与体重指数相关的产科二度围破伤8周后的并发症
Maria Otterheim1, Linda Hjertberg1,2, Sofia Pihl2,3
1Department of Obstetrics and Gynaecology, Vrinnevi Hospital, Norrköping, Sweden.
International urogynecology journal
|August 16, 2023
概括
经过二度围破伤后女性的较高体重指数 (BMI) 与更多的尿失禁,但较少的门失禁有关,产后8周. 根据BMI,并发症率没有显著差异.
科学领域:
- 产科和妇科 产科和妇科
- 盆地健康 盆地健康
- 孕产妇健康 孕产妇健康
背景情况:
- 盆地功能障碍是产后常见的担忧.
- 产科创伤后,身体质量指数 (BMI) 对骨盆底功能的影响,特别是二度围破伤,仍未得到充分研究.
- 了解这些关联对于有针对性的产后护理至关重要.
研究的目的:
- 为了研究母亲的体重指数 (BMI) 和骨盆底功能之间的关系,产后8周.
- 为了确定更高的BMI是否与增加的尿失禁 (UI),门失禁 (AI) 或在二级周围破裂后的其他并发症有关.
主要方法:
- 一项基于登记的队列研究,对10876名患有二度围破伤的初婚妇女进行了研究 (2014-2021年).
- 数据来源于瑞典周围破伤登记处.
- 使用后勤回归,对母亲的BMI (正常,超重,肥胖) 与UI,AI和伤并发症的结果进行了分析.
主要成果:
- 与体重正常的女性相比,超重和肥胖女性的尿失禁风险明显增加 (aOR 1.21-1.27).
- 相反,超重和肥胖妇女的门失禁 (AI) 风险降低 (aOR 0.72-0.81).
- 在BMI组之间没有观察到其他常见并发症的显著差异.
结论:
- 高BMI (超重,肥胖) 的Primiparous妇女经历更多的UI但较少的AI在二度围破伤8周后.
- 没有发现与BMI相关的并发症率差异.
- 需要进一步的研究,以探索与产后BMI相关的盆地功能障碍的预防策略和干预措施.
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