What is to blame for postnatal pelvic floor dysfunction in primiparous women-Pre-pregnancy or intrapartum risk factors?

European Journal of Obstetrics, Gynecology, and Reproductive Biology
C M DurneaBarry A O'Reilly

Abstract

The aetiology of pelvic floor dysfunction (PFD) is still poorly understood. However childbearing is recognized as a major risk factor. To elucidate the natural history of PFD by investigating the impact of the mode of delivery on postnatal pelvic floor dysfunction in primiparas, when PFD existing before the first pregnancy is taken into consideration. 4P-study (Prevalence and Predictors of Pelvic floor dysfunction in Primips) is a prospective cohort study, nested within the Screening for Pregnancy Endpoints (SCOPE) study set in a tertiary referral teaching hospital with 9000 deliveries annually. Established and proposed risk factors for urinary, fecal, prolapse and sexual dysfunction and the severity of symptoms for each of these outcomes were assessed using the Australian Pelvic Floor Questionnaire in 1482 nulliparous women, who each completed the questionnaire in early pregnancy. Of these, 1060 (72%) repeated the questionnaire 12 months postpartum.Outcomes were analyzed using multivariate ordinal logistic regression. Significant (p<0.05) risk factors for postpartum PFD were pre-pregnancy presence of similar symptoms Odds Ratio (OR) (5.0-30.0), smoking (OR 2.2-4.6), recurrent UTI (OR 2.2-17.3), high hip circumference (OR1.4-1....Continue Reading

Citations

May 20, 2018·Journal of Midwifery & Women's Health·Samantha Lawson, Ashley Sacks
May 8, 2020·The Cochrane Database of Systematic Reviews·Stephanie J WoodleyE Jean C Hay-Smith
Dec 10, 2019·International Urogynecology Journal·Lori B FornerMichelle D Smith
Dec 23, 2017·The Cochrane Database of Systematic Reviews·Stephanie J WoodleyE Jean C Hay-Smith
Aug 18, 2020·American Journal of Obstetrics and Gynecology·Ingrid E NygaardJanet M Shaw
Oct 29, 2020·Female Pelvic Medicine & Reconstructive Surgery·Leah FalveyBarry A O'Reilly
Feb 14, 2021·International Urogynecology Journal·Kristina Lindquist SkaugKari Bø
Apr 9, 2021·Obstetrics and Gynecology·Ingrid E NygaardJanet M Shaw
Feb 26, 2020·Female Pelvic Medicine & Reconstructive Surgery·Lauren NicolaIngrid E Nygaard
May 25, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Lina SalmanRinat Gabbay-Benziv
Aug 17, 2021·Female Pelvic Medicine & Reconstructive Surgery·Audra Jolyn HillMarlene J Egger
Sep 26, 2021·International Urogynecology Journal·Ana Catarina BorgesCristina Nogueira-Silva

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