PMID- 37708553
OWN - NLM
STAT- MEDLINE
DCOM- 20231204
LR  - 20231217
IS  - 1078-6791 (Print)
IS  - 1078-6791 (Linking)
VI  - 29
IP  - 8
DP  - 2023 Nov
TI  - Assessing the Impact of Programmed Intermittent Pulse Injection on Pelvic Floor 
      Function Following Childbirth.
PG  - 782-787
LID - AT9376 [pii]
AB  - OBJECTIVE: This study aimed to assess the impact of different administration 
      timings of Programmed Intermittent Pulse Injection (PIEB) on pelvic floor 
      function and postpartum rehabilitation in patients who underwent analgesic 
      delivery and received postpartum rehabilitation nursing. METHODS: An 
      observational comparative study was conducted between January 2021 and October 
      2021. We enrolled 85 patients who received PIEB analgesia during delivery and 
      postpartum rehabilitation nursing at our hospital. Among them, 39 women received 
      PIEB (10 mL pulse dose) 60 minutes after analgesia, comprising group A. 
      Additionally, 46 women received PIEB (15 mL pulse dose) 90 minutes after 
      analgesia, forming group B. We assessed pain levels using the Visual Analogue 
      Scale (VAS), recorded epidural drug dosage, counted the number of 
      Patient-Controlled Epidural Analgesia (PCEA) compressions, noted cases of 
      unilateral block, oxytocin (OT) usage, conversion to cesarean section, and 
      adverse events (AEs). Furthermore, we evaluated pelvic floor muscle (PFM) 
      recovery and assessed their quality of life using the World Health Organization 
      Quality of Life assessment (WHOQOL-100). RESULTS: Group A exhibited a lower VAS 
      score at 1 hour after analgesia compared to group B (P < .05), with no 
      significant differences at other time points (P > .05). Group A had lower 
      epidural drug dosages and fewer PCEA compressions than group B (P < .05). There 
      were no significant differences in unilateral block incidence and OT use (P > 
      .05). PFM recovery levels were similar in both groups (P > .05), but the 
      WHOQOL-100 score after nursing was higher in group A compared to group B (P < 
      .05). CONCLUSIONS: Administering PIEB with a 60-minute interval after analgesia 
      can enhance the effectiveness and safety of the intervention.
FAU - Shen, Xiaofang
AU  - Shen X
FAU - Xu, Yanyi
AU  - Xu Y
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Altern Ther Health Med
JT  - Alternative therapies in health and medicine
JID - 9502013
RN  - 0 (Anesthetics, Local)
SB  - IM
MH  - Pregnancy
MH  - Humans
MH  - Female
MH  - *Anesthetics, Local/adverse effects
MH  - Cesarean Section
MH  - *Analgesia, Epidural
MH  - Pelvic Floor
MH  - Quality of Life
MH  - Pain
EDAT- 2023/09/14 18:43
MHDA- 2023/12/04 12:41
CRDT- 2023/09/14 17:32
PHST- 2023/12/04 12:41 [medline]
PHST- 2023/09/14 18:43 [pubmed]
PHST- 2023/09/14 17:32 [entrez]
AID - AT9376 [pii]
PST - ppublish
SO  - Altern Ther Health Med. 2023 Nov;29(8):782-787.