Analysis On The Difference And Curative Effect Of Postpartum Pelvic Floor Dysfunction In Different Delivery Methods

Female pelvic floor dysfunction diseases are mainly a series of diseases caused by damage and degeneration of pelvic floor supporting tissues.The diagnosis and treatment of PFD disease started relatively late in my country,and began to study after 2005.Due to the development of the fertility policy and the aging of the population,the incidence of PFD disease is increasing year by year,and the research on pelvic floor disease is also booming.At present,it is believed that the independent risk factors of pelvic floor disease are pregnancy,childbirth,age,hormones,heredity,and genes are also high-risk factors for PFD disease.In the treatment of PFD diseases,there are mainly surgical treatment and non-surgical treatment.Non-surgical treatment includes behavioral therapy,pelvic floor muscle training,biofeedback combined with electrical stimulation,uterine excision,and biological immunotherapy.Currently,surgical treatment is mainly based on the three-chamber theory.The pelvic floor structure is divided into three areas:front,middle and back.The anterior pelvic cavity mainly includes the bladder,urethra,and the anterior wall of the vagina.The middle pelvic cavity mainly includes the uterus and the top of the vagina.The posterior pelvis mainly consists of the rectum and the posterior wall of the vagina.Among them,mid-pelvic defects are the key to the treatment,and the surgical methods are constantly evolving,such as vaginal anterior and posterior wall repair,sacrospinous ligamentopexy,Mann’s operation,laparoscopic uterosacral fixation,or pelvic reconstruction with mesh.However,surgical treatment is mainly aimed at severe PFD disease,which has the risk of large trauma,recurrence,mesh exposure,and erosion.Non-surgical treatment is the first-line treatment for PFD disease.Studies have shown that the incidence of PFD disease in postpartum women is 37%-45%,and studies have shown that pelvic floor rehabilitation treatment in the early postpartum period can restore damaged nerves and muscles.to improve pelvic floor function.Research Purposes1.To explore the differences in postpartum pelvic floor function of puerperae with different delivery methods.2.To compare the differences in pelvic floor muscle strength after biofeedback electrical stimulation therapy combined with vaginal dumbbell training for women with different delivery methods.Research MethodFor puerperae who come to our hospital for pelvic floor screening,an experienced gynecologist excludes the contraindications of pelvic floor examination,and then performs preliminary gynecological examination,pelvic floor function test(pop-p score),and completes pelvic floor screening.Results A total of 157 puerperae who visited the pelvic floor treatment center of our hospital from 2017 to 2020 were included as the research objects.According to the mode of delivery,they were divided into a vaginal delivery group and a cesarean section group.At the same time,biofeedback electrical stimulation combined with vaginal dumbbell rehabilitation training was used for 6 weeks.The prevalence of pelvic floor dysfunction and the improvement effect of pelvic floor muscles before and after treatment were compared between the two groups.Research Results1.Comparison of general data of patients with pelvic floor dysfunction between the two groups:no difference in age,weight,height,BMI,maximum neonatal weight,and pregnancy.2.The prevalence rates of stress urinary incontinence,chronic pelvic pain and uterine prolapse in the two groups were not statistically significant.The prevalence of vaginal wall prolapse in the vaginal delivery group was higher than that in the cesarean section group(P<0.05).The prevalence of rectus abdominis separation in the group was higher than that in the vaginal delivery group(P<0.05).3.There was no difference in pelvic floor muscle strength and muscle fatigue between the two groups before treatment,but there were differences in rectus abdominis separation and pelvic floor dynamic pressure(P<0.05).4.After biofeedback electrical stimulation combined with vaginal dumbbell training,the pelvic floor Ⅰ,Ⅱ muscle fiber strength,pelvic floor dynamic pressure,and rectus abdominis separation were significantly improved(P<0.05),and the pelvic floor of the two groups after treatment There was no difference in dynamic pressure and rectus abdominis separation.Research Conclusion1.There are differences in the prevalence and pelvic floor function between the early postpartum vaginal delivery group and the cesarean section group.2.Biofeedback electrical stimulation combined with vaginal dumbbell training has a significant effect in the treatment of PFD.After treatment,the pelvic floor muscle strength of the two groups was significantly improved,and there was no significant difference in pelvic floor function between the two groups after treatment.