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

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-12-01 Epub Date: 2009-09-24 DOI:10.1007/s00192-009-0937-3

Victoria L Handa, Ingrid Nygaard, Kimberly Kenton, Geoffrey W Cundiff, Chiara Ghetti, Wen Ye, Holly E Richter

{"title":"Pelvic organ support among primiparous women in the first year after childbirth.","authors":"Victoria L Handa, Ingrid Nygaard, Kimberly Kenton, Geoffrey W Cundiff, Chiara Ghetti, Wen Ye, Holly E Richter","doi":"10.1007/s00192-009-0937-3","DOIUrl":null,"url":null,"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.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":" ","pages":"1407-11"},"PeriodicalIF":0.0000,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0937-3","citationCount":"37","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International urogynecology journal and pelvic floor dysfunction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00192-009-0937-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2009/9/24 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 37

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.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

产后第一年初产妇的盆腔器官支持。

前言与假设:本研究描述分娩后盆腔器官支持。方法:对分娩和盆腔症状影像学研究进行辅助分析，比较分娩后6-12个月盆腔器官脱垂量化在三个队列的初产妇中:阴道分娩伴括约肌撕裂(n = 106)，阴道分娩无括约肌撕裂(n = 108)和剖宫产无分娩(n = 39)。结果:31.2%的参与者有II期支持。阴道分娩伴括约肌撕裂(95%可信区间为8%，22%)、阴道分娩伴括约肌撕裂(15%，9%，24%)、剖宫产伴无产者(5%，1%，17%)出现处女膜脱垂(p = 0.23)。一项每组132名女性的研究需要80%的权力来测试5%到15%之间的差异。结论:虽然这些数据不足以排除分娩方式之间盆腔器官支持的差异，但它们增加了我们对分娩后支持的理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International urogynecology journal and pelvic floor dysfunction

自引率

0.00%

发文量

期刊最新文献

Overactive bladder: a new paradigm. Case of longitudinal vaginal septum with pelvic organ prolapse. Fistulization between ectopic ureteral stump and uterus following nephroureterectomy: case report. Accidental introduction of a contraceptive vaginal ring into the urinary bladder. Vesical endometriosis following the menopause.