摘要
目的:分析足月初产妇产后发生盆腔器官脱垂(POP)的影响因素。方法:选取60例于该院分娩的足月初产妇为研究对象,分娩后随访6个月,统计产后POP发生率,并分析产后发生POP的影响因素。结果:60例产妇产后发生POP 19例(31.67%);发生POP产妇的新生儿体质量、肥胖、盆腔手术史、第二产程时间、妊娠期糖尿病、产后进行体力活动情况与未发生POP的产妇比较,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,新生儿体质量>4000 g、肥胖、有盆腔手术史、第二产程时间延长、合并妊娠期糖尿病和产后过早进行体力劳动均为影响足月初产妇产后发生POP的独立危险因素(OR>1,P<0.05)。结论:足月初产妇产后POP的发生率较高,新生儿体质量>4000 g、肥胖、有盆腔手术史、第二产程时间延长、合并妊娠期糖尿病和产后过早进行体力劳动均为影响足月初产妇产后发生POP的独立危险因素。
Objective:To analyze influencing factors of postpartum pelvic organ prolapse(POP)in full-term primiparas.Methods:60 fullterm primiparas who gave birth in this hospital were selected as the research objects.Their baseline data were collected,and they were followed up for 6 months after the delivery.The incidence of postpartum POP was statistically analyzed,and the influencing factors of postpartum POP were analyzed.Results:According to the statistical analysis,19 cases of POP occurred in the 60 cases of full-term primiparas,and the incidence rate was 31.67%.There were statistical differences in neonatal weight,obesity,history of pelvic surgery,time of second stage of labor,gestational diabetes mellitus,and early postpartum physical activity among the women who developed POP and those without POP(P<0.05).The multivariate Logistic regression analysis showed that neonatal body weight>4000 g,obesity,history of pelvic surgery,prolonged second stage of labor,gestational diabetes mellitus,and early postpartum physical labor were all the independent risk factors for postpartum POP in the full-term primiparas(OR>1,P<0.05).Conclusions:The incidence of postpartum POP is higher in the full-term primiparas.The neonatal weight>4000 g,obesity,history of pelvic surgery,prolonged second stage of labor,gestational diabetes mellitus,and early postpartum physical activity are all the independent risk factors for postpartum POP.
作者
修瑞娟
XIU Ruijuan(Department of Obstetrics and Gynecology of Yucheng County People’s Hospital,Shangqiu 476300 Henan,China)
出处
《中国民康医学》
2022年第2期12-14,共3页
Medical Journal of Chinese People’s Health
关键词
足月
初产妇
产后
盆腔器官脱垂
影响因素
Full-term
Primipara
Postpartum
Pelvic organ prolapse
Influencing factor
