产后使用避孕药对盆底功能的影响:一项前瞻性多中心研究。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-10-10 DOI:10.1007/s00404-024-07758-x
Franziska Beer, Madeleine Kuppinger, Frank Schwab, Markus Hübner, Brenda Kiefner, Anna Nacke, Ute Kelkenberg, Sabine Schütze, Anna Lindner, Lars Hellmeyer, Wolfgang Janni, Melanie Metz, Miriam Deniz
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引用次数: 0

摘要

目的:本研究以预防和治疗为目的,评估了产后妇女使用 Restifem® 避孕套恢复盆底功能的情况:在这项多中心研究中,所有产后妇女,无论其胎次、分娩方式和现有盆底症状如何,均可在产后 6 周起使用 Restifem® 息肉垫 3 至 6 个月。她们在产后6周、6个月和12个月时通过在线调查完成了经过验证的德国盆底问卷(GPFQpp),并根据自己的选择被分为使用和未使用栓剂的妇女:最初有 857 名妇女参加了调查。6 周后,137 名使用避孕药的妇女和 133 名未使用避孕药的妇女提交了完整的调查问卷;12 个月后,53 名使用避孕药的妇女和 45 名未使用避孕药的妇女提交了完整的调查问卷。在产后 6 周时,使用避孕药的妇女在 GPFQpp 各方面的得分都明显较高(较低)。产后 12 个月时,与未使用避孕药者相比,使用避孕药者的膀胱得分仍然明显较高。膀胱得分(p = 0.005)和盆腔器官脱垂得分(p 结论:使用子宫环者的膀胱得分明显高于未使用者:在产后 6 周至 12 个月期间,与未使用泌尿器者相比,使用泌尿器者的盆底功能改善幅度更大。这种效果部分可能是由于佩戴了子宫环,但也可能是由于使用子宫环组的盆底功能障碍程度更高,因此恢复的空间更大:该试验于2021年4月19日在德国临床试验注册中心(DRKS00024733)注册。
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Effect of postpartum pessary use on pelvic floor function: a prospective multicenter study.

Purpose: This study evaluates the restitution of pelvic floor function in postpartum women using the Restifem® pessary in a preventive and therapeutic approach.

Methods: In this multicentre study all postpartum women independently of their parity, mode of delivery and existing pelvic floor symptoms were offered to use the Restifem® pessary from 6 weeks postpartum for 3 to 6 months. They completed the validated German pelvic floor questionnaire (GPFQpp) via online survey at 6 weeks, 6 months and 12 months postpartum and were divided, by their own choice, into users and non-users of the pessary.

Results: Initially 857 women were enrolled. After 6 weeks 137 pessary users and 133 non-users, after 12 months 53 pessary users and 45 non-users submitted a completed questionnaire. Pessary users had significantly higher (worse) scores in all domains of the GPFQpp at 6 weeks postpartum. At 12 months postpartum pessary users still had a significantly higher bladder score, compared to non-users. There was a greater improvement in the bladder score (p = 0.005) and the pelvic organ prolapse score (p < 0.001) from 6 weeks to 12 months postpartum, among pessary users compared to non-users.

Conclusion: Pessary users had a significantly greater improvement in pelvic floor function from 6 weeks to 12 months postpartum, compared to non-users. This effect might be in part due to wearing the pessary but also due to greater scope for recovery, given the higher level of pelvic floor dysfunction in the pessary user group.

Trial registration: The trial was registered in the German Clinical Trials Register (DRKS00024733) on 19 of April 2021.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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