Parity, Mode of Delivery, and Pelvic Floor Disorders

  title={Parity, Mode of Delivery, and Pelvic Floor Disorders},
  author={Emily S. Lukacz and Jean M. Lawrence and Richard Contreras and Charles W. Nager and Karl M. Luber},
  journal={Obstetrics \& Gynecology},
OBJECTIVE: This study aimed to assess the associations between parity, mode of delivery, and pelvic floor disorders. METHODS: The prevalence of pelvic organ prolapse, stress urinary incontinence, overactive bladder, and anal incontinence was assessed in a random sample of women aged 25–84 years by using the validated Epidemiology of Prolapse and Incontinence Questionnaire. Women were categorized as nulliparous, vaginally parous, or only delivered by cesarean. Adjusted odds ratios and 95… 
Pelvic Floor Disorders 5–10 Years After Vaginal or Cesarean Childbirth
Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth.
Prevalence of Pelvic Floor Disorders in the Female Population and the Impact of Age, Mode of Delivery, and Parity
Analysis of risk factors demonstrated that age was the major factor associated with the development of pelvic floor dysfunction and it is strongly linked to childbirth and aging.
Association between mode of delivery and pelvic floor dysfunction.
  • G. RørtveitY. Hannestad
  • Medicine
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
  • 2014
Compared to vaginal delivery, caesarean section appears to protect against urinary incontinence, but the effect decreases after patients reach their fifties, and meta-analyses may indicate that caesaran section does not offer protection after the postpartum period.
Prevalence and Co-Occurrence of Pelvic Floor Disorders in Community-Dwelling Women
Although the prevalence of pelvic floor disorders in a community-dwelling population is high, age was not a significant contributor after adjustment for confounders, including obesity, birth history, menopause, and hormones.
[Pelvic floor and pregnancy].
  • X. Fritel
  • Medicine
    Gynecologie, obstetrique & fertilite
  • 2010
Pelvic floor dysfunction depending on mode of delivery- clinical and epidemiological aspects
Clinical and epidemiological evidence is provided that obstetrical intervention at the time of childbirth may to some extent prevent SUI and POP later in life, particularly in multiparous women and women over 30 years of age at first delivery.
Risk factors for stress urinary incontinence following vaginal and caesarean delivery
SUI after delivery affected by Mode of delivery, pelvic muscle floor weakness, perineal tear, BMI, newborn weight and head circumference, and SIU setelah postpartum.


Parity as a correlate of adult female urinary incontinence prevalence.
The hypothesis that pregnancy and childbirth are potent causes of female urinary incontinence, so that they exert considerable impact on the level of population urinaryincontinence prevalence, is supported.
Prevalence of symptomatic pelvic organ prolapse in a Swedish population
The prevalence of symptomatic pelvic organ prolapse in a Swedish urban female population rose with increasing age but leveled off after age 60, and parity emerged as a considerably stronger risk factor than age.
Anal function: effect of pregnancy and delivery.
Vaginal delivery is associated with a decrease in anal pressures and increased anal sphincter trauma but has no effect on anal sensation, and changes were not related to anal symptoms.
Obstetric history in women with surgically corrected adult urinary incontinence or pelvic organ prolapse.
Diagnosis of Anal Sphincter Tears to Prevent Fecal Incontinence: A Randomized Controlled Trial
Ulasound examination of the perineum after childbirth improves the diagnosis of anal sphincter tears, and their immediate repair decreases the risk of severe fecal incontinence.