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

doi:10.1007/s00192-009-0937-3

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

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-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 language	English (US)
Pages (from-to)	1407-1411
Number of pages	5
Journal	International urogynecology journal and pelvic floor dysfunction
Volume	20
Issue number	12
DOIs	https://doi.org/10.1007/s00192-009-0937-3
State	Published - Dec 2009

ASJC Scopus subject areas

Obstetrics and Gynecology
Urology

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Handa, Victoria L. ; Nygaard, Ingrid ; Kenton, Kimberly ; Cundiff, Geoffrey W. ; Ghetti, Chiara ; Ye, Wen ; Richter, Holly E. ; Pelvic Floor Disorders Network, Floor Disorders Network. / Pelvic organ support among primiparous women in the first year after childbirth. In: International urogynecology journal and pelvic floor dysfunction. 2009 ; Vol. 20, No. 12. pp. 1407-1411.

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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.",

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Pelvic organ support among primiparous women in the first year after childbirth. / Handa, Victoria L.; Nygaard, Ingrid; Kenton, Kimberly; Cundiff, Geoffrey W.; Ghetti, Chiara; Ye, Wen; Richter, Holly E.; Pelvic Floor Disorders Network, Floor Disorders Network.

In: International urogynecology journal and pelvic floor dysfunction, Vol. 20, No. 12, 12.2009, p. 1407-1411.

Research output: Contribution to journal › Article › peer-review

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AU - Kenton, Kimberly

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AU - Ghetti, Chiara

AU - Ye, Wen

AU - Richter, Holly E.

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N2 - 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.

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