Influence of mode of delivery on pelvic organ support 6 months postpartum
Aims: The aims of this study were to describe pelvic organ support six months postpartum among women delivered by cesarean section, spontaneous and instrumental vaginal delivery and to evaluate the differences between the groups. Methods: This was a cross-sectional study of 382 primigravid women who...
| Autores: | , , , , , |
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| Tipo de documento: | artigo |
| Data de publicação: | 2011 |
| País: | España |
| Recursos: | Universidad del País Vasco |
| Repositório: | Addi. Archivo Digital para la Docencia y la Investigación |
| OAI Identifier: | oai:addi.ehu.eus:10810/63819 |
| Acesso em linha: | http://hdl.handle.net/10810/63819 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Pelvic organ prolapse quantification Postpartum Mode of delivery Risk factors. pelvic organ prolapse quantification postpartum mode of delivery risk factor |
| Resumo: | Aims: The aims of this study were to describe pelvic organ support six months postpartum among women delivered by cesarean section, spontaneous and instrumental vaginal delivery and to evaluate the differences between the groups. Methods: This was a cross-sectional study of 382 primigravid women who gave birth at Donostia Hospital during 2007. Pelvic organ support was explored six months postpartum using the pelvic organ prolapse quantification (POPQ) system. Joint hypermobility, height and weight were also assessed. Results: POPQ stage ≥ II was present in 7.7%, 18.1% and 29.0% of women delivered by caesarean section, spontaneous and instrumental vaginal delivery respectively. Spontaneous vaginal delivery increased the risk by more than three times (OR:3.19; 95% CI:1.07–9.49) while instrumental vaginal delivery increased it more than five-fold (OR:5.52; 95% CI:1.79–17.30) in comparison with caesarean section. Instrument-assisted delivery did not increase the risk of prolapse in women who delivered vaginally, although this result was limited by the sample size. Conclusions: Cesarean section has a protective effect on pelvic floor support. Instrument-assisted delivery is not associated with postpartum prolapse among women delivered vaginally. |
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