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Int Urogynecol J Pelvic Floor Dysfunct. 2009 Dec;20(12):1407-11. doi: 10.1007/s00192-009-0937-3. Epub 2009 Sep 24.

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

Author information

  • 1Department of Gynecology & Obstetrics, Johns Hopkins University, 4940 Eastern Avenue, Baltimore, MD 21224, USA. vhanda1@jhmi.edu

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.

PMID:
19777148
PMCID:
PMC4064938
DOI:
10.1007/s00192-009-0937-3
[PubMed - indexed for MEDLINE]
Free PMC Article
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