Vaginal childbirth and pelvic floor disorders.
Vaginal childbirth and pelvic floor disorders.
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DOI：
10.2217/whe.13.17
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发表时间：
2013-05
期刊：
影响因子：
--
通讯作者：
Handa VL
中科院分区：
文献类型：
--
作者：
Memon HU;Handa VL
分娩是女性一生中的一件重要事件。阴道分娩是最常见的分娩方式，它与以后盆底疾病的发病率增加有关。在本文中，作者回顾并总结了盆底疾病与阴道分娩相关的现有文献。压力性尿失禁和盆腔器官脱垂与阴道分娩和产次密切相关。阴道分娩与盆底疾病相关的损伤的确切机制尚不清楚，但可能是多因素的，可能包括盆底的机械和神经血管损伤。观察性研究已确定某些产科暴露是盆底疾病的危险因素。这些因素常常成群共存；因此，这些变量对盆底的孤立影响很难研究。
Childbirth is an important event in a woman’s life. Vaginal childbirth is the most common mode of delivery and it has been associated with increased incidence of pelvic floor disorders later in life. In this article, the authors review and summarize current literature associating pelvic floor disorders with vaginal childbirth. Stress urinary incontinence and pelvic organ prolapse are strongly associated with vaginal childbirth and parity. The exact mechanism of injury associating vaginal delivery with pelvic floor disorders is not known, but is likely multifactorial, potentially including mechanical and neurovascular injury to the pelvic floor. Observational studies have identified certain obstetrical exposures as risk factors for pelvic floor disorders. These factors often coexist in clusters; hence, the isolated effect of these variables on the pelvic floor is difficult to study.