初产妇产后早期盆腔脏器脱垂及相关因素分析

Analysis of Pelvic Organ Prolapse and Related Factors in Primipara in Early Postpartum Period

目的探讨初产妇分娩各项因素与产后早期盆腔脏器脱垂(POP)的相关性。方法回顾性收集2021年1月至2022年6月于云南大学附属医院分娩后42~50 d进行常规超声检查的初产妇,病例组为超声诊断为POP的产妇141例,对照组为随机选取同时期未发生POP的产妇119例,结合产妇分娩方式、胎儿体重、顺产时产程及会阴侧切等指标分析初产妇分娩各项因素与产后POP的相关性。结果分娩各项因素中年龄、胎儿出生体重、顺产、顺产第2产程及会阴侧切与初产妇产后早期发生POP相关(P<0.05)。结论年龄、胎儿出生体重、第2产程、顺产、会阴侧切是产后早期发生POP的危险因素,为临床预测产后发生POP提供参考,在妊娠及分娩过程中进行临床干预来降低产后POP的发生率。

Objective To investigate the correlation between delivery factors and early postpartum pelvic organ prolapse(POP)in primipara.Methods From January 2021 to June 2022,primiparas who underwent routine ultrasound examination at the Affiliated Hospital of Yunnan University were retrospectively analysed.The case group included 141 primiparas diagnosed as POP by ultrasound,and the control group included 119 primiparas without POP randomly selected during the same period.The correlation between primiparas’delivery factors and postpartum POP was analyzed by combining the indexes of fetal weight,labor process and lateral episiotomy.Results Age,birth weight,second stage of labor,vaginal delivery and episiotomy were significantly correlated with the occurrence of POP in primiparas(P<0.05).Conclusion Age,birth weight,second stage of labor,vaginal delivery,episiotomy are significantly correlated with early postpartum POP.These findings provide reference significance for clinical prediction of postpartum POP,and crucial for appropriate interventions during pregnancy and delivery,so as to reduce the incidence of postpartum POP.