Single vaginal delivery ups later risk of pelvic organ prolapse

Single vaginal delivery ups later risk of pelvic organ prolapse
Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

(HealthDay)—Twenty years after childbirth, the risk of symptomatic pelvic organ prolapse (sPOP) is increased after a single vaginal delivery versus cesarean section, according to a study published online Nov. 2 in BJOG: An International Journal of Obstetrics and Gynaecology.

Maria Gyhagen, from the Sahlgrenska Academy at Gothenburg University in Sweden, and colleagues examined the prevalence and risk factors for sPOP and concomitant urinary incontinence 20 years after one cesarean section or vaginal delivery. A total of 5,236 singleton primiparae with a birth in 1985 to 1988 with no further births were surveyed using validated questionnaires.

The researchers found that there was an increased prevalence of sPOP after vaginal delivery compared with cesarean section (14.6 versus 6.3 percent; odds ratio, 2.55). No increase was seen after acute versus elective cesarean section. Compared with spontaneous vaginal delivery there was no increased risk of sPOP with episiotomy, vacuum extraction, and second-degree or more laceration. With each unit increase of current and each 100 g increase in , there was a significant 3 percent increase in sPOP. The prevalence of sPOP was doubled for mothers ≤160 cm in height who delivered a child weighing 4,000 g or greater, compared with short mothers who delivered an infant weighing less than 4,000 g (24.2 versus 13.4 percent; odds ratio, 2.06). Compared with women without prolapse, women with sPOP more often had urinary incontinence and urinary incontinence for more than 10 years.

"The prevalence of sPOP was doubled after vaginal delivery compared with , two decades after one birth," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

OASIS risk up for nulliparous women with vacuum delivery

Aug 24, 2012

(HealthDay)—For women whose infants are delivered by vacuum extraction, the risk of obstetric anal sphincter injury (OASIS) is significantly higher among nulliparous women than multiparous women, according ...

Reduced baby risk from another cesarean

Mar 13, 2012

A major study led by the University of Adelaide has found that women who have had one prior cesarean can lower the risk of death and serious complications for their next baby - and themselves - by electing to have another ...

Fear of childbirth increases likelihood of C-section

Sep 21, 2011

A new study published in the international journal Acta Obstetricia et Gynecologica Scandinavica (AOGS) reveals that fear of childbirth is a predisposing factor for emergency and elective cesarean sections, even after psycho ...

Recommended for you

Prolonged, heavy bleeding during menopause is common

Apr 15, 2014

Women going through menopause most likely think of it as the time for an end to predictable monthly periods. Researchers at the University of Michigan say it's normal, however, for the majority of them to experience an increase ...

Italy IVF patient pregnant with wrong embryos

Apr 13, 2014

A woman who underwent fertility treatment at a clinic in Rome became pregnant with the twins of another couple after their embryos were mixed up, press reports said Sunday.

Abuse not tied to pain severity in chronic pelvic pain

Apr 11, 2014

(HealthDay)—A history of adolescent or adult abuse is not associated with pain severity, but is linked to pain-related disability and depression in women with chronic pelvic pain (CPP), according to a study ...

User comments