Pelvic organ support among primiparous women in the first year after childbirth.

Academic Article

Abstract

  • INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.
  • Authors

    Keywords

  • Adult, Anal Canal, Delivery, Obstetric, Female, Humans, Parity, Pelvic Organ Prolapse, Pregnancy, Pregnancy Complications, Young Adult
  • Digital Object Identifier (doi)

    Pubmed Id

  • 19026207
  • Authorlist

  • Handa VL; Nygaard I; Kenton K; Cundiff GW; Ghetti C; Ye W; Richter HE; Pelvic Floor Disorders Network
  • Start Page

  • 1407
  • End Page

  • 1411
  • Volume

  • 20
  • Issue

  • 12