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Obstet Gynecol Clin North Am. 2016 Mar;43(1):1-13. doi: 10.1016/j.ogc.2015.10.008.

The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update.

Author information

1
Female Pelvic Medicine & Reconstructive Surgery, Johns Hopkins School of Medicine, 4940 Eastern Avenue, 301 Building, Suite 3200, Baltimore, MD 21224, USA.
2
Gynecology & Obstetrics, Johns Hopkins School of Medicine, 4940 Eastern Avenue, 301 Building, Suite 3200, Baltimore, MD 21224, USA. Electronic address: vhanda1@jhmi.edu.

Abstract

Using a lifespan model, this article presents new scientific findings regarding risk factors for pelvic floor disorders (PFDs), focusing on the role of childbirth in the development of single or multiple coexisting PFDs. Phase I of the model includes predisposing factors, such as genetic predisposition and race. Phase II includes inciting factors, such as obstetric events. Prolapse, urinary incontinence (UI), and fecal incontinence (FI) are more common among vaginally parous women, although the impact of vaginal delivery on risk of FI is less dramatic than prolapse and UI. Phase III includes intervening factors, such as age and obesity.

KEYWORDS:

Cesarean section; Childbirth; Fecal incontinence; Pelvic floor disorders; Pelvic organ prolapse; Urinary incontinence; Vaginal delivery

PMID:
26880504
PMCID:
PMC4757815
[Available on 2017-03-01]
DOI:
10.1016/j.ogc.2015.10.008
[Indexed for MEDLINE]
Free PMC Article

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