在瑞典剖腹产和阴道分娩后的门失禁:一项基于全国人口的研究
Charlotta Larsson1, Charlotta Linder Hedberg2, Ewa Lundgren2
1Department of Surgical and Perioperative Sciences, University of Umeå and Hospital of Östersund, Östersund, Sweden.
与剖腹产相比,阴道分娩增加门失禁的风险. 孕妇,特别是那些有风险因素的孕妇,可能会受益于产后治疗盆地疾病.
科学领域:
- 产科和妇科
- 骨盆地疾病
- 流行病学
背景情况:
- 选择性剖腹产的比例正在上升.
- 相信剖腹产可以预防盆底疾病,包括门失禁.
- 之前的小研究结果相互矛盾.
研究的目的:
- 将剖腹产后门失禁的风险与阴道分娩进行比较.
- 将风险与年龄相匹配的女性和男性进行比较.
- 在分娩组分析门失禁的危险因素.
主要方法:
- 使用瑞典登记册进行的基于人口的观察性研究 (1973-2015).
- 包括剖腹产或阴道分娩后被诊断为门失禁的妇女.
- 与分娩组之间的门失禁率和无卵性/男性对照的比较.
主要成果:
- 阴道分娩 (0. 37%) 的门失禁率高于剖腹产 (0. 22%).
- 阴道分娩与剖腹产的门失禁概率为1. 65.
- 阴道分娩后门失禁的危险因素包括母亲的年龄,出生体重和仪器分娩;剖腹产后母亲的年龄是一个因素.
结论:
- 怀孕和分娩会增加门失禁的风险.
- 有风险因素的妇女可能需要进行专门的产后检查以进行早期干预.
- 需要进一步的研究,以优化与分娩相关的门失禁的治疗.
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