Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II
Introduction and hypothesis To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum. Methods This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who...
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| Veröffentlicht in: | International Urogynecology Journal 2019-06, Vol.30 (6), p.893-899 |
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| creator | Béchard, Fanny Castelli, Christel Alonso, Sandrine Vintejoux, Emmanuelle Goffinet, François Letouzey, Vincent Schmitz, Thomas de Tayrac, Renaud |
| description | Introduction and hypothesis
To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum.
Methods
This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses.
Results
A total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8–50) vs. 17/300 (4–36) after CS;
p
0) were more frequent after VD at 3 months (58 vs. 42%;
p
|
| doi_str_mv | 10.1007/s00192-018-3785-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02869093v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2116848839</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3211-bbefd1f92de1602ca3f39a53d0c7328db07e3a900186270bad1a806b3bcbe4163</originalsourceid><addsrcrecordid>eNp1kU9O3TAQxq0KVF5pD8AGWeoGFi5jT_44S4RaeNKTuoFtLSd2-oKSOLWTh9j1EBygZ-EonKROQ6lUidWMPD_PfDMfIUccPnGA_CwA8EIw4JJhLlPG35AVTxAZgsA9soICc4ZJJg7IuxBuASCBFN6Sg1gvOEpYkW_rbtDVSF1NO2fsHI1tm53193M-3jV9oK6n49bSwba7pqJ165ynSHVvKBePvzrXj9tABxdGNmg_Tt3Tz4c5oev1e7Jf6zbYD8_xkNx8-Xx9ccU2Xy_XF-cbVqHgnJWlrQ2vC2Esz0BUGmssdIoGqhyFNCXkFnUR15WZyKHUhmsJWYllVdqEZ3hITpe-W92qwTed9vfK6UZdnW_U_AZCZkW8x45H9mRhB-9-TDaMqmtCZdtW99ZNQUVBmUykxCKiH_9Db93k-7jJHypN0jg7UnyhKu9C8LZ-UcBBzUapxSgV5avZKDWLOH7uPJWdNS8__joTAbEAIZb679b_G_1619_IV5yU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2116545163</pqid></control><display><type>article</type><title>Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Béchard, Fanny ; Castelli, Christel ; Alonso, Sandrine ; Vintejoux, Emmanuelle ; Goffinet, François ; Letouzey, Vincent ; Schmitz, Thomas ; de Tayrac, Renaud</creator><creatorcontrib>Béchard, Fanny ; Castelli, Christel ; Alonso, Sandrine ; Vintejoux, Emmanuelle ; Goffinet, François ; Letouzey, Vincent ; Schmitz, Thomas ; de Tayrac, Renaud</creatorcontrib><description>Introduction and hypothesis
To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum.
Methods
This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses.
Results
A total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8–50) vs. 17/300 (4–36) after CS;
p
< 0.0001]. Vaginal bulge was more frequently reported after VD (9 vs. 4%;
p
= 0.0015). Abdnormal PFD-related quality-of-life scores (scores > 0) were more frequent after VD at 3 months (58 vs. 42%;
p
< 0.0001) and 12 months (57 vs. 43%;
p
= 0.0020), indicating greater discomfort. However, SF-12 scores were higher after VD [56 (53–59) vs. 55 (51–58)] at 12 months, indicating better general quality of life.
Conclusions
Mode of delivery is significantly associated with pelvic organ prolapse symptoms 3 months postpartum, which regress by 12 months, probably because of the known spontaneous postnatal improvement of PFDs.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-018-3785-1</identifier><identifier>PMID: 30291380</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; Biochemistry, Molecular Biology ; Biophysics ; Cesarean Section - statistics & numerical data ; Childbirth & labor ; Epidemiology ; Female ; France - epidemiology ; Gynecology ; Health risk assessment ; Humans ; Life Sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Parturition ; Pelvic Floor Disorders - epidemiology ; Pelvic Organ Prolapse - epidemiology ; Postpartum Period ; Pregnancy ; Pregnancy, Twin ; Prospective Studies ; Quality of Life ; Risk Factors ; Sexual Dysfunction, Physiological - epidemiology ; Surveys and Questionnaires ; Symptom Assessment ; Time Factors ; Urination Disorders - epidemiology ; Urology ; Womens health ; Young Adult</subject><ispartof>International Urogynecology Journal, 2019-06, Vol.30 (6), p.893-899</ispartof><rights>The International Urogynecological Association 2018</rights><rights>International Urogynecology Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3211-bbefd1f92de1602ca3f39a53d0c7328db07e3a900186270bad1a806b3bcbe4163</citedby><cites>FETCH-LOGICAL-c3211-bbefd1f92de1602ca3f39a53d0c7328db07e3a900186270bad1a806b3bcbe4163</cites><orcidid>0000-0001-9838-0272 ; 0000-0002-4352-4782</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-018-3785-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-018-3785-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30291380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02869093$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Béchard, Fanny</creatorcontrib><creatorcontrib>Castelli, Christel</creatorcontrib><creatorcontrib>Alonso, Sandrine</creatorcontrib><creatorcontrib>Vintejoux, Emmanuelle</creatorcontrib><creatorcontrib>Goffinet, François</creatorcontrib><creatorcontrib>Letouzey, Vincent</creatorcontrib><creatorcontrib>Schmitz, Thomas</creatorcontrib><creatorcontrib>de Tayrac, Renaud</creatorcontrib><title>Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum.
Methods
This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses.
Results
A total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8–50) vs. 17/300 (4–36) after CS;
p
< 0.0001]. Vaginal bulge was more frequently reported after VD (9 vs. 4%;
p
= 0.0015). Abdnormal PFD-related quality-of-life scores (scores > 0) were more frequent after VD at 3 months (58 vs. 42%;
p
< 0.0001) and 12 months (57 vs. 43%;
p
= 0.0020), indicating greater discomfort. However, SF-12 scores were higher after VD [56 (53–59) vs. 55 (51–58)] at 12 months, indicating better general quality of life.
Conclusions
Mode of delivery is significantly associated with pelvic organ prolapse symptoms 3 months postpartum, which regress by 12 months, probably because of the known spontaneous postnatal improvement of PFDs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biochemistry, Molecular Biology</subject><subject>Biophysics</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth & labor</subject><subject>Epidemiology</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Parturition</subject><subject>Pelvic Floor Disorders - epidemiology</subject><subject>Pelvic Organ Prolapse - epidemiology</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnancy, Twin</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Sexual Dysfunction, Physiological - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Symptom Assessment</subject><subject>Time Factors</subject><subject>Urination Disorders - epidemiology</subject><subject>Urology</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU9O3TAQxq0KVF5pD8AGWeoGFi5jT_44S4RaeNKTuoFtLSd2-oKSOLWTh9j1EBygZ-EonKROQ6lUidWMPD_PfDMfIUccPnGA_CwA8EIw4JJhLlPG35AVTxAZgsA9soICc4ZJJg7IuxBuASCBFN6Sg1gvOEpYkW_rbtDVSF1NO2fsHI1tm53193M-3jV9oK6n49bSwba7pqJ165ynSHVvKBePvzrXj9tABxdGNmg_Tt3Tz4c5oev1e7Jf6zbYD8_xkNx8-Xx9ccU2Xy_XF-cbVqHgnJWlrQ2vC2Esz0BUGmssdIoGqhyFNCXkFnUR15WZyKHUhmsJWYllVdqEZ3hITpe-W92qwTed9vfK6UZdnW_U_AZCZkW8x45H9mRhB-9-TDaMqmtCZdtW99ZNQUVBmUykxCKiH_9Db93k-7jJHypN0jg7UnyhKu9C8LZ-UcBBzUapxSgV5avZKDWLOH7uPJWdNS8__joTAbEAIZb679b_G_1619_IV5yU</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Béchard, Fanny</creator><creator>Castelli, Christel</creator><creator>Alonso, Sandrine</creator><creator>Vintejoux, Emmanuelle</creator><creator>Goffinet, François</creator><creator>Letouzey, Vincent</creator><creator>Schmitz, Thomas</creator><creator>de Tayrac, Renaud</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-9838-0272</orcidid><orcidid>https://orcid.org/0000-0002-4352-4782</orcidid></search><sort><creationdate>20190601</creationdate><title>Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II</title><author>Béchard, Fanny ; Castelli, Christel ; Alonso, Sandrine ; Vintejoux, Emmanuelle ; Goffinet, François ; Letouzey, Vincent ; Schmitz, Thomas ; de Tayrac, Renaud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3211-bbefd1f92de1602ca3f39a53d0c7328db07e3a900186270bad1a806b3bcbe4163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biochemistry, Molecular Biology</topic><topic>Biophysics</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth & labor</topic><topic>Epidemiology</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Parturition</topic><topic>Pelvic Floor Disorders - epidemiology</topic><topic>Pelvic Organ Prolapse - epidemiology</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnancy, Twin</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Sexual Dysfunction, Physiological - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Symptom Assessment</topic><topic>Time Factors</topic><topic>Urination Disorders - epidemiology</topic><topic>Urology</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Béchard, Fanny</creatorcontrib><creatorcontrib>Castelli, Christel</creatorcontrib><creatorcontrib>Alonso, Sandrine</creatorcontrib><creatorcontrib>Vintejoux, Emmanuelle</creatorcontrib><creatorcontrib>Goffinet, François</creatorcontrib><creatorcontrib>Letouzey, Vincent</creatorcontrib><creatorcontrib>Schmitz, Thomas</creatorcontrib><creatorcontrib>de Tayrac, Renaud</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Béchard, Fanny</au><au>Castelli, Christel</au><au>Alonso, Sandrine</au><au>Vintejoux, Emmanuelle</au><au>Goffinet, François</au><au>Letouzey, Vincent</au><au>Schmitz, Thomas</au><au>de Tayrac, Renaud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>30</volume><issue>6</issue><spage>893</spage><epage>899</epage><pages>893-899</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum.
Methods
This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses.
Results
A total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8–50) vs. 17/300 (4–36) after CS;
p
< 0.0001]. Vaginal bulge was more frequently reported after VD (9 vs. 4%;
p
= 0.0015). Abdnormal PFD-related quality-of-life scores (scores > 0) were more frequent after VD at 3 months (58 vs. 42%;
p
< 0.0001) and 12 months (57 vs. 43%;
p
= 0.0020), indicating greater discomfort. However, SF-12 scores were higher after VD [56 (53–59) vs. 55 (51–58)] at 12 months, indicating better general quality of life.
Conclusions
Mode of delivery is significantly associated with pelvic organ prolapse symptoms 3 months postpartum, which regress by 12 months, probably because of the known spontaneous postnatal improvement of PFDs.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30291380</pmid><doi>10.1007/s00192-018-3785-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9838-0272</orcidid><orcidid>https://orcid.org/0000-0002-4352-4782</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0937-3462 |
| ispartof | International Urogynecology Journal, 2019-06, Vol.30 (6), p.893-899 |
| issn | 0937-3462 1433-3023 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_02869093v1 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Biochemistry, Molecular Biology Biophysics Cesarean Section - statistics & numerical data Childbirth & labor Epidemiology Female France - epidemiology Gynecology Health risk assessment Humans Life Sciences Medicine Medicine & Public Health Middle Aged Original Article Parturition Pelvic Floor Disorders - epidemiology Pelvic Organ Prolapse - epidemiology Postpartum Period Pregnancy Pregnancy, Twin Prospective Studies Quality of Life Risk Factors Sexual Dysfunction, Physiological - epidemiology Surveys and Questionnaires Symptom Assessment Time Factors Urination Disorders - epidemiology Urology Womens health Young Adult |
| title | Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II |
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