Objective:To investigate the effects of different delivery modes on perinatal
pelvic floor muscle strength, PG, ACTH and CRP of high-risk pregnant women. Methods: 380 high-risk pregnant women who gave birth in our hospital from March 2021
to February 2022 were selected as subjects, including 100 vaginal natural
delivery, 156 forceps assisted delivery and 124 cesarean section. Pelvic floor
pressure, PG, ACTH, CRP, IL-6, TNF-α and IL-4, IL-10 levels were evaluated and compared. The perinatal occurrence of
pelvic floor functional disease (PFD) in high-risk pregnant women in each group
was analyzed and evaluated. Results: There were statistical differences
in the amount of postpartum blood loss (P<0.0001, F=99.01),
postpartum blood loss 24h (P=0.0004,
References
[1]
Jin, Y., Jiang, Y., Yuan, Y.F., et al. (2013) Influencing Factors of Pregnant Women’s Choice of Delivery Mode in Hunan Province. China Maternal and Child Health Care, 28, 5010-5012.
[2]
Teng, X.H. and Pan, S.L. (2017) Relationship between Pregnant Women’s Age and Pregnancy Risk Factors and Pregnancy Outcome. Journal of Practical Obstetrics and Gynecology, 33, 692-696. (In Chinese)
[3]
Hung, T.H., Chen, S.F., Hsieh, T.T., et al. (2011) The Associations between Labor and Delivery Mode and Maternal and Placental Oxidative Stress. Reproductive Toxicology, 31, 144-150. https://doi.org/10.1016/j.reprotox.2010.11.009
[4]
Strinic, T., Bukovic, D., Roje, D., et al. (2007) Epidemiology of Pelvic Floor Disorders between Urban and Rural Female Inhabitants. Collegium Antropologicum, 31, 483-487.
[5]
Gao, L., Wang, S., Zhang, D., et al. (2022) Pelvic Floor Muscle Strength in the First Trimester of Primipara: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19, Article 3568.
https://doi.org/10.3390/ijerph19063568
[6]
Gumussoy, S., Ozturk, R., Kavlak, O., Hortu, İ. and Yeniel, A.Ö. (2021) Investigating Pelvic Floor Muscle Strength in Women of Reproductive Age and Factors Affecting It. Clinical Nursing Research, 30, 1047-1058.
https://doi.org/10.1177/10547738211000350
[7]
Davenport, M.H., Nagpal, T.S., Mottola, M.F., et al. (2018) Prenatal Exercise (Including But Not Limited to Pelvic Floor Muscle Training) and Urinary Incontinence during and following Pregnancy: A Systematic Review and Meta-Analysis. Br British Journal of Sports Medicine, 52, 1397-1404.
[8]
Capobianco, G., Madonia, M., Morelli, S., et al. (2018) Management of Female Stress Urinary Incontinence: A Care Pathway and Update. Maturitas, 109, 32-38.
https://doi.org/10.1016/j.maturitas.2017.12.008
[9]
Blomquist, J.L., Carroll, M., Munoz, A. and Handa, V.L. (2020) Pelvic Floor Muscle Strength and the Incidence of Pelvic Floor Disorders after Vaginal and Cesarean Delivery. American Journal of Obstetrics and Gynecology, 222, 62.E1-62.E8.
https://doi.org/10.1016/j.ajog.2019.08.003
[10]
Rathore, A., Suri, J., Agarwal, S. and Mittal, P. (2021) Antenatal and Postnatal Assessment of Pelvic Floor Muscles in Continent and Incontinent Primigravida Women. International Urogynecology Journal, 32, 1875-1882.
https://doi.org/10.1007/s00192-021-04846-3
[11]
Palmezoni, V.P., Santos, M.D., Pereira, J.M., et al. (2017) Pelvic Floor Muscle Strength in Primigravidae and Non-Pregnant Nulliparous Women: A Comparative Study. International Urogynecology Journal, 28, 131-137.
https://doi.org/10.1007/s00192-016-3088-3
[12]
Xie, X.H. (2017) Analysis of Pelvic Floor Dysfunction and Correlation between Pelvic Floor Muscle Strength and Obstetric Delivery Factors in Different Delivery Modes. Shenzhen Journal of Integrated Chinese and Western Medicine, 27, 120-121.
[13]
Dilebel, A., Liu, N. and Gulina, A. (2018) Effects of Different Delivery Methods on Pelvic Floor Muscle Strength in Early Postpartum Period. Journal of Xinjiang Medical University, 41, 692-696. (In Chinese)
[14]
Qi, S. (2013) Changes of Postpartum Pelvic Floor Muscle Strength and Its Influencing Factors. Zhengzhou University, Zhengzhou.
[15]
Shi, Y.M., Feng, B.W., Zhang, J.H., et al. (2017) Effects of Different Delivery Methods on Pelvic Floor Muscle Strength in Early Postpartum Period. China Maternal and Child Health Care, 32, 704-706.
[16]
He, J.Q., Qiu, Y.F., Shu, D.X., et al. (2018) Relationship between Pain Stress Index and Emotional State during Cesarean Section. Chinese Journal of Preventive Medicine, 19, 958-960. (In Chinese)
[17]
Mattison, M.E., Simsiman, A.J. and Menefee, S.A. (2006) Can Urethral Mobility Be Assessed Using the Pelvic Organ Prolapse Quantification System? An Analysis of the Correlation between Point Aa and Q-Tip Angle in Varying Stages of Prolapse. Urology, 68, 1005-1008. https://doi.org/10.1016/j.urology.2006.05.030
[18]
Mota, P., Pascoal, A.G., Sancho, F., Carita, A.I. and Bø, K. (2013) Reliability of the Inter-Rectus Distance Measured by Palpation. Comparison of Palpation and Ultrasound Measurements. Manual Therapy, 18, 294-298.
https://doi.org/10.1016/j.math.2012.10.013
[19]
Chen, Y., Bai, W.W., Xiang, D.J., et al. (2020) Clinical Application of Ultrasound in Diagnosis of Rectus Abdominalis Dissociation in Pregnant Women. Journal of Southeast University (Medical Edition), 39, 200-203. (In Chinese)
[20]
Wei, L.Y., Jiang, L.W., Jiang, H., et al. (2017) Clinical Effect of Electroneuromuscular Stimulation on Vaginal Imclosure. Chinese and Foreign Women’s Health Study, 2, 96-97.
[21]
Wang, C., Wang, Q., Zhao, X., et al. (2022) Effects of Different Delivery Modes on Pelvic Floor Function in Parturients 6-8 Weeks after Delivery Using Transperineal Four-Dimensional Ultrasound. Disease Markers, 2022, Article ID: 2334335.
https://doi.org/10.1155/2022/2334335
[22]
Thibault-Gagnon, S., Yusuf, S., Langer, S., et al. (2014) Do Women Notice the Impact of Childbirth-Related Levator Trauma on Pelvic Floor and Sexual Function? Results of an Observational Ultrasound Study. International Urogynecology Journal, 25, 1389-1398. https://doi.org/10.1007/s00192-014-2331-z
[23]
Lv, Y.Z. (2013) Effects of Different Delivery Methods on Maternal and Infant Perinatal Complications. China Health and Nutrition, 23, 1713-1714. (In Chinese)
[24]
Memon, H. and Handa, V.L. (2012) Pelvic Floor Disorders following Vaginal or Cesarean Delivery. Current Opinion in Obstetrics and Gynecology, 24, 349-354.
https://doi.org/10.1097/GCO.0b013e328357628b
[25]
Xiao, X., Wei, R.M., Lv, L.Q., et al. (2015) Study on the Effect of Three Different Delivery Methods on Pelvic Floor Muscle Strength of Primipara. China Maternal and Child Health Care, 30, 4458-4460.
[26]
Barbosa, A.M., Marini, G., Piculo, F., et al. (2013) Prevalence of Urinary Incontinence and Pelvic Floor Muscle Dysfunction in Primiparae Two Years after Cesarean Section: Cross-Sectional Study. Sao Paulo Medical Journal, 131, 95-99.
https://doi.org/10.1590/S1516-31802013000100019
[27]
Elenskaia, K., Thakar, R., Sultan, A.H., Scheer, I. and Beggs, A. (2011) The Effect of Pregnancy and Childbirth on Pelvic Floor Muscle Function. International Urogynecology Journal, 22, 1421-1427. https://doi.org/10.1007/s00192-011-1501-5
[28]
Handa, V.L., Blomquist, J.L., McDermott, K.C., et al. (2012) Pelvic Floor Disorders after Vaginal Birth: Effect of Episiotomy, Perineal Laceration, and Operative Birth. Obstetrics & Gynecology, 119, 233-239.
https://doi.org/10.1097/AOG.0b013e318240df4f
[29]
Wu, WW., Wu, H.B., Zhu, X.Y., et al. (2017) Analysis of Influencing Factors and Drug Resistance of Pathogenic Microorganisms in Puerperal Infection after Vaginal Trial Delivery and Cesarean Section. China Maternal and Child Health Care, 32, 898-900.
[30]
Hu, Y., Huang, K., Sun, Y., et al. (2017) Placenta Response of Inflammation and Oxidative Stress in Low-Risk Term Childbirth: The Implication of Delivery Mode. BMC Pregnancy Childbirth, 17, Article No. 407.
https://doi.org/10.1186/s12884-017-1589-9
[31]
Malamitsi-Puchner, A., Protonotariou, E., Boutsikou, T., et al. (2005) The Influence of the Mode of Delivery on Circulating Cytokine Concentrations in the Perinatal Period. Early Human Development, 81, 387-392.
https://doi.org/10.1016/j.earlhumdev.2004.10.017
[32]
Gitto, E., Reiter, R.J., Karbownik, M., et al. (2002) Causes of Oxidative Stress in the Pre- and Perinatal Period. Biology of the Neonate, 81, 146-157.
https://doi.org/10.1159/000051527