Postpartum Observation of Pelvic Tissue Damage: Further Studies

doi:10.1016/S0002-9378(16)37836-X

American Journal of Obstetrics and Gynecology

Volume 70, Issue 4, October 1955, Pages 800-807

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Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth
2011, American Journal of Obstetrics and Gynecology
Citation Excerpt :
Because our study is based on a birth register, we cannot assess the risk associated with vaginal or cesarean delivery in relation to not having given birth at all. Despite the small number of cases, our findings are in sharp contrast to some studies suggesting that the use of forceps decrease the risk for pelvic floor disorders later in life.10,21,22 The risk for having prolapse surgery was more than doubled after forceps delivery compared with both vacuum and noninstrumental delivery, and more than 20 times that of cesarean delivery.
To estimate the risk for stress urinary incontinence and pelvic organ prolapse surgery related to vaginal birth or cesarean delivery.
A cohort study of all women having their first and all subsequent deliveries by cesarean (n = 33,167), and an age-matched sample of women only having vaginal deliveries (n = 63,229) between 1973 and 1983. Hazard ratios were calculated using Cox regression models with 95% confidence intervals.
Women only having vaginal deliveries had increased overall risks of incontinence (hazard ratio, 2.9; 95% confidence interval, 2.4–3.6) and prolapse surgery (hazard ratio, 9.2; 95% confidence interval, 7.0–12.1) compared with women only having cesarean deliveries.
Having only vaginal childbirths was associated with a significantly increased risk of stress urinary incontinence and pelvic organ prolapse surgery later in life compared with only having cesarean deliveries.
Episiotomy: What's the angle?
2008, International Journal of Gynecology and Obstetrics
Mechanisms of pelvic floor muscle training for managing urinary incontinence in women: a scoping review
2022, BMC Women's Health
Pelvic floor dysfunction: Role of imaging in diagnosis and management
2021, Breast & Gynecological Diseases: Role of Imaging in the Management
Association of index finger palpatory assessment of pubovisceral muscle body integrity with MRI-documented tear
2019, Neurourology and Urodynamics
Episiotomy
2019, Labour Room Emergencies

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^*: Presented at the Seventy-eighth Annual Meeting of the American Gynecological Society, Quebec, Quebec, May 23, 24, and 25, 1955.

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Postpartum Observation of Pelvic Tissue Damage: Further Studies*

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