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第2回陰道出産が腸の生理学と排泄不全に及ぼす影響:前向きな研究
1Department of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital, Ireland.
Lancet (London, England)
|September 29, 1999
まとめ
第2回陰道出産は,特に最初の出産から以前の症状または隠された門節損傷を有する女性では, incontinenceを悪化させる可能性があります. 機械的傷害のリスクは,最初の陰道出産時に最も高い.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 骨盤床の障害 骨盤床の障害
- 女性の生殖健康について
背景:
- アナルスフィンクターの産科的損傷は微妙であり,最初の出産と次の出産の間に異なることがあります.
- これらの違いを理解することは,門の生理学と不妊症の管理に不可欠です.
研究 の 目的:
- 第1回および第2回経分娩が経生理学および禁に及ぼす影響を前向きに評価する.
- 出産後の incontinenceの危険因子を特定するために.
主な方法:
- 前向きな観察研究で,以前は不妊だった女性59人を対象に実施した.
- 腸機能に関するアンケートや,出産前と出産後の6~12週間の腸生理学的評価を通じて収集されたデータです.
- 女性は2回の連続した経分娩で評価されました.
主要な成果:
- 女性の22%は,最初の陰道出産後,糞便の控えめが変化したと報告しました.
- 最初の出産後に一時的な incontinenceまたは隠されたスフィンクター損傷を持つ女性は,第2回の出産後に incontinenceのリスクが高かった.
- プデンダス神経の潜伏期は,第2回陰道出産後に増加し,潜在的な神経病変を示唆しました.
結論:
- 最初の経分娩後に持続的な排泄不全の症状は,第2回の分娩で悪化することが多い.
- 第一次出産後の過渡的な incontinenceまたは隠された門スフィンクターの損傷は,その後の出産のリスクを大幅に増加させます.
- 機械的な門スフィンクターの損傷のリスクが最も高いのは,最初の陰道出産時に起こります.
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