The Injury Of Pelvic Floor Function And Rectus Abdominis And Theirs Relationship With Depression Status In Postpartum Women

ObjectivePelvic floor dysfunction,diastasis recti abdominis and puerperal depressive state are common diseases in postpartum women.It has caused a huge social and economic burden,and has a serious impact on the quality of life and physical and mental health of postpartum women.Therefore,it is very important to evaluate pelvic floor muscle strength,separate rectus abdominis and screen postpartum depression in early postpartum period.This study will explain the basic situation of the women of 42-120 days delivery in detail,in order to provide a theoretical basis for more effective prevention and treatment of pelvic floor dysfunction,diastasis recti abdominis and puerperal depressive state.Methods166 postpartum women who delivered in Shandong provincial hospital from January 2020 to August 2020 and underwent pelvic floor function screening in our hospital from 6 to 12 weeks after delivery were selected as the research objects.The pelvic floor muscle strength,POP-Q grade and rectus abdominis distance were measured.Meanwhile,the Zung self rating Depression Scale(SDS)questionnaire survey was conducted.And collect the basic information of the research object,and finally query the relevant obstetric information during the delivery in our hospital medical record system.Excel and spss25.0 statistical software were used to input,analyze and summarize the collected data.T test was used for the collected measurement data,and X2 test was used for the count data.Logistic regression analysis was used for multivariate analysis,and correlation coefficient R,tolerance and VIF were used for collinearity diagnosis,If there is collinearity,it will be excluded in the multivariate analysis;the variables included in the final analysis come from the previous studies and univariate analysis,P<0.2,both sides test,the significance level is α=0.05.Results1.Painless delivery rate was 12.94%,episiotomy rate was 24.71%,perineal Ⅰ°laceration rate was 97.65%,perineal Ⅱ ° laceration rate was 2.35%.2.The abnormal rate of muscle strength of class Ⅰ and class Ⅱ muscle fibers were both 61.45%.The rate of DRA was 42.77%,the abnormal rate of POP-Q was 81.93%,and the abnormal rate of puerperal depressive state was 38.30%.3.Multivariate logistic regression analysis showed that:type I muscle fiber strength was related to postpartum women’s age,BMI before delivery,BMI increment during pregnancy and mode of delivery;type II muscle fiber strength was related to postpartum women’s age,education background,BMI before delivery,BMI increment during pregnancy,current BMI and mode of delivery;POP-Q grade was related to postpartum women’s age,BMI before delivery,mode of delivery and lateral incision;DRA was related to postpartum women’s age,BMI before delivery,mode of delivery and mode of delivery;Puerperal depressive state was related to the increase of BMI during pregnancy.The differences were statistically significant(P<0.05).4.There was no significant correlation between puerperal depressive state and pelvic floor dysfunction,diastasis recti abdominis.conclusion and significance1.Postpartum women should be screened for pelvic floor muscle,rectus abdominis and postpartum emotional status,and early detection,early diagnosis and early treatment should be done for those with abnormal conditions,so as to achieve the overall postpartum recovery.2.The higher the age,the higher the risk of pelvic floor dysfunction.3.Pregnancy weight and weight gain should be controlled reasonably.4.Although cesarean section is a protective factor for pelvic floor function,it is a risk factor for DRA.Cesarean section with indications should be performed.5.There was no significant correlation between puerperal depressive state and pelvic floor dysfunction and diastasis recti abdominis.