Episiotomy Recent Impact Of Pelvic Floor Function

Objective: Determine whether episiotomy protective effect of maternal pelvic floorfunction.Methods: Randomly selected from Dalian maternity hospital vaginal delivery in July toDecember for2012, female postpartum6-8weeks interiew, requirements into the groupof patients for unipara, single fetus through vaginal delivery, age between18to35yearsold, BMI between19to25, The first labor time within24hours, the second labor within2hours,ruled out lines of fetal head to attract, hand turn fetal head, forceps midwifery,macrosomia, stillbirth, eliminate suffering from internal and surgical complications andurinary incontinence patients with family history or history of surg ery192patients areselected and divided into episiotomy group133examples,not epi siotomy59cases. Fortwo groups of patient’s age, gestational age, the first labor time, the second time,whetherto use painless labor, postpartum patients with BMI, birth w eight, prenatal patients withurinary incontinence, postpartum urinary incontinence, POP-Q ratings, postpartum pelvic floor muscle (hand probe and pelvic floor function detector-PHENIX)fatigue,muscleelectromyogram such as comparison, simultane ously and sexual life quality questionnairescore.Results:1.Two groups of maternal age, gestational age, the first labor time, the secondtime, the use of epidural labor, postpartum BMI, birth weight and pregnancy urinary Incontinence after comparing these results P＞0.05, comparison in the two groups was nostatistically significant difference;2.Two groups of maternal postpartum urinary incontinence prevalence episiotomy group15.8%(21/133), another group8.5%(5/59), comparison in the two groups was no statistically significant differenc（eP=0.172）;3.the POP-Qrating of two groups of maternal side episiotomy group I degree of pr olapse83.4%(111/133), II degree of prolapse16.6%(22/133), another group I degree of prolapse89.8%(53/59), II degree of prolapse10.2%(6/59), degree of prola pse after comparingwas no statistically significant difference （P=0.248）;4.muscle by hand probe side setof type I muscle fibers of ep isiotomy group grade199.2%(132/133）,grade20.08% (1/133）,another group grade194.9%(56/59）,grade25.1%(3/59）,after comparing twogroups have no statistical difference (P=0.052);and type II muscle fiber episiotomy group grade187.9%（117/133)，grade212.1%（16/133）,another group grade184.7%(50/59)、grade215.3%(9/59）, two groups compare no statistical difference (P=0.540);5.PHENIX pelvic floor functional assessment, muscle strength, electromyogram,fatigue evaluati on, comparison results show that type I muscle fibers side episiotomygroup level085.7%(114/133), level111.3%(15/133）, level22.3%(3/133), level30.7%(1/133）, the other group of level078.0%(46/59), level118.6%(11/59）, level23.4%(2/59), after comparing no statistical difference (P=0.461); Type II muscle fiberepisiotomy group level069.2%(92/133), level16.8%(9/133), level25.3%(7/133）,llevel36.0%(8/133), level42.3%(3/133）, level510.5%(14/133), not the side cut setof level069.5%(41/59）, level16.8%(4/59), level211.9%(7/59）, level33.4%(2/59),level43.4%(2/59）, level55.1%(3/59), is no statistical difference (P=0.473);6.Typ e Imuscle fibers electromyogram on tepisiotomy group slightly higher than not episiotomygroup, but no statistics difference after comparison (P=0.075), type II mu sclefiber electromyogram on episiotomy group slightly higher than the not episiotomy gr oup, but nostatistical difference (P=0.213);7. type I muscle fibers fatigue two groups of women isno statistical difference(P=0.766), type II muscle fiber fatigue results s how that thelateral groups are more likely to fatigue, two groups of maternal no statistical difference(P=0.429);8. End at the same time carries on the sexual life quality in pat ients with postpartum recovery life questionnaire, the results showed episiotomy grou p sex averagescore is lower than the not episiotomy, but two groups of sexual life qua lity is still nostatistical difference(P=0.088).Conclusion:1.This research data shows that episiotomy does not protect your pelvicfloor dysfunction;2. Episiotomy might affect the postpartum sexual life quality;3. Weshould be at the time of vaginal delivery based on ensure the safety of mother and holdgood episiotomy surgical indications, avoid blind episiotomy, thus protecting yourpelvic floor function, improve the quality of maternal postpartum life.