An observational follow-up study on pelvic floor disorders to 3–5 years after delivery

Introduction and hypothesis This study aimed to determine the prevalence of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) 3–5 years after the first pregnancy and their associated risk factors. Methods We assessed 506 women using the Pelvic Floor Distress Invento...

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Veröffentlicht in:International Urogynecology Journal 2017-09, Vol.28 (9), p.1393-1399
Hauptverfasser: Ng, Karen, Cheung, Rachel Yau Kar, Lee, Lai Loi, Chung, Tony Kwok Hung, Chan, Symphorosa Shing Chee
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Sprache:eng
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Zusammenfassung:Introduction and hypothesis This study aimed to determine the prevalence of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) 3–5 years after the first pregnancy and their associated risk factors. Methods We assessed 506 women using the Pelvic Floor Distress Inventory (PFDI) and the Pelvic Floor Impact Questionnaire (PFIQ). Maternal characteristics and obstetric data were analyzed using descriptive analysis, independent sample t test, chi-squared test, and logistic regression. Results The prevalence of UI, FI, and POP, respectively, at a mean of 43 months after first delivery was 40.8, 6.6, and 10.2% following vaginal delivery (VD) and 22.7, 4.5, and 4.5% following cesarean section (CS). Stress urinary incontinence (SUI) was reported by more women following VD than CS (38.7 vs 22.4%, P  = 0.010). Compared with 8 weeks’ postpartum, more women reported SUI at this later follow-up visit (40.1 vs 19.5%, P  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-017-3281-z