Pelvic Floor Function Evaluation of Singleton Primiparae After Vaginal Delivery and Cesarean Section

Brno University Hospital

Status: Completed

Conditions: Pelvic Floor Disorders

Treatments: Behavioral: delivery

Study type: Observational

Funder types: Other

Identifiers

NCT02661867

Plure

Details and patient eligibility

About

Objective of this longitudinal observational cohort study was to analyze incidence of pelvic floor dysfunction (PFD) symptoms, including pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI), seven to twelve years after delivery, in two groups of singleton primiparae after vaginal delivery (VD) and cesarean section (CS).

Full description

Pelvic floor disorders (PFD) usually refers to three definable groups of symptoms that include pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI). The prevalence of these conditions increases with age, but in general, PFD affect 20-50 % of women throughout their lives. Thus, PFD are common and have significant societal impact. Another important PFD risk factor is childbearing. Specifically, these disorders are more common among multiparas. Vaginal delivery (VD) has been considered the main contributing factor because of pelvic floor muscle, fascia, and nerves damage.

Enrollment: 865 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• singleton pregnancy
• cephalic presentation
• delivery in term (gestational week 38-42)
• no other childbirth during study period

Exclusion criteria

• operative vaginal delivery (vacuum extraction or forceps delivery)

Trial design

865 participants in 2 patient groups

VD

Description:

Vaginal delivery group - women who gave birth of offspring through the vagina without the use of special instruments such as forceps or a vacuum extractor (instrumental vaginal delivery)

Treatment:

Behavioral: delivery

CS

Description:

Cesarean section group - women delivered by surgical procedure in which one or more incisions are made through a mother's abdomen and uterus to deliver a baby. Cesarean section is performed when a vaginal delivery would put the baby's or mother's life or health at risk.

Treatment:

Behavioral: delivery