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 (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.