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目的分析水中分娩对产后女性阴道前后壁膨出的近期影响。方法选择2013年1月-2014年1月在湖北省妇幼保健院产科阴道分娩,产后6~8周至产科盆底康复室进行产后回访的2 749例初产妇为研究对象,按照分娩方式将产妇分为水中分娩组(600例)和传统分娩组(2 149例)。比较两组产妇会阴侧切率和阴道助产率,产后阴道前后壁膨出率。结果水中分娩组产妇会阴侧切率和阴道助产率均显著低于传统分娩组,差异均有统计学意义(均P<0.05)。两组产妇产后阴道前后壁膨出率比较差异均无统计学意义(均P>0.05)。两组产妇阴道前后壁膨出的程度均为Ⅰ期膨出,阴道前壁膨出率高于阴道后壁膨出率。结论阴道分娩可导致盆底损伤,水中分娩对阴道前后壁膨出没有明显的近期保护作用,但可减少会阴侧切率和阴道助产率。
Objective To analyze the immediate effect of water delivery on the bulging of anterior vaginal wall in postpartum women. Methods From January 2013 to January 2014, 2 749 primiparous women who were delivered by obstetrics and gynecology vaginas in Hubei Maternal and Child Health Hospital from January 2013 to January 2014 were enrolled in the pelvic rehabilitation room from 6 to 8 weeks after delivery. For the water delivery group (600 cases) and the traditional delivery group (2 149 cases). The rate of episiotomy vaginal anterior and posterior vaginal wall was compared between two groups. Results The rate of perineum episiotomy and vaginal delivery rate in delivery group was significantly lower than that in the traditional delivery group (all P <0.05). There was no significant difference in the rate of bulging between the two groups before and after vaginal delivery (all P> 0.05). The two groups of maternal vaginal anterior and posterior wall bulging degree are stage Ⅰ bulging, anterior vaginal wall bulging rate higher than the posterior wall of the vaginal wall bulging rate. Conclusions Vaginal delivery can cause pelvic floor injury. There is no obvious immediate protective effect on vaginal anterior and posterior wall bulging in water delivery, but it can reduce episiotomy rate and vaginal delivery rate.