Correlation between albumin levels during the third trimester and the risk of postpartum levator ani muscle rupture.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI:10.1515/med-2025-1209

Yueyun Cai, Yuting Cai, Yuanling Hu, Shengkai Lu, Yueqing Lin

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Abstract

Objective: To investigate the correlation between albumin levels during the third trimester and the risk of postpartum levator ani muscle rupture.

Methods: A retrospective analysis of 410 parturients undergoing vaginal delivery at Zhangzhou Hospital Affiliated to Fujian Medical University was conducted. Parturients were classified into low-albumin (<35 g/L) and normal-albumin (≥35 g/L) groups based on their albumin levels during the third trimester. Data on levator ani muscle rupture and various clinical parameters were collected and analyzed using multivariate binary logistic regression.

Results: The low-albumin group comprised 38.29% of participants and had a significantly higher incidence of levator ani muscle rupture (53.50%) compared to the normal-albumin group (33.20%; P < 0.05). Albumin levels strongly correlated with rupture risk (r = 0.193, P < 0.001). Multivariate analysis showed low albumin levels were an independent risk factor (OR = 2.286, 95% CI: 1.259-4.152). Other independent risk factors included forceps-assisted delivery, BMI ≥ 24 kg/m², age ≥ 35 years, and second stage of labor duration ≥ 120 min (all P < 0.05).

Conclusion: Decreased albumin levels are an independent risk factor for postpartum levator ani muscle rupture, suggesting a potential role in increasing the risk of muscle injury.

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妊娠晚期白蛋白水平与产后提肛肌破裂风险的相关性

目的：探讨妊娠晚期白蛋白水平与产后提肛肌破裂风险的关系。方法：对福建医科大学附属漳州医院阴道分娩的410例产妇进行回顾性分析。结果：低白蛋白组占38.29%，提肛肌破裂发生率（53.50%）明显高于正常白蛋白组（33.20%）；P < 0.05)。白蛋白水平与破裂风险密切相关（r = 0.193, P < 0.001）。多因素分析显示低白蛋白水平是独立危险因素（OR = 2.286, 95% CI: 1.259-4.152）。其他独立危险因素包括产钳辅助分娩、BMI≥24 kg/m²、年龄≥35岁、第二产程≥120 min（均P < 0.05）。结论：白蛋白水平降低是产后提肛肌破裂的独立危险因素，可能增加肌肉损伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.