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@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 = {http://dx.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 and Pavel VENTRUBA. Pelvic floor dysfunction after vaginal and cesarean delivery among singleton primiparas. \textit{International Journal of Gynecology \&{} Obstetrics}. Clare: Elsevier Ireland Ltd., 2017, vol.~137, No~2, p.~170-173. ISSN~0020-7292. Available from: https://dx.doi.org/10.1002/ijgo.12116.
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