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.

Basic information

Original name

Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas

Authors

HUSER, Martin (203 Czech Republic, guarantor, belonging to the institution), Petr JANKŮ (203 Czech Republic, belonging to the institution), Robert HUDEČEK (203 Czech Republic, belonging to the institution), Zuzana ZBOŽÍNKOVÁ (203 Czech Republic, belonging to the institution), Miroslav BURSA (203 Czech Republic), Vít UNZEITIG (203 Czech Republic) and Pavel VENTRUBA (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.072

RIV identification code

RIV/00216224:14110/17:00096784

Organization unit

Faculty of Medicine

DOI

UT WoS

000398818300011

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 20/3/2018 13:55, Soňa Böhmová

Abstract

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.