会阴侧切与自然裂伤对自然分娩初产妇产后盆底功能的影响

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Abstract Objective To explore the influence of episiotomy and natural laceration on pelvic floor function of primipara after natural delivery.Methods The clinical data of 68 primiparas with natural childbirth in Dalian Women and Children Medical Center from August 2019 to August 2020 were retrospectively analyzed.They were divided into the lateral episiotomy group (34 cases) and the natural perineal laceration group (34 cases) according to different midwifery methods.Episiotomy was performed in the lateral episiotomy group, and perineal laceration occurred in the natural perineal laceration group.The pelvic floor function, perineal pain, pelvic floor myoelectric value, sexual function and complications of the two groups at 42 days after delivery were compared.Results There was no significant difference in pelvic floor function between the two groups (P＞0.05).The visual analogue scale (VAS) score of the lateral episiotomy group was higher than that of the natural perineal laceration group, and the pelvic floor myoelectric value of the lateral episiotomy group was lower than that of the natural perineal laceration group, the differences were statistically significant (P＜0.05).The scores of sexual arousal, vaginal lubrication, orgasm and sexual life satisfaction of the female sexual function index (FSFI) in the lateral episiotomy group were lower than those in the natural laceration group, the differences were statistically significant (P＜0.05).The total incidence of complications in the lateral episiotomy group was 26.47%, which was higher than 5.88% in the natural laceration group, the difference was statistically significant (P＜0.05).Conclusion Lateral episiotomy can prevent severe perineal laceration caused by natural childbirth, but it is more likely to damage basin muscles and nerves of primipara than natural perineal laceration, aggravate perineal wound pain,and reduce the quality of sexual life.Prenatal examination should be carried out for primipara to avoid hand abuse affecting patients′ physical and mental health.

Key words： Natural childbirth Primipara Lateral episiotomy Natural laceration Pelvic floor function Sexual function

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	WANG Ying
	SUN Bei
	SUN Lin
	LI Hai-ying

Cite this article:

WANG Ying,SUN Bei,SUN Lin, et al. Influence of episiotomy and natural laceration on pelvic floor function of primipara after natural childbirth[J]. 中国当代医药, 2021, 28(29): 118-120转124.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I29/118

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