Pelvic Floor Function Evaluation of Singleton Primiparae After Vaginal Delivery and Cesarean Section: Seven to Twelve-Year Long Observational Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 865
- 主要终点
- Pelvic organ prolapse symptoms score
研究概览
简要总结
Objective of this longitudinal observational cohort study was to analyze incidence of pelvic floor dysfunction (PFD) symptoms, including pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI), seven to twelve years after delivery, in two groups of singleton primiparae after vaginal delivery (VD) and cesarean section (CS).
详细描述
Pelvic floor disorders (PFD) usually refers to three definable groups of symptoms that include pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI). The prevalence of these conditions increases with age, but in general, PFD affect 20-50 % of women throughout their lives. Thus, PFD are common and have significant societal impact. Another important PFD risk factor is childbearing. Specifically, these disorders are more common among multiparas. Vaginal delivery (VD) has been considered the main contributing factor because of pelvic floor muscle, fascia, and nerves damage.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •singleton pregnancy
- •cephalic presentation
- •delivery in term (gestational week 38-42)
- •no other childbirth during study period
排除标准
- •operative vaginal delivery (vacuum extraction or forceps delivery)
结局指标
主要结局
Pelvic organ prolapse symptoms score
时间窗: seven years after delivery
calculated from validated questionnaire International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF)
次要结局
- Fecal incontinence symptoms score(seven years after delivery)
- Urinary incontinence symptoms score(seven years after delivery)
研究者
Martin Huser
doctor
Brno University Hospital