使用手术胶水或缝合线进行会阴修复对产后效果的影响:巴西圣保罗的随机临床对照试验。

IF 1.5 Q3 NURSING
European Journal of Midwifery Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.18332/ejm/191248
Wesllanny S Brunelli, Adriana Caroci Becker, Marlise O P Lima, Sheyla G Oliveira, Angela M Ochiai, Lucca Caroci, Natalucia M D Araújo, Maria L Riesco
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引用次数: 0

摘要

简介会阴修复的类型会对妇女产后生活的各种功能产生重大的长期影响。本研究旨在比较正常分娩后头八个月内不同会阴修复方式(手术胶水或缝合线)导致的尿失禁(UI)、产妇满意度、盆底肌肉力量(PFMS)和性功能:2017年3月至2018年9月,在圣保罗巴齐尔市对133名初产妇进行了对照随机临床试验,她们在分娩过程中接受了手术胶水或缝合线的会阴修复,并在产后8个月内接受了评估和监测。研究进行了描述性和推论性分析:共有133名妇女参与了研究,其中111人(83.5%)在产后10至20天接受了评估,121人(91.0%)在产后50至70天接受了评估,54人(40.6%)在产后6至8个月接受了评估。UI 在修复类型上没有明显差异;但在产后阶段有明显差异(P=0.031),两个月时的患病率较高。大多数妇女表示满意,产后两个月的满意度最高(p=0.019)。就 PFMS 而言,胶水组和缝合组的平均值分别为 32.4 cmH2O 和 27.4 cmH2O,但差异不大。胶水组女性在所有性功能领域的平均值均高于缝合组,但差异不显著:结论:产后八个月时,手术用胶水对会阴部的美观和功能都有很好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Repercussions of perineal repair using surgical glue or suture thread on postpartum outcomes: A controlled randomized clinical trial in São Paulo, Brazil.

Introduction: The type of perineal repair can have significant long-term effects on various functions in a woman's postpartum life. The aim was to compare urinary incontinence (UI), women's satisfaction, pelvic floor muscle strength (PFMS), and sexual function according to the type of perineal repair (surgical glue or suture thread) during the first eight months after normal childbirth.

Methods: A controlled randomized clinical trial of 133 primiparous women undergoing perineal repair during birth with surgical glue or sutures, evaluated during labor and monitored up to 8 months postpartum, from March 2017 to September 2018, in the city in São Paulo, Bazil. Descriptive and inferential analyses were carried out.

Results: A total of 133 women were included in the study, 111 (83.5%) were assessed between 10 to 20 days postpartum, 121 (91.0%) between 50 to 70 days, and 54 (40.6%) between 6 to 8 months. There were no significant differences for UI concerning the type of repair; however, there was a significant difference concerning the postpartum period (p=0.031), with a higher prevalence at two months. Most women reported satisfaction, with the highest levels reported two months after birth (p=0.019). For PFMS, the mean of the glue and suture groups were 32.4 cmH2O and 27.4 cmH2O, but not significant. Women in the glue group showed higher mean values in all sexual function domains but without significance.

Conclusions: Surgical glue showed good aesthetic and functional results in the perineum at eight months postpartum.

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来源期刊
European Journal of Midwifery
European Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
2.20
自引率
15.80%
发文量
65
审稿时长
16 weeks
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