Association between delivery mode and pelvic organ prolapse: A meta-analysis of observational studies

Leng, Bingjie; Zhou, Yong; Du, Shanshan; Liu, Fang; Zhao, Lei; Sun, Guoqiang; Zhao, Yun

doi:10.1016/j.ejogrb.2019.01.031

Cited by 21 publications

(14 citation statements)

References 29 publications

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“…In one study, it is significantly associated with developing primary POP, but in the other study, it is significantly protective against developing POP. Comparable inconsistencies were found in the meta-analysis by Leng et al 48 even though they analyzed vacuum and forceps delivery in a combined factor. The systematic review by Cattani et al 5 stated that forceps delivery is a risk factor for primary POP, but in contrast to our present review, they included studies that did not make a clear distinction between women with primary POP and women who already had a history of POP surgery.…”

Section: Comparison With Existing Literaturementioning

confidence: 89%

Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis

Schulten¹,

Claas-Quax

Weemhoff

et al. 2022

American Journal of Obstetrics and Gynecology

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Section: Comparison With Existing Literaturementioning

confidence: 89%

Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis

Schulten¹,

Claas-Quax

Weemhoff

et al. 2022

American Journal of Obstetrics and Gynecology

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“…A similar finding was reported by a Czech study [30] used the PFDI-20 for primiparous 5-10 years after delivery. However, a recent meta-analysis [31] analyzed subjective reports for POP, and a recent Chinese study [16], used the PFDI-20, reported a higher risk for POP among patients who delivered vaginally. The ICS committee found a mode of delivery as a debatable risk factor for POP, and argue that the pelvic floor damage may be the result of previous pregnancies rather than previous deliveries [21].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Levy

Zines

Paz-Levy

et al. 2020

Asp Biomed Clin Case Rep

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Aim: In the process of opening a new Pelvic Floor Medicine Unit, we aimed to map the pelvic floor dysfunction and sexual issues using validated quality of life (QOL) questionnaires. Material and Methods: All the patients who attended the Pelvic Floor Medicine Unit clinic in Assuta University Medical Center in Ashdod, Israel, were given a validated Pelvic Floor Distress Inventory 20 (PFDI-20) and Prolapse Urinary Incontinence Sexual Questionnaire 12 (PISQ-12) questionnaires prior to meeting the physician. The patient’s age, parity, and route of delivery were collected from the medical record. All data has been statistically analyzed using Kruskal Wallis Test and Mann-Whitney U Test. Results: 647 patients were included in the study, of them 462 filled out the PFDI-20 questionnaires and 221 completed the PISQ-12 questionnaire filling. In the PFDI-20 results, POPDI-6 higher scores were found to be associated with higher parity (p=0.043) and with higher age (p=0.03). CARD-8 scores were found to be significantly associated with cesarean delivery only in patients’ history (p=0.023) and with higher age (p=0.05). UDI-6 scores were found significantly associated with older age (p<0.01). PISQ-12 scores were found associated with age (p=0.002), but not with either parity or route of delivery. Conclusions: Using validates questionnaires, we could demonstrate a correlation between parity and age, an association between aging and higher rates of bowel and sexual dysfunction, an association between higher parity and pelvic organ prolapse complaints, and an association between previous cesarean deliveries only and higher rates of bowel disfunction. The use of validated QoL questionnaires for describing the population suffering from PFDs presents an important tool in understanding the epidemiology of PFD in different communities.

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“…Die Ergebnisse aus 3 Metaanalysen zeigen hier eine signifikante Reduktion eines späteren Auftretens eines Genitalprolapses in der Gruppe der Kaiserschnittentbindungen [12].…”

Section: Fa Zit Für Die Pr a Xisunclassified

Einfluss von Schwangerschaft und Entbindung auf den mütterlichen Beckenboden

Naumann¹

2022

Frauenheilkunde up2date

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Association between delivery mode and pelvic organ prolapse: A meta-analysis of observational studies

Cited by 21 publications

References 29 publications

Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis

Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis

Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Einfluss von Schwangerschaft und Entbindung auf den mütterlichen Beckenboden

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