Comparison between at early stage of pregnancy and puerperal period-Relation between Change of Pelvic Floor Muscular power and Incontinence in early stage of pregnancy and puerperal period.

孕早期与产褥期的比较——孕早期、产褥期盆底肌力变化与尿失禁的关系。

• 批准号: 17592266
• 负责人: TAKIKAWA Setsuko
• 金额: $ 1.15万
• 依托单位: Prefectural University of Hiroshima
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592266/
• 关键词: incontinence; primiparae; mulutiparae; pelvic muscular power; puerperal period; pregnancy; 排尿障害; 看護学; 助産学; 骨盤底筋群; 妊産褥婦

1. Objective/Am of the ResearchTo investigate the relation between change of Pelvic Floor Musculas powers and incontinence in the preverbal period.The research was conducted during pregnancy, at time of leaving hospital, and at intervals of one month and three months after leaving hospital. Pelvic Muscle Strength was measured using the Pelvic Muscle Strength Rating Scale and a periometter. To investigate incontinence, medical records from the perinatal period were examined and a questionnaire survey was conducted. The Pelvic Muscle Strength Rating Scale was administered by a doctor.2. Subjects of the ResearchThe total number of subjects was 35; Caesarian section group : 5 women.( pregnancy normal in primiparas); pmiparas group: 10 women; mulutiparae groups: 20 women: Questionnaires were sent to the subjects during pregnancy, at the time of leaving hospital, and at interview of one month and three month after leaving hospital.Measurements of pelvic muscle strength were made at the follo … More wing intervals : 10 months pregnant; time of leaving hospital; one month after leaving hospital, three months after leaving hospital.3. Results and ConclusionsMuscle Strength was significantly greater at one month and three months after leaving hospital than at the time of leaving hospital, and this was the care for all three groups: the caesarian section group; the primiparae group; and the multiparae group. Three months after leaving hospital pelvic muscle strength had almost returned to the level at 10-months-pregnant.The highest levels of pelvic muscle strength were found in the follong orther: caesarian section group; multiparae group.The results indicate that muscle strength was insufficient at one month after delivery and was still in the process of recovery.Three months (12 weeks) were necessary for pelvic muscle strength to return to this level at 10-months-pregnant.The results suggest that retraining in exercise to develop muscle strength is necessary when medical check-ups are made at one month after delivery, and that questions about incontinence should also be asked at interview at that time.In addition, Levels of recovery of pelvic muscle strength tended to be lower in the multiparae group than in the caesarian section groups. This suggests that multiparae women need a longer time to recover their pelvic muscle strength and that therefore exercises to help them do this should be continued. Less

1.研究目的：探讨孕妇在妊娠期、出院时、出院后1个月和3个月的盆底肌力量变化与尿失禁的关系。使用骨盆肌肉力量评定量表和视野计测量骨盆肌肉力量。为了调查尿失禁，从围产期的医疗记录进行了检查，并进行了问卷调查。骨盆肌肉力量评定量表由医生管理。研究对象研究对象共35例，其中剖腹产组5例。分别于妊娠期、出院时、出院后1个月、3个月随访时测量骨盆肌力，并与对照组比较，结果：①骨盆肌力与对照组比较，差异有统计学意义（P < 0. 05）; ②骨盆肌力与对照组比较，差异有统计学意义（P < 0. 05）; ③骨盆肌力与对照组比较，差异有统计学意义（P < 0. 05）。 ...更多信息 间隔时间：怀孕10个月;出院时间：出院后1个月，出院后3个月.结果与结论剖宫产组、剖宫产组、经产组术后1个月、3个月肌力较出院时明显增强，剖宫产组、剖宫产组、经产组术后肌力较出院时明显增强。出院后3个月骨盆肌力基本恢复到妊娠10个月时的水平，以剖宫产组最高;结果表明，产后1个月肌力不足，尚在恢复过程中，3个月后肌力恢复正常，（12周）是怀孕10个月时骨盆肌肉力量恢复到这一水平所必需的。结果表明，在产后一个月进行体检时，有必要重新训练运动以发展肌肉力量，此外，经产妇组骨盆肌力恢复水平有低于剖宫产组的趋势。这表明，经产妇需要更长的时间来恢复骨盆肌肉力量，因此应该继续进行帮助她们恢复骨盆肌肉力量的练习。少