Comparative Analysis of Pelvic Floor Muscle Damage Postpartum: Vaginal Delivery vs. Cesarean Section

• Published in: International journal of clinical practice (Esher) 2024-01, Vol.2024 (1)
• Main Authors: Chen, Shaohui, Wang, Ling, Guo, Huitao, Jiang, Min, Wang, Xiaojun
• Format: Article
• Language: English
• Subjects: Cesarean section; Childbirth & labor; Comparative analysis; Correlation analysis; Electromyography; Endurance; Fecal incontinence; Muscle strength; Pelvic organ prolapse; Pelvis; Postpartum; Pregnancy; Questionnaires; Sensitivity analysis; Urinary incontinence; Vagina; Womens health
• ISSN: 1368-5031; 1742-1241
• DOI: 10.1155/2024/1169924

Background . Evaluation of pelvic floor muscle (PFM) strength damage across different delivery modes, providing insights into potential preventive measures for pelvic floor dysfunctions (PFDs) in the early postpartum period. Aim . Compare the differences in PFM strength and endurance between full‐term cesarean section (CS) and vaginal delivery (VD) in the early postpartum period of primiparous women. Methods . The assessment included stress urinary incontinence (SUI), pelvic organ prolapse (POP), and pelvic floor electromyography (PFE). Muscle fiber strength was categorized into four modes at a threshold level of 3: I  3. Multinomial logistic regression was employed for CS and VD, and a sensitivity analysis was conducted using level 2 as the threshold. Outcomes . When muscle fiber strength was categorized into four modes at a threshold level of 3, Type I, and Type II fiber muscle endurance (FME) are differences between the CS and VD groups. Results . The CS and VD groups differed significantly in SUI and anterior and posterior vaginal wall conditions. MDVP was below the normal range in both groups, and MDVP, PFM strength, and PFM endurance did not differ significantly ( P > 0.05). Logistic regression results indicated that higher MDVP, Type I, and Type II FME were protective factors when I