低位产钳助产术对女性盆底功能的影响

Effect of Low Position Forceps Midwifery on Female Pelvic Floor Function

目的:研究分析顺产分娩中低位产钳助产术应用对女性盆底功能所具有的影响。方法:随机选取2015年12月~2018年11月于本院自然分娩的产妇共106例设为研究对象,开展临床对比研究,采用随机数字抽选法将其分为对照组与观察组,各组均为53例。对照组在分娩中不接受助产处理,研究组在分娩中接受低位产钳助产术。对比两组产后产道损伤、新生儿不良事件发生率及盆底功能损伤情况。结果:经对比两组分娩情况后,两组软产道损伤发生率、新生儿不良事件发生率对比无明显差异,P>0.05;但观察组产妇分娩后盆底功能损伤情况则明显高于对照组,P<0.05。结论:低位产钳助产术在经阴道分娩中的应用,虽可有效确保产妇及新生儿分娩安全性,但可在一定程度上增加产妇盆底功能损伤情况及风险,故应在低位产钳助产术后,予以产妇有效盆底肌刺激训练及治疗,改善盆底功能损伤情况。

Objective: To study the effects of mid-and low-production forceps midwifery on the function of female pelvic floor. Methods: A total of 106 women who underwent natural delivery in our hospital from December 2015 to November 2018 were randomly selected for clinical comparison. They were randomly divided into control group and experimental group by random number sampling. Each group was 53 cases. The control group did not receive midwifery during childbirth, and the study group received low-level forceps midwifery during childbirth. The incidence of postpartum birth canal injury, neonatal adverse events and pelvic floor function injury were compared between the two groups. Results: After comparing the two groups of delivery, there was no significant difference in the incidence of soft birth canal injury and neonatal adverse events between the two groups, P>0.05. However, the pelvic floor function injury in the experimental group was significantly higher than that in the control group., P<0.05. Conclusion: The application of low birth forceps midwifery in vaginal delivery can effectively ensure the safety of maternal and neonatal delivery, but it can increase the pelvic floor function damage and risk to some extent, so it should be assisted in the low position. After the operation, the effective pelvic floor muscle stimulation training and treatment were performed to improve the pelvic floor function damage.