion Pelvic organ prolapse is frequently seen during pregnancy. Intervention for high risk women is needed.