自我报告的盆地功能障碍在产科关节损伤后12个月,与母亲的体重指数相关
Linda Hjertberg1,2, Eva Uustal2,3, Marie Blomberg2,3
1Department of Obstetrics and Gynecology, Linköping University, Norrköping, Sweden.
Acta obstetricia et gynecologica Scandinavica
|March 6, 2026
概括
超重和肥胖妇女在产后12个月内经历产后关节损伤后,经历了较少的发育障碍症. 门失禁在体质指数组中均分布,提供了新的临床见解.
科学领域:
- 产科和妇科 产科和妇科
- 盆地地板健康 盆地地板健康
- 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.
- 产科关节损伤 (OASIS) 可能导致长期症状.
- 体质指数 (BMI) 对产后盆地症状的影响需要进一步调查.
研究的目的:
- 在产后12个月评估自我报告的骨盆底症状 (尿失禁,尿失禁,门失禁).
- 评估怀孕前的体重指数 (BMI) 对这些症状的影响,在女性中,第一次阴道分娩因OASIS而复杂.
主要方法:
- 来自瑞典周围裂注册表 (2014-2019) 的6595名患有OASIS的妇女的基于人口的队列研究 (2014-2019).
- 分析了12个月产后发生的尿失禁,尿失禁和门失禁的自我报告数据.
- 使用单变量和多变量分析,比较正常体重 (BMI ≤24.9),超重 (25.0-29.9) 和肥胖 (≥30) 的女性.
主要成果:
- 与正常体重女性相比,超重和肥胖女性患失足症的风险降低 (aOR分别为0.82和0.71).
- 在超重 (aOR 1.51) 和肥胖 (aOR 2.82) 的女性中观察到尿失禁的风险增加.
- 在BMI组之间,没有发现门失禁风险的显著差异.
结论:
- 在OASIS之后12个月的产后,超重和肥胖妇女中发病率较低.
- 在OASIS一年后,BMI组的门失禁患病率在OASIS一年后是相似的,这是一个新且具有临床意义的发现.
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