The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

Abstract

Background This study aimed to analyze the effect of obstetric factors on the development of pelvic floor dysfunction (PFD) in women in the early postpartum period. Methods Clinical data of 300 women who were reviewed in our outpatient clinic from July 2016 to December 2019 in the postpartum period were retrospectively analyzed. The occurrence of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) was assessed using the Pelvic Organ Prolapse Quantification System and International Consultation on Incontinence Questionnaire Short Form. Factors affecting the occurrence of PFD in women in the early postpartum period were analyzed using univariate and multifactorial logistic regression models. Results A total of 46 cases of POP (15.33%) and 82 of SUI (27.33%) occurred in 300 women at 6–8 weeks after birth. Unconditional logistic regression confirmed that age ≥35 years, vaginal delivery, BMI before delivery ≥ 25 kg/m 2 , perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia were risk factors influencing the occurrence of POP (OR > 1, P < 0.05), whereas age ≥ 35 years, vaginal delivery, perineal tear, protracted or prolonged second stage of labor, fetal macrosomia, and SUI during pregnancy were risk factors influencing the occurrence of SUI (OR> 1, P< 0.05). Conclusion Obstetric factors such as age, mode of delivery, perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia may increase the risk of developing PFD in women in the early postpartum period; hence, these risk factors should be correctly identified and promptly addressed to prevent the development of PFD.

Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China

“…The effect of weight factors on pelvic floor function has been a hot topic. Most studies have focused on the effects of maternal prepregnancy body mass index (BMI) and newborn birthweight on pelvic floor function [9][10][11], and few studies have explored the effects of GWG as a controllable factor during pregnancy on pelvic floor function. A systematic review and meta-analysis showed that excessive GWG is one of the risk factors for PFDs [12], and this limited study did not address the twin primiparas group.…”

Spanish Cross-Cultural Adaptation of the Australian Pelvic Floor Questionnaire

“…Constipation, stimulants like coffee, obesity, hypertension, sedatives, or anti-inflammatory drugs may be associated with the onset or worsening of pelvic floor dysfunction symptoms [ 12 ]. Concerning the obstetrics background, a long labor stage of delivery, vaginal delivery, pelvic floor tears or incontinence during pregnancy are risk factors for pelvic floor dysfunctions subsequently [ 13 ]. High-impact sports have also been described as another risk factor for pelvic floor disorders [ 14 , 15 ].…”

Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China

“…The effect of weight factors on pelvic oor function has been a hot topic. Most studies have focused on the effects of maternal prepregnancy BMI and newborn birthweight on pelvic oor function [9][10][11], and few studies have explored the effects of GWG as a controllable factor during pregnancy on pelvic oor function. A systematic review and meta-analysis showed that excessive GWG is one of the risk factors for PFDs [12], and this limited study did not address the twin primiparas group.…”