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目的研究不同分娩方式对尿失禁发生及其程度影响。方法随机选择2008年1～10月产后门诊6～8周的产妇84例,按不同分娩方式分为选择性剖宫产组(38例)和阴道顺产组(46例)。通过国际尿失禁咨询委员会尿失禁问卷表,对产后6～8周复查的初产妇进行问卷调查,询问产妇产后6～8周尿失禁的发病情况和产后下尿路症状。分析不同分娩方式与产后尿失禁的关系,比较两组产妇压力性尿失禁情况。结果阴道分娩组发生产后压力性尿失禁的比例明显高于剖宫产组。结论与阴道分娩相比,剖宫产可以降低产后压力性尿失禁的发生率。
Objective To study the effect of different modes of delivery on urinary incontinence and its extent. Methods Eighty-four maternal mothers were randomly selected from 6 months to 8 weeks postpartum clinics from January to October in 2008. They were divided into selective cesarean section group (n = 38) and vaginal cistern group (n = 46) according to different modes of delivery. Through the incontinence questionnaire of the International Council on Urinary Incontacies, a survey of primipara about 6-8 weeks postpartum was conducted to inquire about the incidence of urinary incontinence and the symptoms of postpartum lower urinary tract from 6 to 8 weeks postpartum. The relationship between different modes of delivery and postpartum urinary incontinence was analyzed, and the stress urinary incontinence status of the two groups was compared. Results The proportion of postpartum stress urinary incontinence in vaginal delivery group was significantly higher than that in cesarean section group. Conclusion Compared with vaginal delivery, cesarean section can reduce the incidence of postpartum stress urinary incontinence.