Abstract:Objective: To explore the risk factors of early pelvic floor dysfunction (PFD) in healthy maternal women. Methods: Glazer protocol was used to evaluate the pelvic floor function of the healthy puerpera who came to Chongqing Health Center for Women and Children from January 2018 to July 2019, and logistic regression analysis of single factor and multi factor was conducted to analyze the possible risk factors. Results: Compared with cesarean section, the risks of pelvic floor overactivity in vaginal delivery (with or without aspirator or forceps) were significantly lower in the pre and post rest stage (P=0.000), but the risks of fast muscle strength, slow muscle strength and endurance damage were significantly increased in vaginal delivery (P=0.000); compared with women with fetal birth weight≥4 000 g, the risk of fast muscle damage in women with infant birth weight less than 4 000 g was significantly lower (P=0.004); compared with women with perineum muscle damage in childbirth, the risk of fast muscle damage in women without perineum muscle damage was significantly lower (OR=0.815, 95%CI=0.683-0.973). Conclusion: Cesarean section or vaginal delivery may cause early postpartum pelvic floor dysfunction, and cesarean section has no obvious protective effect on pelvic floor muscle. Infant overweight and perineum muscle damage during delivery are also independent factors leading to early pelvic floor dysfunction.
