Ultrasound analysis of the effect of second delivery on pelvic floor function in Chinese women

被引:1
作者
Shao, Xiao-Hui [1 ,2 ]
Kong, De-Jiao [2 ]
Zhang, Li-Wei [2 ]
Wang, Lu-Lu [2 ]
Wang, Si-Ming [2 ]
Yu, Li-Juan [1 ,3 ]
Dong, Xiao-Qiu [2 ]
机构
[1] Harbin Med Univ, PET CT Ctr, Canc Hosp, Harbin, Heilongjiang, Peoples R China
[2] Harbin Med Univ, Dept Ultrasonog, Hosp 4, Yiyuan Str 37, Harbin 150001, Heilongjiang, Peoples R China
[3] Hainan Canc Hosp, Nucl Med Dept, Haikou, Hainan, Peoples R China
基金
中国国家自然科学基金;
关键词
Chinese females; pelvic floor function; second delivery; ultrasonography; URINARY-INCONTINENCE; ORGAN PROLAPSE; STANDARDIZATION; ASSOCIATION; IMPACT; MODE; RISK;
D O I
10.1080/01443615.2021.1907554
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In our study, patients who had a second delivery were categorised into the following 4 groups. Pelvic floor ultrasound data were compared during the 6th week after the second delivery. The incidence of cystoceles was highest in group A and lowest in group D. In addition, groups A and B had a higher rate of rectoceles or perineum descent. Similarly, the areas of the levator hiatus were higher in Groups A and B during Valsalva manoeuvres. The area of the levator hiatus from the resting state to the Valsalva manoeuvre effect had the greatest change in Group A. A comparison of the PR thickening rates among the four groups did not reveal significant differences. All second delivery methods can cause varying degrees of pelvic organ prolapse and decreased pelvic floor function; however, vaginal delivery as the second delivery mode may have a more significant effect in Chinese women.Impact Statement What is already known on this subject? Different modes of delivery have significantly different effects on female pelvic floor function. Pregnancy beyond 35 weeks of gestation has an effect on female pelvic floor function, irrespective of the mode of delivery. What do the results of this study add? This study analysed the impact of different delivery modes on Chinese female pelvic floor function. Parous women who underwent different modes of second delivery all demonstrated different degrees of pelvic organ prolapse, as well as pelvic floor function decline. What are the implications of these findings for clinical practice and/or further research? Our study will provide basic research of Chinese female pelvic floor function after a second delivery, which will be of clinical significance around the world, as well as in China. China will keep promoting further delivery as the aging population is increasing. If the developing countries want to promote the second delivery around the women, they have basic research and data to instruct the females.
引用
收藏
页码:261 / 267
页数:7
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