Intraspinal Block Anesthesia on Vaginal Delivery Parturients and Its Effect on Postpartum Pelvic Floor Muscle Strength and Immune Function

Objective: At present, intramural block anesthesia is mostly used clinically for vaginal delivery, but it is unclear whether intraocular block anesthesia has an effect on postpartum pelvic floor muscles and immune function after vaginal delivery. Therefore, this study investigated the effect of intraspinal block anesthesia on vaginal delivery parturients and its effect on postpartum pelvic floor muscle strength and immune function.Patients and Methods:A total of 182 parturients with vaginal delivery were selected as the study subjects. They were admitted in our hospital from March 2015 to January 2017. Among them, 92 parturients receiving intraspinal block anesthesia were enrolled in the study group and 90 parturients without intraspinal block anesthesia in the control group. The pelvic floor muscle damage and muscle strength recovery in the two groups were measured 3 months after delivery. The peripheral blood T lymphocyte subsets of parturients at different time points in the two groups was detected to investigate the effect of intraspinal block anesthesia on pelvic floor muscle strength and immune function after vaginal delivery. Results: The pain degree during delivery in the study group was significantly lower than that in the control group (p<0.05). The pelvic floor muscle damage, pelvic organ prolapse, pelvic floor function damage and stress urinary incontinence in the study group were all lower than those in the control group (p<0.05). The recovery of postpartum pelvic floor muscle strength in the study group was significantly better than that in the control group(p< 0.05). Both the first and second labor durations in the study group were significantly lower than those in the control group (p<0.05).Conclusion:lntraspinal block anesthesia has a better analgesic effect on the vaginal delivery parturients,can effectively shorten the labor. It also has a certain improvement effect on the recovery of postpartum pelvic floor muscle and immune function of parturients.

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Comparison of pelvic floor muscle strength between women undergoing vaginal delivery, cesarean section, and nulliparae using a perineometer and digital palpation

Gynecological Endocrinology ◽

10.3109/09513590.2011.569603 ◽

2011 ◽

Vol 27 (11) ◽

pp. 910-914 ◽

Cited By ~ 8

Author(s):

Elicéia Marcia Batista ◽

Délio Marques Conde ◽

Waldemar Naves Do Amaral ◽

Edson Zangiacomi Martinez

Keyword(s):

Muscle Strength ◽

Cesarean Section ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Muscle ◽

Pelvic Floor Muscle Strength ◽

Digital Palpation

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Comparison of pelvic floor muscle strength in nulliparous women and those with normal vaginal delivery and cesarean section

International Urogynecology Journal ◽

10.1007/s00192-016-3239-6 ◽

2016 ◽

Vol 28 (8) ◽

pp. 1171-1175 ◽

Cited By ~ 6

Author(s):

Poorandokht Afshari ◽

Fariba Dabagh ◽

Mina Iravani ◽

Parvin Abedi

Keyword(s):

Muscle Strength ◽

Cesarean Section ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Muscle ◽

Normal Vaginal Delivery ◽

Pelvic Floor Muscle Strength ◽

Nulliparous Women

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Comparing Motor Control of the Lumbosacral Region and Pelvic Floor Muscle Strength and Performance in Women with C-Section and Vaginal Birth

Modern Care Journal ◽

10.5812/modernc.107291 ◽

2020 ◽

Vol 17 (4) ◽

Author(s):

Elnaz Rajabi-Shameli ◽

Rahman Sheikhhoseini ◽

Mahnaz Akbari Kamrani

Keyword(s):

Motor Control ◽

Muscle Strength ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Muscle ◽

Vaginal Birth ◽

Lumbosacral Region ◽

Pelvic Floor Muscle Strength ◽

The Mean ◽

And Performance

Background: Delivery is a physiological process that may cause neurophysiological changes in the lumbosacral region. Objectives: The current study aimed to compare motor control of the lumbosacral region and pelvic floor muscle strength and performance in women with C-section and vaginal birth. Methods: In this cross-sectional study, 120 prim parous women referring to healthcare centers in Karaj (Iran) during 2019 are studied. The participants were selected using convenience sampling. The motor control of the lumbosacral region was examined by four clinical tests (standing bent, active straight leg raising, bent knee fall out, and knee lift abdominal test) using a pressure biofeedback unit. Muscle strength and performance were measured using the Oxford scoring system and the PFPI-20 questionnaire, respectively. Data were analyzed using independent t-test, Mann-Whitney, and Chi-square tests. Statistical significance was considered when P value < 0.05. Results: Based on the standing bent test, a significant difference was found between those in vaginal delivery and C-section groups (P = 0.011). Also, the mean scores of muscular strengths (P = 0.009) and pelvic floor muscular function (P = 0.01) in the vaginal delivery group were significantly higher than the C-section group. Conclusions: the mean scores of pelvic floor motor control, pelvic floor muscular strength, and function in the C-section group were higher than those in the vaginal delivery group. This study demonstrated the necessity of postpartum pelvic floor muscle rehabilitation, especially in vaginal delivery.

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