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.

1. 目的探讨孕前期盆底肌力变化与尿失禁的关系。这项研究是在怀孕期间、出院时以及出院后一个月和三个月的间隔进行的。盆腔肌力采用盆腔肌力评定量表和围周计测量。为了调查尿失禁，我们检查了围生期的医疗记录并进行了问卷调查。盆腔肌肉力量评定量表由医生实施。研究对象研究对象总数为35人；剖宫产组：5例。（初产妇妊娠正常）；Pmiparas组：10名女性；多组：20名妇女：在怀孕期间、出院时、出院后1个月和3个月的访谈中分别向受试者发放问卷。骨盆肌肉力量的测量是在以下时间进行的：更多的飞行间隔：怀孕10个月；出院时间；出院后一个月，出院后三个月。结果与结论术后1个月和3个月的肌力均明显高于出院时，这是三组患者的护理特点：剖宫产组；初产妇组；还有多参数组。出院三个月后，骨盆肌肉力量几乎恢复到怀孕10个月时的水平。盆腔肌肉力量在以下两组中最高：剖腹产组；multiparae组。结果提示：产后1个月肌力不足，仍处于恢复过程中。3个月（12周）后骨盆肌肉力量恢复到妊娠10个月时的水平。结果提示，在产后一个月进行体检时，有必要进行运动再训练以发展肌肉力量，并且在那时的面谈中也应询问有关尿失禁的问题。此外，剖宫产组盆腔肌肉力量的恢复水平往往低于剖宫产组。这表明多胎妇女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锻炼。少

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