Prevalence and Persistence of Health Problems After Childbirth: Associations with Parity and Method of Birth

Thompson, Jane; Roberts, Christine L.; Currie, Marian J.; Ellwood, David

doi:10.1046/j.1523-536x.2002.00167.x

Cited by 446 publications

(366 citation statements)

References 77 publications

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“…Nor did delivery outcomes. This is in contrast to previous studies [6,9]. However, to what extent dyspareunia is related to mode of delivery is not well established [5].…”

Section: Discussioncontrasting

confidence: 87%

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Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Tennfjord, M. K., Hilde, G., Staer-Jensen, J., Ellstrøm Engh, M., Bø, K. (2014).Dyspareunia and pelvic floor muscle function before and during pregnancy and during pregnancy and after childbirth. ABSTRACT Introduction and hypothesis:There is limited knowledge on dyspareunia during pregnancy and postpartum and the role of the pelvic floor muscles (PFM) in women with dyspareunia. Aims of the study were to investigate presence of dyspareunia before, during pregnancy and postpartum and to compare vaginal resting pressure (VRP), PFM strength and endurance between women with and without dyspareunia. It was hypothesized that there is no difference in PFM variables between women with and without dyspareunia. Methods: Three hundred nulliparous women participated in this prospective cohort and answered questions about dyspareunia and level of bother at gestational weeks 22 and 37, 6 and 12 months postpartum and retrospectively prior to their pregnancies using ICIQFLUTSsex. PFM variables were assessed by manometer at gestational week 22, 6 and 12 months postpartum. Comparisons between groups were analyzed using independent-samples t test.Results: Twenty-eight and 30% of the women reported dyspareunia at pre-pregnancy and at gestational week 22, respectively. At gestational week 37, 6 and 12 months postpartum, the number was 40%, 45% and 33%, respectively. No difference in PFM variables were found between women with or without dyspareunia. Level of bother was higher postpartum than before and during pregnancy. Conclusion: Symptoms of dyspareunia were common at all time points. No link could be made between PFM function and dyspareunia. Women suffering from dyspareunia postpartum reported it as bothersome. Our findings suggest that women should be asked about symptoms of dyspareunia related to pregnancy, and that future research should aim for preventative and treatment strategies.

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“…Nor did delivery outcomes. This is in contrast to previous studies [6,9]. However, to what extent dyspareunia is related to mode of delivery is not well established [5].…”

Section: Discussioncontrasting

confidence: 87%

“…Dyspareunia occurring during pregnancy and childbirth may be a result of morphological and hormonal changes of the pelvic floor [8,3,6], and has shown to correlate with delivery mode [6,9]. In women breastfeeding, a reduction in estrogen may lead to reduced vaginal lubrication as a response to sexual stimulation [10].…”

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confidence: 99%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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“…These results are in agreement with a study done in the U.S.A, in which it was found a prevalence of 46% and 43% respectively (18) , however, it contradicts those other studies conducted in Europe and in Brazil which found higher incidence of UI in multiparous than in primiparous (8,12,19,20) . The analysis of presented studies have shown that parturitions is a determinant risk factor to urinary incontinence in the postpartum.…”

Section: Discussionsupporting

confidence: 85%

Prevalência de incontinência urinária autorreferida no pós-parto e fatores relacionados

Lopes¹,

Praça

2012

Acta paul. enferm.

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Objectives: To verify the prevalence of self-reported urinary incontinence (UI) in women after childbirth, and to identify related factors. Methods: A cross-sectional epidemiological study was conducted between January and August 2009. We interviewed 288 women, who were 30 days to 6 months postpartum. Data were statistically analyzed. Results: The prevalence of self-reported postpartum UI was 24.6%. The average age of women was 26 years; only skin color showed a statistically significant difference, with the largest representation among white women. Among the 71 women who reported postpartum UI, the majority were primiparas and underwent normal delivery. Conclusion: The occurrence of self-reported urinary incontinence after childbirth is associated with skin color, predominantly in primiparous women as compared to non primiparous. Identification of factors related to UI in women after childbirth and its prevalence contribute to the planning of midwifery care for women who experience reproductive events. Keywords: Obstetrical nursing; Urinary incontinence; Women's health RESUMOObjetivos: Verificar a prevalência de incontinência urinária (IU) autorreferida por mulheres no pós-parto e identificar os fatores relacionados. Métodos: Estudo epidemiológico transversal, realizado no período de janeiro a agosto de 2009. Foram entrevistadas 288 mulheres com 30 dias a 6 meses de pós-parto. Os dados foram analisados estatisticamente. Resultados: Observou-se prevalência de 24,6% de IU autorreferida no pós-parto. A idade média das mulheres foi de 26 anos, apenas a cor da pele apresentou diferença estatística significante, com maior representatividade em mulheres brancas. Dentre as 71 entrevistadas que referiram IU no pós-parto, a maioria era primípara e submeteu-se ao parto normal. Conclusão: A ocorrência de IU autorreferida no pós-parto associa-se à cor da pele com predominância em primíparas em comparação às não primíparas. Identificar os fatores relacionados à IU em mulheres no pós-parto e sua prevalência contribui no planejamento de atenção de enfermagem obstétrica à mulher que vivencia o período reprodutivo. Descritores: Enfermagem obstétrica; Incontinência urinária; Saúde da mulher RESUMEN Objetivos: Verificar la prevalencia de incontinencia urinaria (IU) autorreferida por mujeres en el postparto e identificar los factores relacionados. Métodos: Estudio epidemiológico transversal, realizado en el período de enero a agosto del 2009. Fueron entrevistadas 288 mujeres con 30 días a 6 meses de postparto. Los datos se analizaron estadísticamente. Resultados: Se observó prevalencia de 24,6% de IU autorreferida en el postparto. La edad promedio de las mujeres fue de 26 años, apenas el color de la piel presentó diferencia estadística significativa, con mayor representatividad en mujeres blancas. De las 71 entrevistadas que refirieron IU en el postparto, la mayoría era primípara y se sometió al parto normal. Conclusión: La ocurrencia de IU autorreferida en el postparto se asocia al color de la piel con predominio en primíp...

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“…In addition, CD is associated with longer hospital stays for both mother and baby [18,19], increased frequency of serious complications during future pregnancies [18], and higher costs [20]. Despite suggestions that elective CD might improve maternal perineal health [21,22], its long-term benefits are unproven [16,23], and its long-term risks have probably been minimized [24,25].…”

Section: Introductionmentioning

confidence: 99%

The association between the regular use of risk-based term IOL and improved birth outcomes in an Italian hospital: A retrospective cohort study

Boca¹,

Biffi²,

R³

et al. 2017

Med Res Innov

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Objective: Associations have been recently reported between the regular use of risk-based term labor induction and improvements in birth outcomes. We wanted to study the use of this approach in an Italian hospital. Design: Retrospective Cohort StudySetting: The Mandic Hospital, in Merate, Italy, from March 2009 through July 2010.Population: All pregnant women delivering at term who met study inclusion and exclusion criteria. Methods:The "exposed" group was comprised of women cared for and delivered by providers who regularly offered risk-based term labor induction. The "nonexposed" group was comprised of women cared for and delivered by providers who followed the "expectant management" approach to risk. Prenatal, intrapartum and outcome data for the two cohorts were collected and compared. Main outcome measures:Cesarean delivery rate and weighted Adverse Outcome Index (AOI) Score. Results:The exposed group (n=120), as compared to the non-exposed group (n=159), had a higher induction rate, a lower cesarean rate (1.7% vs. 43.4%, aOR 0.04, CI [0.01-0.22]), and a numerically lower weighted Adverse Outcome Index Score (0.4 vs. 6.1, p=0.61). Two cases of term stillbirth occurred in the non-exposed group. No adverse birth outcome occurred with greater frequency in the exposed group. Conclusion:In this Italian hospital, and consistent with previous studies, exposure to the regular use of risk-based term labor induction was associated with a more favorable set of birth outcomes. Randomised clinical trials are needed to further explore this alternative approach.

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Prevalence and Persistence of Health Problems After Childbirth: Associations with Parity and Method of Birth

Abstract: Health problems commonly occurred after childbirth with some resolution over the 6 months postpartum. Some important differences in prevalence of health problems were evident when parity and method of birth were considered.

Cited by 446 publications

References 77 publications

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Prevalência de incontinência urinária autorreferida no pós-parto e fatores relacionados

The association between the regular use of risk-based term IOL and improved birth outcomes in an Italian hospital: A retrospective cohort study

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