自然分娩产妇产后42d盆底功能恢复情况及相关影响因素分析

Analysis on the Recovery of Pelvic Floor Function and Related Influencing Factors in Puerperae at 42 Days after Natural Delivery

目的分析自然分娩产妇产后42 d盆底功能恢复情况及相关影响因素。方法回顾性分析2020年1月至2021年12月于我院自然分娩的80例产妇临床资料。所有产妇均于产后42 d回院复查盆底功能,依据恢复状况分为中重度异常组与轻度异常组,收集两组的基础资料进行Logistic回归分析。结果80例产妇产后42 d复查显示盆底功能中重度异常47例(58.75%)。多因素分析显示,年龄≥30岁、孕周≥40周、产次>1次、新生儿体重≥3.5 kg、有盆腔手术史为影响自然分娩产妇产后42 d盆底功能恢复的高危因素(OR>1,P<0.05)。结论年龄≥30岁、孕周≥40周、产次>1次等为影响自然分娩产妇产后盆底功能恢复的高危因素,临床需尽早识别高危风险,开展针对性干预,促进盆底功能恢复。

Objective To analyze the recovery of pelvic floor function in puerperae at 42 days after natural delivery and the related influencing factors.Methods The clinical data of 80 puerperae with natural delivery in our hospital from January 2020 to December 2021 were analyzed retrospectively.All the puerperae returned to the hospital to recheck the pelvic floor function 42 days after delivery.They were divided into the moderate-severe abnormal group,and the mild abnormal group according to the recovery status.The basic data of the two groups were collected and Logistic regression analysis was carried out.Results Among puerperae at 42 days after natural delivery,47 cases(58.75%)had moderate and severe abnormal pelvic floor function.Multivariate analysis showed that age≥30 years old,gestational age≥40 weeks,delivery>1 time,neonatal weight≥3.5 kg,and pelvic surgery history were the high risk factors affecting the recovery of pelvic floor function 42 days after delivery(OR>1,P<0.05).Conclusions Age≥30 years old,gestational age≥40 weeks,and delivery>1 time are the high risk factors affecting the recovery of pelvic floor function in puerperae after natural delivery.Clinically,it is necessary to identify the high risk as early as possible and carry out targeted intervention to promote the recovery of pelvic floor function.