Publication details

Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas

Authors

HUSER Martin JANKŮ Petr HUDEČEK Robert ZBOŽÍNKOVÁ Zuzana BURSA Miroslav UNZEITIG Vít VENTRUBA Pavel

Year of publication 2017
Type Article in Periodical
Magazine / Source International Journal of Gynecology & Obstetrics
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1002/ijgo.12116
Field Gynaecology and obstetrics
Keywords Cesarean delivery; Childbirth; Fecal incontinence; Pelvic floor dysfunction; Pelvic organ prolapse; Urinary incontinence; Vaginal delivery
Description Objective: To compare the prevalence of pelvic floor dysfunction symptoms, including pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) among primiparous women after vaginal and cesarean delivery. Methods: In a prospective cohort study at a University hospital in the Czech Republic, singleton primiparas with cephalic presentation who delivered at term were enrolled between 2002 and 2007. In 2013, 5-10 years after delivery, women who had not delivered again completed an internet-based survey about current symptoms of POP, UI, and FI, which were evaluated using validated questionnaires. The relative risk (RR) of POP, UI, and FI symptoms was calculated. Results: Complete questionnaire data were obtained from 641 women who delivered vaginally and 224 who delivered by cesarean. The mean UI score (ICIQ-SF) was 2.3 +/- 3.6 in the vaginal group and 1.0 +/- 2.7 in the cesarean group (P= 0.005). The mean POP scores (POPDI-6) were 2.2 +/- 2.3 and 2.1 +/- 2.0, respectively (P= 0.944). The mean Wexner scores to evaluate FI were 1.3 +/- 1.7 and 1.0 +/- 1.5, respectively (P= 0.220). The RR of pelvic floor dysfunction after vaginal delivery was highest for women with UI symptoms (RR 1.15, 95% confidence interval 0.92-1.42). Conclusion: Significant differences in the occurrence of symptoms of UI were observed after vaginal delivery as compared with cesarean delivery.

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