Pelvic floor dysfunction after vaginal and cesarean delivery
among singleton primiparas

J 2017

Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas

HUSER, Martin; Petr JANKŮ; Robert HUDEČEK; Zuzana ZBOŽÍNKOVÁ; Miroslav BURSA et al.

Základní údaje

Originální název

Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas

Autoři

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

Vydání

International Journal of Gynecology & Obstetrics, Clare, Elsevier Ireland Ltd. 2017, 0020-7292

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.072

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/17:00096784

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Cesarean delivery; Childbirth; Fecal incontinence; Pelvic floor dysfunction; Pelvic organ prolapse; Urinary incontinence; Vaginal delivery

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 3. 2018 13:55, Soňa Böhmová

Anotace

V originále

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.

Citovat

HUSER, Martin; Petr JANKŮ; Robert HUDEČEK; Zuzana ZBOŽÍNKOVÁ; Miroslav BURSA; Vít UNZEITIG a Pavel VENTRUBA. Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas. International Journal of Gynecology & Obstetrics. Clare: Elsevier Ireland Ltd., 2017, roč. 137, č. 2, s. 170-173. ISSN 0020-7292. Dostupné z: https://doi.org/10.1002/ijgo.12116.

@article{1381403,
   author = {Huser, Martin and Janků, Petr and Hudeček, Robert and Zbožínková, Zuzana and Bursa, Miroslav and Unzeitig, Vít and Ventruba, Pavel},
   article_location = {Clare},
   article_number = {2},
   doi = {https://doi.org/10.1002/ijgo.12116},
   keywords = {Cesarean delivery; Childbirth; Fecal incontinence; Pelvic floor dysfunction; Pelvic organ prolapse; Urinary incontinence; Vaginal delivery},
   language = {eng},
   issn = {0020-7292},
   journal = {International Journal of Gynecology & Obstetrics},
   title = {Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas},
   volume = {137},
   year = {2017}
}

TY  - JOUR
ID  - 1381403
AU  - Huser, Martin - Janků, Petr - Hudeček, Robert - Zbožínková, Zuzana - Bursa, Miroslav - Unzeitig, Vít - Ventruba, Pavel
PY  - 2017
TI  - Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas
JF  - International Journal of Gynecology & Obstetrics
VL  - 137
IS  - 2
SP  - 170-173
EP  - 170-173
PB  - Elsevier Ireland Ltd.
SN  - 00207292
KW  - Cesarean delivery
KW  - Childbirth
KW  - Fecal incontinence
KW  - Pelvic floor dysfunction
KW  - Pelvic organ prolapse
KW  - Urinary incontinence
KW  - Vaginal delivery
N2  - 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.
ER  -

HUSER, Martin; Petr JANKŮ; Robert HUDEČEK; Zuzana ZBOŽÍNKOVÁ; Miroslav BURSA; Vít UNZEITIG a Pavel VENTRUBA. Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas. \textit{International Journal of Gynecology \&{} Obstetrics}. Clare: Elsevier Ireland Ltd., 2017, roč.~137, č.~2, s.~170-173. ISSN~0020-7292. Dostupné z: https://doi.org/10.1002/ijgo.12116.

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