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 (203 Česká republika, garant, domácí), Petr JANKŮ (203 Česká republika, domácí), Robert HUDEČEK (203 Česká republika, domácí), Zuzana ZBOŽÍNKOVÁ (203 Česká republika, domácí), Miroslav BURSA (203 Česká republika), Vít UNZEITIG (203 Česká republika) a Pavel VENTRUBA (203 Česká republika, domácí)
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
Kód RIV
RIV/00216224:14110/17:00096784
Organizační jednotka
Lékařská fakulta
UT WoS
000398818300011
Klíčová slova anglicky
Cesarean delivery; Childbirth; Fecal incontinence; Pelvic floor dysfunction; Pelvic organ prolapse; Urinary incontinence; Vaginal delivery
Štítky
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.