BJOG: An International Journal of Obstetrics & Gynaecology

General Obstetrics

Pelvic organ prolapse and incontinence 15–23 years after first delivery: a cross-sectional study

Corresponding Author

I Volløyhaug

Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway

Department of Obstetrics and Gynaecology, Trondheim University Hospital, Trondheim, Norway

Correspondence: I Volløyhaug, Department of Laboratory Medicine, Children's and Women's Health, NTNU, Faculty of Medicine, P.O. Box 8905, Medisinsk Teknisk Forskningssenter, 7491 Trondheim, Norway. Email [email protected]Search for more papers by this author

S Mørkved,

S Mørkved

Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway

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Ø Salvesen,

Ø Salvesen

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway

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KÅ Salvesen,

KÅ Salvesen

Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway

National Center for Fetal Medicine, Trondheim University Hospital, Trondheim, Norway

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I Volløyhaug,

Corresponding Author

I Volløyhaug

Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway

Department of Obstetrics and Gynaecology, Trondheim University Hospital, Trondheim, Norway

S Mørkved,

S Mørkved

Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway

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Ø Salvesen,

Ø Salvesen

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway

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KÅ Salvesen,

KÅ Salvesen

Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway

National Center for Fetal Medicine, Trondheim University Hospital, Trondheim, Norway

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First published: 16 February 2015

https://doi.org/10.1111/1471-0528.13322

Citations: 56

Linked article: This article is commented on by R Rogers, p. 972 in this issue. To view this mini commentary visit http://dx.doi.org/10.1111/1471-0528.13318.

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Abstract

Objective

To study the association between pelvic floor dysfunction (PFD) and mode of delivery and to calculate the risks of PFD comparing caesarean delivery and operative vaginal delivery to normal vaginal delivery 15–23 years after childbirth. A subgroup analysis comparing forceps and vacuum delivery was planned.

Design

Cross-sectional study.

Setting

Postal questionnaire.

Population

1641 (53%) of 3115 women who delivered their first child in Trondheim, Norway, between January 1990 and December 1997.

Methods

A questionnaire including questions on symptomatic pelvic organ prolapse, urinary and fecal incontinence and surgery for these conditions.

Main outcome measures

Prevalence of PFD measured by symptomatic pelvic organ prolapse or surgery (sPOP), urinary incontinence or surgery (UI) and fecal incontinence or surgery (FI).

Results

When caesarean delivery was compared to normal vaginal delivery the adjusted odds ratio (aOR) for sPOP was 0.42 (95% confidence interval, CI, 0.21–0.86) and the aOR for UI was 0.65 (95% CI 0.46–0.92). Operative vaginal delivery was associated with increased risk of sPOP (aOR 1.73, 95% CI 1.21–2.48) and FI (aOR 1.96, 95% CI 1.26–3.06) when compared with normal vaginal delivery. There were no differences in sPOP, UI or FI in a subgroup analysis comparing forceps and vacuum delivery.

Conclusions

Caesarean delivery was associated with decreased risk and operative vaginal delivery with increased risk of pelvic floor dysfunction 15–23 years after first delivery, but there were no differences between forceps and vacuum delivery.

Supporting Information

References

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Citing Literature

Volume122, Issue7

June 2015

Pages 964-971

Pelvic organ prolapse and incontinence 15–23 years after first delivery: a cross-sectional study

Abstract

Objective

Design

Setting

Population

Methods

Main outcome measures

Results

Conclusions

Supporting Information

References

Citing Literature

References

Information

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Pelvic organ prolapse and incontinence 15–23 years after first delivery: a cross-sectional study

Abstract

Objective

Design

Setting

Population

Methods

Main outcome measures

Results

Conclusions

Supporting Information

References

Citing Literature

References

Related

Information