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| Analysis of pelvic organ prolapsed of postpartum women and its influencing factors |
| Ningbo Women and Children's Hospital, Zhejiang Province,315000 |
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Abstract Objective: To investigate the situation of postpartum pelvic organ prolapsed (POP) of postpartum women, and to study its influence factors. Methods: 1030 postpartum women of childbearing age from January 2015 to December 2018 were selected as subjects. The incidence of postpartum POP and its risk factors were investigated. Results: There were 725 (70.4%) women with postpartum POP, which included 551 (53.5%) women with anterior vaginal wall bulging, 502 (48.7%) women with vaginal posterior wall bulging, 81 (7.9%) women with uterine prolapsed. Postpartum POP of women were mainly anterior vaginal wall prolapsed, and the degree of prolapse was mainly I class. From 2015 to 2018, the incidence of postpartum POP of women of childbearing age was 65.9%, 68.8%, 72.7% and 74.2%, respectively, which had no significant difference in the incidence of postpartum POP among different year (P=0.147). While the linear chi-square showed a significant increase in the incidence of postpartum POP of women (χ2=5.218, P=0.022). Multi-classified ordered logistic regression model showed that parity≥2 times, vaginal delivery, perineal laceration, and gestational hypertension were risk factors of postpartum POP. Conclusion: The incidence of postpartum POP of women of childbearing age has an upward trend. The parity≥2 times, vaginal delivery, perineal laceration, and gestational hypertension are high risk factors of postpartum POP.
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