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[From delivery mode to incontinence].

X Fritel1

  • 1Service de Gynécologie-Obstétrique, CHD Félix-Guyon, Saint-Denis-de-la-Réunion. x-fritel@chd-fguyon.fr

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|December 2, 2005
PubMed
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Vaginal birth and Cesarean sections can both lead to pelvic floor disorders like incontinence. While delivery mode impacts short-term continence, these effects often diminish over time due to repair or other factors.

Area of Science:

  • Obstetrics and Gynecology
  • Pelvic Floor Disorders
  • Urogynecology

Context:

  • Pelvic static disorders, including urinary and fecal incontinence, are commonly associated with childbirth.
  • Epidemiological data suggest a higher prevalence of incontinence post-delivery.

Purpose:

  • To analyze the relationship between mode of delivery and the prevalence of pelvic floor disorders.
  • To differentiate the impact of vaginal delivery versus Cesarean section on stress and urge urinary incontinence, and fecal incontinence.

Summary:

  • Urge urinary incontinence is not linked to pregnancy number or delivery method.
  • Stress urinary incontinence shows higher prevalence in women after Cesarean section compared to nulliparous women, and is more frequent after vaginal delivery than Cesarean section at age equivalence.

Related Experiment Videos

  • Fecal incontinence is more common after delivery, particularly with forceps, but late prevalence is similar across delivery modes; pregnancy and delivery effects on continence fade over time.

    • Impact:

    • The mode of delivery influences short-term continence outcomes.
    • Long-term continence is less dependent on delivery method, suggesting other factors like age and tissue quality become more significant.
    • Programmed Cesarean section has not demonstrated a beneficial effect on maintaining continence.