The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

Figures & data

Figure 1 The specific proportion of PFD distribution. (A) POP; (B) SUI.

Table 1 Univariate Analysis of Factors Influencing the Occurrence of POP (n)

Factor		POP Group (n=46)	Non-POP Group (n=254)	χ^2	P
Age (years)	<35	22	203	21.397	0.000
	≥35	24	51
Mode of delivery	Vaginal delivery	38	101	28.752	0.000
	Cesarean delivery	8	153
BMI before delivery (kg/m^2)	<25	20	155	4.933	0.026
	≥25	26	99
Forceps-assisted delivery	Yes	16	90	0.007	0.932
	No	30	164
Perineal tear	Yes	25	76	10.406	0.001
	No	21	178
Persistent occipital transverse position	Yes	10	52	0.038	0.845
	No	36	202
Stagnation or prolongation of the active period	Yes	6	30	0.056	0.813
	No	40	224
Protracted or prolonged second stage of labor	Yes	15	29	13.975	0.000
	No	31	225
Fetal macrosomia	Yes	19	30	24.791	0.000
	No	27	224
SUI during pregnancy	Yes	10	52	0.038	0.845
	No	36	202

Table 2 Assignment Table of Factors Influencing the Occurrence of POP in the Postpartum Period

Variables	Factor	Assignment Description
X1	Age (years)	≥35=1, <35=2
X2	Mode of delivery	Vaginal delivery = 1, cesarean delivery = 2
X3	BMI before delivery (kg/m^2)	≥25=1, <25=2
X4	Perineal tear	Yes=1, No=2
X5	Protracted or prolonged second stage of labor	Yes=1, No=2
X6	Fetal macrosomia	Yes=1, No=2
Y	POP	Yes=0, No=1

Table 3 Multifactorial Analysis of Factors Influencing the Occurrence of POP in the Postpartum Period

Associated Factors	B	Standard Error	Wald	P	OR	95% CI
Age (≥35 years)	1.468	0.334	19.311	0.000	4.342	2.256–8.359
Mode of delivery (vaginal delivery)	0.043	0.355	33.444	0.000	1.044	0.520–2.094
BMI before delivery (≥25kg/m^2)	0.711	0.324	4.809	0.028	1.456	1.260–1.927
Perineal tear	1.025	0.326	9.883	0.002	2.788	1.471–5.284
Protracted or prolonged second stage of labor	1.323	0.371	12.695	0.000	3.754	1.813–7.772
Fetal macrosomia	1.659	0.357	21.594	0.000	5.254	2.610–10.578

Table 4 Univariate Analysis of Factors Influencing the Occurrence of SUI in the Postpartum Period (n)

Factor		SUI Group (n=82)	Non-SUI Group (n=218)	χ^2	P
Age (years)	<35	46	179	21.504	0.000
	≥35	36	39
Mode of delivery	Vaginal delivery	62	77	38.897	0.000
	Cesarean delivery	20	141
BMI before delivery (kg/m^2)	<25	46	129	0.232	0.630
	≥25	36	89
Forceps-assisted delivery	Yes	31	75	0.302	0.583
	No	51	143
Perineal tear	Yes	42	59	15.568	0.000
	No	40	159
Persistent occipital transverse position	Yes	13	49	1.594	0.207
	No	69	169
Stagnation or prolongation of the active period	Yes	10	26	0.004	0.949
	No	72	192
Protracted or prolonged second stage of labor	Yes	33	11	58.984	0.000
	No	49	207
Fetal macrosomia	Yes	22	27	9.097	0.003
	No	60	191
SUI during pregnancy	Yes	31	31	20.215	0.000
	No	51	187

Table 5 Assignment Table of Factors Influencing the Occurrence of SUI in the Postpartum Period

Variables	Factor	Assignment Description
X1	Age (years)	≥35=1, <35=2
X2	Mode of delivery	Vaginal delivery = 1, cesarean delivery = 2
X3	Perineal tear	Yes=1, No=2
X4	Protracted or prolonged second stage of labor	Yes=1, No=2
X5	Fetal macrosomia	Yes=1, No=2
X6	SUI during pregnancy	Yes=1, No=2
Y	SUI	Yes=0, No=1

Table 6 Multifactor Analysis Affecting the Occurrence of SUI

Associated Factors	B	Standard Error	Wald	P	OR	95% CI
Age (≥35 years)	1.279	0.284	20.250	0.000	3.592	2.058–6.269
Mode of delivery (vaginal delivery)	1.736	0.294	34.973	0.000	5.677	3.193–10.093
Perineal tear	1.040	0.268	15.017	0.000	2.830	1.672–4.789
Protracted or prolonged second stage of labor	2.540	0.383	44.036	0.000	12.673	5.986–26.831
Fetal macrosomia	0.953	0.323	8.702	0.003	2.594	1.377–4.886
SUI during pregnancy	1.299	0.299	18.868	0.000	3.667	2.040–6.590