DOI: 10.7504/fk2016050118
Meta-analysis of the effect of two different delivery methods on the pelvic floor function in the early postpartum
LIN Zhong
ZHU Xue-hong
LU Kun-bin
WU Yu-bi
ZHENG Jing-hui
Abstract：Objective To evaluate the effect of two different delivery methods on the pelvic floor function in the early postpartum.Methods Based on the keywords of "Selective Cesarean Section"、"Vaginal Delivery"、"Pelvic Floor"and "Randomized Controlled Trial",the Cochrane systematic review method was used to search on PubMed,Embase,Cochrane Library,VIP,Wanfang and CNKI database published before December 2015.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted the data and assessed the quality.Then the Meta-analysis was conducted by using Revman5.2 software.Results Totally 13 RCTs were included,1365 patients in total,of which 693 cases in the selective cesarean section group,672 cases in the vaginal delivery group.Based on the JADAD scale of evaluation system,all of the trials reached score≥ 3 points.According to Meta-analysis showed that,the occurrence of SUI,POP,pelvic floor muscle strength and bladder neck mobility had statistical differences between the two groups (P ＜ 0.05).Selective cesarean section could reduce the incidence of postpartum early pelvic viscera prolapsed and stress urinary incontinence.Conclusion In comparison,selective desarean section can reduce the impact on pelvic floor function,and may reduce the impact on pelvic floor muscle strength at a certain extent compared with vaginal delivery,but it can't completely avoid the incidence of pelvic floor dysfunction,so it can't be considered to be the best choice.
Keywords：selective cesarean sectionvaginal deliverypelvic floor functionMeta-analysis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)