Analysis of prognosis and short term pelvic floor function of pregnant women with different delivery modes after early pelvic floor rehabilitation exercise
Objective To study the prognosis and short term pelvic floor function of pregnant women with different delivery modes after early pelvic floor rehabilitation exercise. Methods From March 2010 to June 2016, 250 cases of primiparae were selected as the study objects, including 200 cases of spontaneous labor and 50 cases of cesarean section. All pregnant women were divided into 4 groups according to the random number table, spontaneous labor control group, spontaneous labor study group, cesarean section control group, and cesarean section study group. The pregnant women in the control group were given routine nursing care, and the pregnant women in the study group were given early rehabilitation training of pelvic floor muscles on the basis of routine nursing care. The evaluation results of pelvic floor muscle strength, the maintenance time of maximal contractile force, and the time of maximal contractile force in 15 seconds were analyzed and compared after delivery and 12 weeks of training. Results There were no statistically significant differences in pelvic floor muscle strength, the maintenance time of maximal contractile force, and the time of maximal contractile force in 15 seconds between cesarean section study group and spontaneous labor study group after delivery (P>0.05) The incidences of constipation, stress urinary incontinence, poor urine flow, urine dripping after bladder emptying, incompletely emptying, and other urethral symptoms, sexual intercourse pain, abdominal pain, vaginal dryness, decreased sexual life satisfaction in the study group were lower than those in the control group at one year after delivery, but there were no statistically significant differences (P>0.05) Conclusions The influence of early vaginal delivery on pelvic floor muscle is greater than that of cesarean delivery, but the influence of vaginal delivery on pelvic floor muscle is not significantly different in the long term. The use of early pelvic floor rehabilitation exercise can improve the pelvic floor function in the early postpartum period, which is worthy of clinical application. Key words: Early stage; Pelvic floor rehabilitation exercise; Short term; Long term; Prognosis