Effects of analgesic delivery on pelvic floor function of primiparous women

Zhang YH, Wang HH, Chen JQ, Zhang LY, Liu QC, Wang YF, Yao WL

Abstract

This was an original article, and the objective of this study was to clarify the short-term effects of analgesic delivery on the pelvic floor function of primiparous women. Three hundred primiparas who delivered vaginally in The Affiliated Hospital of Kangda College of Nanjing Medical University from January 2022 to July 2022 were enrolled, and were divided into control and intervention groups. The control accepted traditional delivery without special analgesic intervention, while the intervention group accepted intraspinal block analgesia at the time of delivery. The results showed that related to the control group, the intervention group presented shorter first and second stages of labour, higher pelvic organ prolapse quantification (POP-Q) scores (0 and 1 degree) and hand-measured pelvic floor muscle strength scores, lower abnormal rate of muscle fatigue (class I and II), higher values of rapid contraction stage, tension contraction stage, and endurance contraction stage, lower values of pre-resting stage and post-resting stage, lower incidences of urinary retention and incontinence and higher VLQ and SSQ scores. We conclude that the implementation of analgesic delivery in primiparous women can effectively shorten the first and second stages of labor, suppress the damage to pelvic floor function, and elevate maternal satisfaction with sexual life

Full Text:

PDF

References

Eickmeyer SM. Anatomy and Physiology of the Pelvic

Floor. Phys Med Rehabil Clin N Am. 2017;

(3):455-460.

Burnett LA, Boscolo FS, Laurent LC, Wong M and

Alperin M. Uncovering changes in proteomic

signature of rat pelvic floor muscles in pregnancy. Am

J Obstet Gynecol. 2019; 221(2):130.e1-130.e9.

Babaoğlu G, Kiliçaslan B, Ankay Yilbaş A and

Çelebioğlu B. Effects of different analgesic methods

used for vaginal delivery on mothers and fetuses. Turk

J Med Sci. 2020; 50(4):930-936.

Reno JL, Kushelev M, Coffman JH, Prasad MR, Meyer

AM, Carpenter KM, Palettas MS and Coffman JC.

Post-Cesarean Delivery Analgesic Outcomes in

Patients Maintained on Methadone and

Buprenorphine: A Retrospective Investigation. J Pain

Res. 2020; 13:3513-3524.

Wang X, Xu X, Luo J, Chen Z and Feng S. Effect of appbased audio guidance pelvic floor muscle training on

treatment of stress urinary incontinence in primiparas:

A randomized controlled trial. Int J Nurs Stud. 2020;

:103527.

Herbert KA, Yurashevich M, Fuller M, Pedro CD and

Habib AS. Impact of a multimodal analgesic protocol

modification on opioid consumption after cesarean

delivery: a retrospective cohort study. J Matern Fetal

Neonatal Med. 2022; 35(24):4743-4749.

Arroyo-Fernández FJ, Calderón Seoane JE and Torres

Morera LM. Strategies of analgesic treatment after

cesarean delivery. Current state and new alternatives.

Rev Esp Anestesiol Reanim (Engl Ed). 2020;

(3):167-175.

Thomson G, Feeley C, Moran VH, Downe S and

Oladapo OT. Women's experiences of

pharmacological and non-pharmacological pain relief

methods for labour and childbirth: a qualitative

systematic review. Reprod Health. 2019; 16(1):71.

Wang L, Chang R and Chen X. Impact of Intraspinal

Nerve Block Anesthesia on Intrapartum Fever and the

Neonate. Evid Based Complement Alternat Med.

; 2022:2600755.

Li H, Wu RF, Qi F, Xiao AM, Ma Z, Hu Y, Zhang WY,

Li W and Wang ZC. Postpartum pelvic floor function

performance after two different modes of delivery.

Genet Mol Res. 2015; 14(2):2994-3001.

Swamy N, Bajaj G, Olliphant SS, Henry JA, Jambhekar

K, Pandey T and Ram R. Pelvic floor imaging with

MR defecography: correlation with gynecologic

pelvic organ prolapse quantification. Abdom Radiol

(NY). 2021; 46(4):1381-1389.

Hasan S, Bharti N, Alghadir AH, Iqbal A, Shahzad N and

Ibrahim AR. The Efficacy of Manual Therapy and

Pressure Biofeedback-Guided Deep Cervical Flexor

Muscle Strength Training on Pain and Functional

Limitations in Individuals with Cervicogenic

Headaches: A Randomized Comparative Study. Pain

Res Manag. 2023; 2023:1799005.

Polland A, Duong V, Furuya R, Fitzgerald JJ, Wang H,

Iwamoto A, Bradley S and Iglesia CB. Description of

Vaginal Laxity and Prolapse and Correlation With

Sexual Function (DeVeLoPS). Sexual medicine.

; 9(6):100443.

Haghighi FR, Bokaie M, Sefidkar R and Enjezab B.

Sexual health counseling improves the sexual

satisfaction of breast cancer survivors: a randomized

controlled trial. Support Care Cancer. 2024;

(11):768.

Svirskis D, Procter G, Sharma M, Bhusal P, Dravid A,

MacFater W, Barazanchi A, Bennet L, Chandramouli

K, Sreebhavan S, Agarwal P, Amirapu S, Hannam JA,

Andrews GP, Hill A and Jones DS. A non-opioid

analgesic implant for sustained post-operative

intraperitoneal delivery of lidocaine, characterized

using an ovine model. Biomaterials. 2020;

:120409.

Hussain N, Brull R, Weaver T, Zhou M, Essandoh M and

Abdallah FW. Postoperative Analgesic Effectiveness

of Quadratus Lumborum Block for Cesarean Delivery

under Spinal Anesthesia. Anesthesiology. 2021;

(1):72-87.

Landau R, Romanelli E, Daoud B, Shatil B, Zheng X,

Corradini B, Aubey J, Wu C, Ha C and Guglielminotti

J. Effect of a stepwise opioid-sparing analgesic

protocol on in-hospital oxycodone use and discharge

prescription after cesarean delivery. Reg Anesth Pain

Med. 2021; 46(2):151-156.

Greuber E, Vought K, Patel K, Suzuki H, Usuda K,

Shiramizu A, Koplowitz LP, Koplowitz B, Maibach

HI and Lissin D. Biorelevant In Vitro Skin Permeation

Testing and In Vivo Pharmacokinetic Characterization of Lidocaine from a Nonaqueous Drug-in-Matrix

Topical System. AAPS PharmSciTech. 2021;

(6):215.

Du J, Ye J, Fei H, Li M, He J, Liu L, Liu Y and Li T.

Effect of Epidural Analgesia on Pelvic Floor

Dysfunction at 6 Months Postpartum in Primiparous

Women: A Prospective Cohort Study. Sexual

medicine. 2021; 9(5):100417.

Hongliang Y, Pengfei L, Cuiping J, Jieqian H, Ling P

and Yumin S. Pelvic floor function and morphological

abnormalities in primiparas with postpartum

symptomatic stress urinary incontinence based on the

type of delivery: a 1:1 matched case-control study. Int

Urogynecol J. 2022; 33(2):245-251.

Xing JJ, Liu XF, Xiong XM, Huang L, Lao CY, Yang

M, Gao S, Huang QY, Yang W, Zhu YF and Zhang

DH. Effects of Combined Spinal-Epidural Analgesia

during Labor on Postpartum Electrophysiological

Function of Maternal Pelvic Floor Muscle: A

Randomized Controlled Trial. PLoS One. 2015;

(9):e0137267.

Anim-Somuah M, Smyth RM, Cyna AM and Cuthbert

A. Epidural versus non-epidural or no analgesia for

pain management in labour. Cochrane Database Syst

Rev. 2018; 5(5):Cd000331.

Cyr MP, Kruger J, Wong V, Dumoulin C, Girard I and

Morin M. Pelvic floor morphometry and function in

women with and without puborectalis avulsion in the

early postpartum period. Am J Obstet Gynecol. 2017;

(3):274.e1-274.e8.

Lv A, Li M, Li J, Gai T, Feng Q, Deng W and Wang S.

Effects of Labor Analgesia on Pelvic Floor Function

at 6 to 8 Weeks after Delivery: A Prospective Cohort

Study. Am J Perinatol. 2024; 41(S 01):e348-e352.

Chan SS, Cheung RY, Yiu AK, Lee LL, Pang AW, Choy

KW, Leung TY and Chung TK. Prevalence of levator

ani muscle injury in Chinese women after first

delivery. Ultrasound Obstet Gynecol. 2012;

(6):704-9.

Bertacini DMM, Beleza ACS and Driusso P. The effect

of parity on the function of pelvic floor musculature in

the long term: cross-sectional study. Obstet Gynecol

Sci. 2020; 63(5):577-585

Refbacks

  • There are currently no refbacks.