iBet uBet web content aggregator. Adding the entire web to your favor.
iBet uBet web content aggregator. Adding the entire web to your favor.



Link to original content: https://pubmed.ncbi.nlm.nih.gov/25708677/
Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth - PubMed Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Aug;26(8):1115-21.
doi: 10.1007/s00192-015-2663-3. Epub 2015 Feb 24.

Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth

Maria Gyhagen  1 , Sigvard Åkervall, Ian Milsom
Affiliations

Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth

Maria Gyhagen et al. Int Urogynecol J. 2015 Aug.

Abstract

Introduction and hypothesis: The objective was to assess the prevalence and risk factors for co-occurring pelvic floor disorders (PFDs): urinary incontinence (UI), symptomatic pelvic organ prolapse (sPOP), and fecal incontinence (FI), 20 years after one vaginal (VD) or one cesarean (CS) delivery.

Methods: We carried out a registry-based national cohort study of primiparae who delivered during the period 1985-1988 and had no further deliveries. Medical Birth Registry data were linked to data from postal questionnaires distributed 20 years post-partum (response rate 65.2%, n = 5,236). Main outcome measures were prevalence and risk factors for combined and isolated PFDs.

Results: The prevalence of any PFD was 46.5; 31.7% had one symptom and 14.8% had two or more. Co-occurring symptoms doubled after VD (17.1%) compared with CS (8.4%) (adjOR 2.26; 95% CI 1.84-2.79). The strongest association was observed between VD and having all three symptoms (adjOR 5.20; 95% CI 2.73-9.91), followed by the combination of sPOP and UI (adjOR 3.38; 95% CI 2.24-5.10). The degree of frustration perceived by the women because of pelvic floor dysfunction increased with each additional co-occurring PFD (p < 0.001). The strongest risk factors for clustering of PFDs were: VD (OR 2.19; 95% CI 1.75-2.73), family history (OR 2.03; 95% CI 1.73-2.34), and ≥2 degree tear (OR 1.78; 95% CI 1.24-2.55). Vacuum extraction and episiotomy were not risk factors.

Conclusions: The prevalence of co-occurring PFDs was high and was doubled in women after VD compared with CS. Women with UI most likely had it as an isolated symptom, whereas FI and sPOP more often occurred in combination.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Neurourol Urodyn. 2010 Apr;29(4):545-50 - PubMed
    1. Acta Obstet Gynecol Scand. 2003 Mar;82(3):280-6 - PubMed
    1. Menopause. 2011 Jun;18(6):685-9 - PubMed
    1. Urology. 2003 Jan;61(1):37-49 - PubMed
    1. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1063-9 - PubMed

Publication types

MeSH terms

LinkOut - more resources