The Impact Of Different Obstetric Factors On Pelvic Floor Function

Objective: In this study, The biofeedback electrical stimulation assess and ultrasound measurement to theclinical significance of of pelvic floor function change, and to explore the different obstetric factorsaffecting on the incidence of pelvic floor function and the related factors female pelvic floor dysfunction,and aims for the prevention and treatment provide a theoretical basis.Methods: A randomized Methods in First Affiliated Hospital of Medical School of Shihezi UniversityOutpatient342cases of women willing line questionnaire, POP-Q assessment.254cases of patients willingto accept pelvic ultrasound measuremen and238cases of patients willing to accept Biofeedback electricalstimulation device assessment.Using variance analysis of different obstetric factors in the pelvic floorBiofeedback electrical stimulation to assess the indicators of comparative, analysis of whether the changepelvic ultrasound measuremen in stress urinary incontinence, and Using logistic regression analysis methodto342cases of women determine the PFD relevant factors (P <0.05).Results:①Pelvic floor muscle tissue assessment in238cases of women,vaginal delivery group pelvicfloor muscle sustained strength,pelvic floor muscle contraction maximum as higher maximum cesareangroup, cesarean section group than in the group not given birth, the three groups were statisticallysignificant (P <0.05); Different BMI of obese group in the assessment of pelvic floor muscle tissue wassignificantly higher than overweight group, the normal group obese group slightly higher than obesegroup, the three groups was statistically significant (P <0.05); in birth weight, the two groups in theassessment of pelvic floor muscle tissue was statistically significant (P <0.05).254cases of women②pelvic ultrasound measurement,SUI group in the measurement of the bladder neck angle (resting andmaximum Valsalva maneuver), the rotation angle of the bladder and bladder neck mobility, significantlyhigher than the normal group, the two groups was statistically significant (P <0.05).③Logistic regressionanalysis showed that SUI may be due to the mode of delivery,BMI and birth weight.and it unrelated withage,menopause, pregnancy increased body mass index,episiotomy (P <0.05).Conclusion:①Through biofeedback electrical stimulation of the pelvic floor muscle strength assessmentof treatment observation, found that women with pelvic floor dysfunction related to pelvic floor musclecontraction force decreased,as the assessment and treatment of pelvic floor function to provide anobjective and practical reference.②Different mode of delivery to the female pelvic floor muscle strengthis different, resulting in pelvic floor muscle strength vaginal delivery decreased significantly, choosecesarean section has a protective effect on pelvic floor function, but does not completely prevent theoccurrence of PFD.③Different body mass index is closely related to the occurrence of PFD and pelvicfloor muscle strength with increasing body mass index decreased.④With increasing birth weight, pelvicfloor muscle strength decreases, the great children of pelvic tissue damage, is closely related to theoccurrence of PFD.⑤Change the urinary bladder anatomy is closely associated with SUI, measuringpelvic ultrasound diagnosis of SUI is important.⑥Logistic regression analysis showed that the mode ofdelivery, BMI, birth weight and other factors on major changes in the pelvic floor, pelvic floor musclestrength decline to make deliveries, increased muscle fatigue, urinary bladder anatomy of change.⑦Age,menopause, pregnancy body mass index increased, episiotomy and other changes to the pelvic floorfunction without significantly associated risk factors of age should be female pelvic floor dysfunction, maybe associated with this sample selection, may also be a collaboration with other factor contributing to theincidence of pelvic organ prolapse⑧The study measured pelvic ultrasound and pelvic floor electricalstimulation to assess pelvic floor function feedback changes have important clinical implications in thediagnosis of the PFD.