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第二次阴道分娩对直肠生理学和便失禁的影响:一项前性研究
1Department of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital, Ireland.
Lancet (London, England)
|September 29, 1999
概括
第二次阴道分娩可能会使便失禁恶化,特别是对于从第一次分娩时出现了先前症状或隐藏的关节损伤的妇女来说. 机械伤害的风险在第一个阴道分娩期间是最高的.
科学领域:
- 产科和妇科 产科和妇科
- 盆地底疾病 盆地底疾病
- 女性生殖健康 妇女生殖健康
背景情况:
- 关节的产科损伤可能是微妙的,在第一次和随后的分娩之间可能有所不同.
- 了解这些差异对于管理门生理学和禁欲至关重要.
研究的目的:
- 预期评估第一个和第二次阴道分娩对门生理学和禁欲的影响.
- 为了确定分娩后便失禁的危险因素.
主要方法:
- 这是一项前性观察性研究,涉及59名以前未婚妇女.
- 通过肠功能调查问卷和产前和产后6-12周的直肠生理评估收集的数据.
- 通过两个连续的阴道分娩来评估女性.
主要成果:
- 22%的女性报告说,在第一次阴道分娩后,便不变了.
- 在第一次分娩后患有过渡性失禁或隐性关损伤的妇女在第二次分娩后患有失禁的风险很高.
- 第二次阴道分娩后, Pudendal神经延迟增加,表明潜在的神经病变.
结论:
- 第一次阴道分娩后持续的便失禁症状通常会在第二次分娩后恶化.
- 第一次分娩后的过渡性失禁或隐性关节损伤显著增加了随后分娩的风险.
- 机械关节损伤的最高风险发生在第一个阴道分娩期间.
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