产前盆底肌功能锻炼对阴道分娩结局的影响

摘要

Objective To investigate the effect of functional exercise ofprcnatal pelvic floor muscles on vaginal delivery outcome. Methods Pregnant women who voluntarily accepted functional exercise of prenatal pelvic floor muscles were selected as the study group (n=58). Pregnant women who didn't take part in functional exercise were selected as the control group (n=64). Before all women dehvering, tension of pelvic floor muscles were detected.Some information including the sage of labor and vaginal delivery were evaluated in two groups. Results There were significant differences between the study group and the control group, as to the tension of pelvic floor muscles (P＜0.05), the time length of the active labor, second stage of labor and all stage of labor (P＜O.0 l). The volume of vaginal bleeding and the rate of episiotomy or vaginal midwifery in the study group were lower than those in the control group (P＜0.05). Conclusion Functional exercise ofprenaal pelvic floor muscles has a positive effect on vaginal delivery outcome, which may enhance the tension of pelvic floor muscles and shorten all stage of labor.%目的 探讨产前进行盆底肌功能锻炼对阴道分娩结局的影响.方法 选择自愿接受盆底肌功能锻炼的孕妇58例作为实验组,未进行功能锻炼的孕妇64例作为对照组.两组孕妇分娩前行盆底肌肉肌张力检测,并记录分娩产程时间和阴道分娩情况.结果 实验组孕妇盆底肌肉肌张力强于对照组(P<0.05),活跃期、第二产程和总产程时间均短于对照组(P＜0.01);阴道助产率、会阴侧切率和阴道出血量均低于对照组(P<0.05).结论 孕妇产前进行盆底肌锻炼能够增强盆底肌张力、缩短产程,并且对于改善阴道分娩结局有积极的作用.