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01-12-2009 | Original Article

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

Authors: Victoria L. Handa, Ingrid Nygaard, Kimberly Kenton, Geoffrey W. Cundiff, Chiara Ghetti, Wen Ye, Holly E. Richter, for the Pelvic Floor Disorders Network

Published in: International Urogynecology Journal | Issue 12/2009

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.

Available only for authorised users

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Title: Pelvic organ support among primiparous women in the first year after childbirth
Authors: Victoria L. Handa
Ingrid Nygaard
Kimberly Kenton
Geoffrey W. Cundiff
Chiara Ghetti
Wen Ye
Holly E. Richter
for the Pelvic Floor Disorders Network
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 12/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0937-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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