Effect of the labor on the early postpartum pelvic floor function and pelvic floor dysfunction

Objective: To investigate the effects of the labor on the early postpartum pelvic floor function and pelvic floor dysfunction. Methods: The postpartum pelvic floor muscle and vaginal pressure in ninty-seven puerpera were detected. The puerpera were divided into the spontaneous vaginal delivery group(62 cases) and cesarean section group(35 cases). The pelvic floor muscle pressure, vaginal pressure, stress urinary incontinence and pelvic organ prolapse in all puerpera were observed. Results: The total normal rates of pelvic floor muscle strength in spontaneous vaginal delivery group and cesarean section group were 58.06% and 65.71%, respectively, the difference of which was not statistically significant(P>0.05). The stress urinary incontinence rates in spontaneous vaginal delivery group and cesarean section group were 19.35% and 2.86%, respectively, the difference of which was statistically significant(P<0.05). The normal rates of vaginal pressure in spontaneous vaginal delivery group and cesarean section group were 72.58% and 71.43%, respectively, the difference of which was not statistically significant(P>0.05). The prolapse rates of the anterior vaginal wall and vaginal wall in spontaneous vaginal delivery group and cesarean section group were 93.55% & 32.26% and 57.14% &5.71%, respectively, the differences of whose were statistically significant(P<0.01). The rates of uterine prolapse in spontaneous vaginal delivery group and cesarean section group were 14.52% and 11.43%, respectively, the difference of which was not statistically significant(P>0.05). Conclusions: Different mode of delivery can make a certain degree of damage on the postpartum pelvic floor muscle. Postpartum pelvic floor rehabilitation exercises as soon as possible can reduce the incidence of pelvic floor dysfunction, and improve quality of life.