Navigation Links
Long-term consequences of vaginal delivery on the pelvic floor
Date:1/30/2013

Women are more likely to experience urinary incontinence, prolapse and faecal incontinence 20 years after one vaginal delivery rather than one caesarean section, finds new research published in a thesis from Sahlgrenska Academy, University of Gothenburg, Sweden.

Urinary incontinence, prolapse and faecal incontinence are common conditions affecting adult women of all ages and can have a negative influence on quality of life. This unique study, performed by researcher Maria Gyhagen at the Sahlgrenska Academy, looked at the prevalence and risk factors for urinary incontinence, prolapse and faecal incontinence 20 years after vaginal delivery or caesarean section. The SWEPOP (Swedish pregnancy, obesity and pelvic floor) study was conducted in 2008 and data was obtained from the Medical Birth Register about women who had delivered only one child between 1985-1988 and had no further children.

A questionnaire was sent to the women in 2008 and 6, 148 completed it answering questions on height, weight, urinary or faecal incontinence, genital prolapse, menstrual status, hysterectomy, the menopause and hormone treatment. Two decades after one childbirth, vaginal delivery was associated with a 67% increased odds of urine incontinence (UI), and UI being present more than 10 years later increased by 275% compared to caesarean section.

- Current BMI was the most important BMI-determinant for UI, which is important, since BMI is modifiable, says Maria Gyhagen.

The single most important risk factor for symptomatic prolapse was delivery via the vaginal route. Birthweight above 4500g was a risk factor for symptomatic prolapse after vaginal delivery. Symptomatic prolapse was also an important risk factor for urine incontinence. The prevalence of faecal incontinence was higher after vaginal delivery compared with caesarean section. Perineal tear of the 2nd degree almost doubled the prevalence of faecal incontinence. Episiotomy was protective against late faecal incontinence. The prevalence of urinary incontinence, prolapse and faecal incontinence did not differ between women delivered by acute compared to elective caesarean section, indicating that it is not until the fetus passes through the delivery canal that the injuries occur that causes these pelvic floor disorders.

This is the first study of its kind to show that one vaginal delivery influences the long-term risk of developimg urinary incontinence, prolapse and faecal incontinence compared to one caesarean section. The results of this study provide important new information for women who are concerned that a vaginal delivery will lead to long-term pelvic floor damage.

However it is important to note that when choosing the most suitable form of delivery it is necessary to consider numerous medical issues that can potentially influence the health of the mother and child.


'/>"/>
Contact: Maria Gyhagen
maria.gyhagen@vgregion.se
University of Gothenburg
Source:Eurekalert  

Related medicine news :

1. Study Links Long-Term Aspirin Use With Vision Loss
2. Gastric banding an effective long-term solution to obesity
3. USF and VA researchers find long-term consequences for those suffering traumatic brain injury
4. The Spencer Institute Supports New Year’s Resolutions and Long-Term Health with Wellness Coach Certification
5. Long-Term Aspirin Use Linked With Vision Loss: Study
6. Long-terms benefits follow brain surgery for certain forms of epilepsy
7. Long-term survival after less-invasive repair of abdominal aneurysm same as with open procedure
8. Long-term public health support needed to tackle infectious disease outbreaks
9. Best Drug Rehabilitation's New Indiana Facility to Create Dozens of Quality Long-Term Jobs
10. Long-Term Use of Some Antipsychotics Not Warranted in Older Adults: Study
11. Kessler Foundation scientists report negative impact of long-term caregiving on cognition
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Long-term consequences of vaginal delivery on the pelvic floor
(Date:5/26/2017)... ... May 26, 2017 , ... Rob Lowe acts as ... production of the series is on hiking in American. Viewers can reconnect with America ... great benefits of hiking. , Many consumers have looked for an inventive new place ...
(Date:5/26/2017)... ... May 26, 2017 , ... “THE FLINTHILLS FAMILY-Our Journey to the Cross”: the personal journey of ... Cross” is the creation of published authors, Bob and Margaret Massey. Bob Massey is ... is "panther quick and leather tough." His love for others is apparent in all ...
(Date:5/26/2017)... ... ... Jack: Against All Odds”: the story of Coach Cactus Jack and the impact he ... creation of published author, Walter Hubbard, a retired wildlife and fisheries biologist and pharmacy ... Walter and Jane have three adult children and a granddaughter. Walter and ...
(Date:5/24/2017)... ... May 24, 2017 , ... In ... choosing the most appropriate instruments for research and understanding the basic principles that ... webinar will focus on innovations in stereo microscopy for brightfield and fluorescence typically ...
(Date:5/24/2017)... California (PRWEB) , ... May 24, 2017 , ... ... through innovative medical image management and interpretation, has received U.S. Food and Drug ... , Nucleus.io is a web-based, scalable and secure cloud platform for medical image ...
Breaking Medicine News(10 mins):
(Date:5/15/2017)... Inc., a privately-held CNS pharmaceutical company based in ... disease (PD), has enrolled the first patient in the RASMET ... study involving patients with PD and taking place at 12 ... period. The first stage is open label and involves single ... Denver , Boca Raton ...
(Date:5/10/2017)... Global Health Intelligence (GHI), the leading healthcare data analytics ... 2017 ranking of the Best-Equipped Hospitals in Latin America ... GHI,s hospitals database for Latin America , which is ... database covers 86% of the hospitals in Latin ... each institution in key areas such as beds, medical specialties, ...
(Date:5/9/2017)... -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH), ... has earned a spot on Forbes, "America,s ... ranked among 500 U.S. employers as well as in ... Services. The annual Forbes rankings ... of over 30,000 employees across 25 industries. The survey ...
Breaking Medicine Technology: