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| Analysis of the risk factors of postpartum pelvic floor dysfunction of women and the effect of electrical stimulation combined with kegel training for treating the postpartum pelvic floor dysfunction |
| Wenzhou Central Hospital, Wenzhou, Zhejiang Province, 325000 |
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Abstract To analyze the risk factors of postpartum pelvic floor dysfunction (PDF) of the women, and to study the intervention effect of electrical stimulation combined with kegel training for treating PDF. Methods: A total of 108 postpartum women with PDF were selected and were divided into group A (53 patients with electrical stimulation combined with kegel training) and group B (55 women with routine postpartum care) by the willing of the women from January 2021 to December 2022. 110 postpartum women without PDF were selected in group C. The effect of the intervention of PDF, the changes of the levels of the serum nitric oxide (NO), relaxin (RLX), and endothelin (ET-1) of the women were analyzed and compared among the three groups. After 6 months of follow-up, the impact of quality of life of the women was evaluated by ICIQ-S) and incontinence quality of life (I-QOL questionnaire). Results: Univariate and multi-factor logistics regression analysis suggested that the low education level, the stool secret history, the increasing age, and the parity ≥2 times of the women were the risk factors of their PDF. The effective rate (88.7%) and the total effective rate (98.1%) of the women in group A were significantly higher than those (65.5% and 85.5%) of the women in group B. After intervention, the serum NO level of the women in the two groups had increased significantly, and which (144.87±4.86 umol/L) of the women in group A was significantly higher than that (83.76±4.80 umol/L) of the women in group B. After intervention, the ET-1 and RLX levels of the women in the two groups had decreased significantly, and the levels of ET-1 (90.67±9.12) and RLX (25.87± 4.15μg/L) of the women in group A were significantly lower than those (181.89±9.30 and 38.65± 4.22μg/L) of the women in group B. The ICIQ-SF score of the women in the two groups had decreased significantly, and which (11.78±2.86 points) of the women in group A was significantly lower than that (14.87±3.00 points) of the women in group B. The I-QOL score of the women in the two groups had increased significantly, and which (89.45±8.96 points) of the women in group A was significantly higher than that (80.76±9.21 points) of the women in group B (all P＜0.05). Conclusion: The low education level, the constipation history, the advanced age, and the parity ≥2 times of the women are the risk factors for their PDF. The electrical stimulation combined with kegel training for treating the women with PDF has good effect, and which can improve their quality of life.
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