Gastrointestinal function recovery and pelvic floor dysfunction after cesarean section
Conditions
Interventions
Experimental group:Pelvic abdominal mechanical movement+Routine cesarean section postoperative and puerperium management
Control Group:Routine cesarean section postoperative and puerperium management
Sponsors
Shanghai Tongren Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1. Full-term pregnancy (37 weeks to 42 weeks of gestation), aged 18-45 years for elective cesarean section; 2. Transabdominal lower uterine segment cesarean section, anesthesia with combined spinal-epidural anesthesia; 3. Subjects who agree to sign the informed consent form and have not participated in other clinical trials of therapies or drugs.
Exclusion criteria
Exclusion criteria: 1. Patients who underwent cesarean section due to abnormal fetal position, abnormal labor process, fetal distress and other reasons; 2. Patients with chronic digestive system diseases that affect gastrointestinal motility such as chronic constipation, irritable bowel syndrome, ulcerative colitis and other chronic digestive system diseases before surgery; 3. Patients with serious internal and external diseases such as cardiovascular, endocrine, blood, immune, and urinary systems; 4. Patients with severe pelvic adhesions found during surgery; 5. Patients who used drugs that affect gastrointestinal motility after surgery, such as mosapride tablets; 6. Patients with severe lower back pain, spinal deformity, lumbar disc herniation, postoperative exercise contraindications, and difficulty in completing pelvic and abdominal mechanical exercise guidance movements; 7. Patients with mental illness and consciousness disorders who cannot cooperate; 8. Patients who do not agree to receive treatment in the treatment group or control group and have not signed informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time of first anal gas discharge; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of first anal defecation;Incidence of adverse reactions of digestive system;Pain score;Emotional state during postpartum;Pelvic floor muscle recovery;General self-efficacy; Quality of Life Questionnaire; | — |
Countries
China
Contacts
Public ContactQiu Jin
Shanghai Tongren Hospital
Outcome results
None listed