Temporal trends in obstetric trauma and inpatient surgery for pelvic organ prolapse: an age-period-cohort analysis

American Journal of Obstetrics and Gynecology
Sarka LisonkovaK S Joseph

Abstract

The rates of cesarean delivery have increased over time in industrialized countries, while the rates of instrumental vaginal delivery have declined. Instrumental vaginal delivery and obstetric trauma are risk factors for pelvic floor disorders. We carried out a population-based study to quantify the association between temporal changes in obstetric trauma during childbirth and temporal changes in surgery for pelvic organ prolapse. We designed a retrospective analysis to examine age-specific trends in vaginal and cesarean delivery, obstetric trauma, and surgery for pelvic organ prolapse among all women (pregnant and nonpregnant) in Washington State, from 1987 through 2009. Cases of obstetric trauma (including severe perineal tears and high vaginal lacerations) and inpatient surgery for pelvic organ prolapse were identified among all hospitalizations. Temporal trends and age-period-cohort regression analyses were used to quantify the time period, age, and birth cohort effects among women born from 1920 through 1980. From 1987 through 2009, cesarean delivery rates among women aged 15-44 years increased from 12.7-18.1 per 1000 women, vaginal delivery rates remained stable, and instrumental vaginal delivery rates declined from 6.3-3...Continue Reading

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Citations

Oct 3, 2018·Female Pelvic Medicine & Reconstructive Surgery·Victoria L HandaHans Peter Dietz
May 5, 2018·Female Pelvic Medicine & Reconstructive Surgery·Christopher F MaherRenaud de Tayrac
Jul 25, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J A García-MejidoJ A Sainz
Mar 7, 2020·Health Technology Assessment : HTA·Christine HemmingCathryn Glazener
Dec 10, 2019·International Urogynecology Journal·Polina SchwarzmanEyal Sheiner
Dec 24, 2018·Climacteric : the Journal of the International Menopause Society·C F MaherR de Tayrac

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