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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제3호
발행연도
2020.1
수록면
305 - 314 (10page)

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ObjectiveTo improve pelvic floor recovery after vaginal delivery with daily supplementation of a specially formulatedpostpartum recovery supplement. MethodsWithin 48 hours of vaginal delivery, primipara women were randomized in a 1:1 ratio to receive daily oralsupplementation for 6 weeks with either a combination of regular prenatal vitamin (PNV), leucine (4 g/day), zinc(30 mg/day) and omega-3 fatty acid (900 mg/day) (treatment group), or only a PNV daily (control group). Co-primaryoutcomes were vaginal squeeze pressure as measured by perineometer and levator muscle injury as measured bytransperineal 3-dimensional tomographic ultrasound at 6 weeks postpartum. ResultsTwenty-six women in the control group and 27 in the treatment group completed the trial. Weak pelvic floormuscle strength was significantly less frequent in the treatment group compared to the control group at 6 weeksafter delivery (28% vs. 58%, P=0.03). Both right and left-sided levator-urethra gap was significantly larger in thecontrol group compared to the treatment group indicating more levator injury being present in the control group at6 weeks after delivery. Anterior vaginal wall prolapse at or beyond the hymenal ring was significantly more commonin the control group compared to the treatment group (19% vs. 0%, P=0.02). Significantly more women reportedbothersome bulge symptoms in the control group compared to the treatment group at 6 weeks postpartum (19% vs. 0%, P=0.02). ConclusionPostpartum women who received a specially formulated postpartum recovery supplement had improved recovery ofthe pelvic floor after vaginal delivery.

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