背景:会阴修复的类型可以对女性产后生活中的各种功能产生重大的长期影响。目的是比较尿失禁(UI),妇女的满意度,盆底肌力(PFMS),根据正常分娩后的前八个月会阴修复(手术胶或缝合线)的类型和性功能。
方法:一项针对133名初产妇在分娩期间使用手术胶或缝线进行会阴修复的随机对照临床试验,在分娩期间进行评估,并在产后8个月内进行监测,从2017年3月到2018年9月,在圣保罗市,巴齐尔.进行了描述性和推断性分析。
结果:共有133名女性被纳入研究,111(83.5%)在产后10至20天之间进行了评估,121(91.0%)在50至70天之间,在6至8个月之间有54个(40.6%)。关于维修类型的UI没有显着差异;但是,产后有显著差异(p=0.031),在两个月时患病率更高。大多数女性表示满意,出生后两个月报告的最高水平(p=0.019)。对于PFMS,胶水和缝合组的平均值为32.4cmH2O和27.4cmH2O,但不重要。胶水组中的女性在所有性功能领域均显示出较高的平均值,但没有显著性。
结论:手术胶在产后8个月时在会阴显示出良好的美学和功能效果。
BACKGROUND: The type of perineal repair can have significant long-term effects on various functions in a woman\'s postpartum life. The aim was to compare urinary incontinence (UI), women\'s satisfaction, pelvic floor muscle strength (PFMS), and sexual function according to the type of perineal repair (surgical glue or suture thread) during the first eight months after normal childbirth.
METHODS: A controlled randomized clinical trial of 133 primiparous women undergoing perineal repair during birth with surgical glue or sutures, evaluated during labor and monitored up to 8 months postpartum, from March 2017 to September 2018, in the city in São Paulo, Bazil. Descriptive and inferential analyses were carried out.
RESULTS: A total of 133 women were included in the study, 111 (83.5%) were assessed between 10 to 20 days postpartum, 121 (91.0%) between 50 to 70 days, and 54 (40.6%) between 6 to 8 months. There were no significant differences for UI concerning the type of repair; however, there was a significant difference concerning the postpartum period (p=0.031), with a higher prevalence at two months. Most women reported satisfaction, with the highest levels reported two months after birth (p=0.019). For PFMS, the mean of the glue and suture groups were 32.4 cmH2O and 27.4 cmH2O, but not significant. Women in the glue group showed higher mean values in all sexual function domains but without significance.
CONCLUSIONS: Surgical glue showed good aesthetic and functional results in the perineum at eight months postpartum.