Pelvic muscle strength after childbirth.
Pelvic muscle strength after childbirth.
复制标题
DOI：
10.1097/aog.0b013e318265de39
复制
发表时间：
2012-11
影响因子：
7.2
通讯作者：
Handa VL
中科院分区：
文献类型：
--
作者：
Friedman S;Blomquist JL;Nugent JM;McDermott KC;Muñoz A;Handa VL
目的是评估阴道分娩和其他产科暴露对产后 6-11 年盆腔肌肉力量的影响，并调查盆腔肌肉力量与盆底疾病之间的关系。在 666 名经产妇女中，在产后 6-11 年用会阴测量仪测量了骨盆肌肉强度。通过审查医院记录对产科暴露进行分类。通过经过验证的问卷评估盆底结果，包括压力性尿失禁、膀胱过度活动症、肛门失禁和脱垂症状。使用盆腔器官脱垂定量系统评估盆腔器官支持。 Kruskal-Wallis 检验用于估计产科暴露和盆底结果与峰值肌肉力量的单变量关联。使用逐步多变量线性回归模型来估计产科暴露与肌肉力量之间的关联。与通过剖腹产分娩所有孩子的女性相比，有阴道分娩史的女性的峰值肌肉力量和收缩持续时间均降低（39 与 29 cm H2O 相比，P<.001）。产钳分娩史后，骨盆肌肉力量进一步降低（17 cm H2O，P<.001）。阴道分娩后，盆腔肌肉力量下降与肛门失禁（P=.028）和检查时盆腔器官脱垂（P=.025）症状相关；在那些完全通过剖腹产分娩的人中没有观察到这些关联。产后近十年的骨盆肌肉力量受到阴道分娩和产钳分娩的影响。尽管统计上显着，但观察到的一些差异幅度很小。
The objective was to estimate the effect of vaginal childbirth and other obstetric exposures on pelvic muscle strength 6–11 years after delivery and to investigate the relationship between pelvic muscle strength and pelvic floor disorders. Among 666 parous women, pelvic muscle strength was measured with a perineometer 6–11 years after delivery. Obstetric exposures were classified by review of hospital records. Pelvic floor outcomes, including stress incontinence, overactive bladder, anal incontinence, and prolapse symptoms, were assessed with a validated questionnaire. Pelvic organ support was assessed using the Pelvic Organ Prolapse Quantification system. Kruskal-Wallis tests were used to estimate the univariable associations of obstetric exposures and pelvic floor outcomes with peak muscle strength. Stepwise multivariable linear regression models were used to estimate the association between obstetric exposures and muscle strength. In comparison with women who delivered all of their children by cesarean, peak muscle strength and duration of contraction were reduced among women with a history of vaginal delivery (39 compared with 29 cm H2O, P<.001). Pelvic muscle strength was further reduced after history of forceps delivery (17 cm H2O, P<.001). After vaginal delivery, reduced pelvic muscle strength was associated with symptoms of anal incontinence (P=.028) and pelvic organ prolapse on examination (P=.025); these associations were not observed among those who had delivered exclusively by cesarean. Pelvic muscle strength almost a decade after childbirth is affected by vaginal delivery and by forceps delivery. Although statistically significant, some of the differences observed were small in magnitude.
登录
查看更多内容
影响因子：
9.8
作者：
King, Virginia G.;Boyles, Sarah H.;Gregory, W. Thomas
通讯作者：
Gregory, W. Thomas
影响因子：
2
作者：
Frawley, HC;Galea, MP;Bo, K
通讯作者：
Bo, K
影响因子：
1.8
作者：
Ghetti, C;Gregory, WT;Clark, AL
通讯作者：
Clark, AL
DOI：
10.1111/j.1471-0528.1997.tb12057.x
发表时间：
1997-09-01
期刊：
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
影响因子：
--
作者：
Peschers, UM;Schaer, GN;Schuessler, B
通讯作者：
Schuessler, B
影响因子：
1.8
作者：
Sigurdardottir, Thorgerdur;Steingrimsdottir, Thora;Bo, Kari
通讯作者：
Bo, Kari