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Urinary incontinence, faecal incontinence and pelvic organ prolapse symptoms 20-26 years after childbirth: A longitudinal cohort study.
Hagen, S; Sellers, C; Elders, A; Glazener, C; MacArthur, C; Toozs-Hobson, P; Hemming, C; Herbison, P; Wilson, D.
Afiliación
  • Hagen S; Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK.
  • Sellers C; Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK.
  • Elders A; Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK.
  • Glazener C; Health Services Research Unit, University of Aberdeen, Aberdeen, UK.
  • MacArthur C; College of Medical and Dental Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
  • Toozs-Hobson P; Department of Gynaecology, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
  • Hemming C; Department of Gynaecology, Aberdeen Royal Infirmary, Aberdeen, UK.
  • Herbison P; Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
  • Wilson D; Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
BJOG ; 131(13): 1815-1823, 2024 Dec.
Article en En | MEDLINE | ID: mdl-39079703
ABSTRACT

OBJECTIVE:

To investigate pelvic floor dysfunction (PFD; urinary incontinence (UI), faecal incontinence (FI) and prolapse) ≥20 years after childbirth and their association with delivery mode history and demographic characteristics.

DESIGN:

Cohort study with long-term follow-up.

SETTING:

Maternity units in Aberdeen and Birmingham (UK) and Dunedin (NZ). POPULATION Women giving birth in 1993/1994.

METHODS:

Postal questionnaires at 20 (New Zealand) or 26 (United Kingdom) years after index birth (n = 6195). Regression analyses investigated associations between risk factors and UI, FI and prolapse symptoms. MAIN OUTCOME

MEASURES:

Prevalence of self-reported UI, FI, 'something coming down' from or in the vagina (SCD), and the Pelvic Organ Prolapse-Symptom Score, and relationships with delivery method.

RESULTS:

Thirty-seven per cent (n = 2270) responded at 20/26 years, of whom 61% reported UI (59% of whom reported more severe UI), 22% FI and 17% prolapse symptoms. Having only caesarean section (CS) was associated with a significantly lower risk of UI (OR 0.63, 95% CI 0.46-0.85), FI (OR 0.63, 95% CI 0.42-0.96) and SCD (OR 0.44, 95% CI 0.27-0.74) compared to only spontaneous vaginal deliveries (SVDs). Having any forceps delivery was associated with reporting FI compared to only SVDs (OR 1.29, 95% CI 1.00-1.66), but there was no association for UI (OR 0.95, 95% CI 0.76-1.19) or SCD (OR 1.05, 95% CI 0.80-1.38). Higher current BMI was associated with all PFD outcomes.

CONCLUSIONS:

Prevalence of PFD continues to increase up to 26 years following index birth, and differences were observed according to delivery mode history. Exclusive CS was associated with less risk of UI, FI and any prolapse symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Parto Obstétrico / Incontinencia Fecal / Prolapso de Órgano Pélvico Límite: Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa / Oceania Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Parto Obstétrico / Incontinencia Fecal / Prolapso de Órgano Pélvico Límite: Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa / Oceania Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido