Pelvic floor dysfunction 6 years post vaginal versus cesarean delivery

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State: Public
Version: After imprimatur
Serval ID
serval:BIB_7BD42857561F
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Pelvic floor dysfunction 6 years post vaginal versus cesarean delivery
Author(s)
LOMBARDI V.
Director(s)
BAUD D.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2015
Language
english
Number of pages
19
Abstract
ABSTRACT
OBJECTIVE:
To estimate fecal, urinary and sexual symptoms 6 years after uncomplicated vaginal versus
elective cesarean deliveries.
METHODS:
Patients who delivered 6 years (2000-2004) before this study were chosen at random from our
hospital database. Singleton elective cesarean deliveries (eCS, cases) were compared to
uncomplicated vaginal deliveries (uVD, controls). Validated questionnaires grading fecal,
urinary incontinence and sexual dysfunction were completed by the patients.
RESULTS:
A total of 309 women with uVD and 208 with eCS returned postal questionnaires in 2008.
Socio-demographic characteristics and fecal incontinence were similar between groups. After
eCS, women reported significantly less urge urinary incontinence (aOR 0.55; 95%CI 0.34-0-
88) and stress incontinence (aOR 0.53; 95%CI 0.35-0-80) than after uVD. However, pain
associated with urination (aOR 1.58; 95%CI 1.01-2.49) and sexual activity (aOR 0.40; 95%CI
0.19-0.84) was significantly more frequent after eCS than uVD.
CONCLUSION:
Six years postpartum, uVD is strongly associated with urinary incontinence, while eCS is
associated with sexual and urination pains.
Keywords
Pelvic floor dysfunction, incontinence, vaginal delivery, cesarean section
Create date
31/08/2016 14:52
Last modification date
20/08/2019 14:37
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