TITLE:
Effects of High Risk Pregnancy Factors on Pelvic Floor Muscle Weakness and Changes of PG, ACTH and CRP
AUTHORS:
Yu Han, Haiyan Lin, Jiu Du, Lianfang Chen, Xianmei Wei, Peijia Wei, Biyun Zhou, Xiangli Feng, Siran Chen
KEYWORDS:
High-Risk Pregnant Women, Pelvic Floor Muscle Strength, Stress Response, Inflammatory Response
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
20,
2023
ABSTRACT: Objective: To investigate the effects of different delivery modes on perinatal
pelvic floor muscle strength, PG, ACTH and CRP of high-risk pregnant women. Methods: 380 high-risk pregnant women who gave birth in our hospital from March 2021
to February 2022 were selected as subjects, including 100 vaginal natural
delivery, 156 forceps assisted delivery and 124 cesarean section. Pelvic floor
pressure, PG, ACTH, CRP, IL-6, TNF-α and IL-4, IL-10 levels were evaluated and compared. The perinatal occurrence of
pelvic floor functional disease (PFD) in high-risk pregnant women in each group
was analyzed and evaluated. Results: There were statistical differences
in the amount of postpartum blood loss (P 0.0001, F = 99.01),
postpartum blood loss 24 h (P = 0.0004, F = 19.54) and hospital stay (P 0.0001, F = 70.81)
among the three groups of high-risk women in natural vaginal delivery, forceps
delivery and cesarean section. In addition, there were 72, 134 and 70 cases of
abnormal pelvic floor fatigue in natural vaginal delivery, forceps assisted
delivery and cesarean section (P 0.0001, χ2 = 30.16).
There were 36, 79 and 21 cases of muscle injury, respectively (P 0.0001, χ2 = 34.16). There
were 49, 98 and 43 cases of dysmuscular contraction, respectively (P 0.0001, χ2 = 21.94).
There were 65, 120 and 41 cases with vaginal dynamic pressure 80 cm H2O
(P 0.0001, χ2 = 56.86), respectively. The