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Updated: Jul 7, 2026
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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Prospective study to assess risk factors for pelvic floor dysfunction after delivery
Maurizio Serati1, Stefano Salvatore, Vik Khullar
1Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. mauserati@hotmail.com
Acta Obstetricia Et Gynecologica Scandinavica
|March 1, 2008
Summary
A prolonged second stage of labor (>1 hour) increases the risk of postpartum urinary incontinence. Pelvic floor disorders, except for dyspareunia, often persist after vaginal delivery.
Area of Science:
- Obstetrics
- Gynecology
- Pelvic Floor Disorders
Background:
- Pelvic floor disorders are common after childbirth.
- Identifying risk factors for de novo pelvic floor disorders is crucial for prevention and management.
Purpose of the Study:
- To identify obstetric risk factors associated with the development of new-onset pelvic floor disorders following vaginal delivery.
Main Methods:
- Prospective interview-based study of antenatally asymptomatic women.
- Data collected on urinary, anal, and sexual dysfunction at 6 and 12 months postpartum.
- Statistical analysis including univariate and multivariate approaches.
Main Results:
- A second stage of labor exceeding 1 hour was significantly associated with postpartum urinary incontinence (multivariate analysis).
- Urinary symptoms affected 27% at 6 months and 23% at 12 months postpartum.
- Anal incontinence occurred in approximately 7% at both 6 and 12 months; dyspareunia decreased from 24% to 8%.
Conclusions:
- A prolonged second stage of labor is a key risk factor for postpartum urinary incontinence.
- Pelvic floor dysfunction, excluding dyspareunia, shows limited spontaneous resolution postpartum.
- Further research into preventive strategies for prolonged labor is warranted.
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