Is cesarean section a real panacea to prevent pelvic organ disorders?
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer London Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction and hypothesis The aim of this study is to compare the pelvic floor muscle strength after vaginal delivery vs. after cesarean section. Methods Five groups of 50 cases each were designated as follows: nullipara (control group), spontaneous vaginal delivery (SVD), repeat SVD (SVD-R), cesarean section (CS), and repeat CS (CS-R). Perineometric measurements, stress urinary incontinence (SUI) symptoms, pelvic organ prolapse quantification examinations, and Incontinence-Specific Quality of Life Questionnaire (IQOL) were evaluated. Results In all delivery groups, pelvic muscle strength was significantly lower than the control group (65.10 +/- 15.69, 56.29 +/- 17.39, 54.28 +/- 20.08, 56.82 +/- 17.62, and 57.92 +/- 16.45 (cm H2O +/- SD) for the control, SVD, SVD-R, CS, and CS-R groups, respectively; p < 0.05). However, no significant difference was found among the delivery groups. There were significant differences in SUI symptoms between the control (2%) and SVD-R (26%) groups and between the SVD (10%) and SVD-R groups (p < 0.001 and p = 0.037, respectively). No statistically significant correlations between IQOL and perineometric measurements were noted (r = 0.097 and p = 0.598). Conclusions Pregnancy increases postpartum muscle weakness independent of the mode of delivery. Increased SUI symptoms are associated with vaginal delivery.
Açıklama
Anahtar Kelimeler
Vaginal Delivery, Cesarean Section, Pelvic Floor Muscle Weakness, Quality of Life
Kaynak
International Urogynecology Journal
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
22
Sayı
9
