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

Victoria L. Handa*, Ingrid Nygaard, Kimberly Kenton, Geoffrey W. Cundiff, Chiara Ghetti, Wen Ye, Holly E. Richter, Floor Disorders Network Pelvic Floor Disorders Network

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1407-1411
Number of pages5
JournalInternational urogynecology journal and pelvic floor dysfunction
Volume20
Issue number12
DOIs
StatePublished - Dec 2009

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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