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Int Urogynecol J. 2011 Oct;22(10):1293-8. doi: 10.1007/s00192-011-1438-8. Epub 2011 May 11.

Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women.

Author information

  • 1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA. Clifford.wai@utsouthwestern.edu

Abstract

INTRODUCTION AND HYPOTHESIS:

This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery.

METHODS:

This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery.

RESULTS:

Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both.

CONCLUSIONS:

In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.

PMID:
21560011
[PubMed - indexed for MEDLINE]
PMCID:
PMC3171205
Free PMC Article

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