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Related Experiment Video

Updated: Jun 8, 2026

Development of a Uterosacral Ligament Suspension Rat Model

Development of a Uterosacral Ligament Suspension Rat Model

Published on: August 17, 2022

What harm does a second delivery to the pelvic floor?

Katharina Jundt¹, I Scheer, V von Bodungen

¹Department of Gynecology and Obstetrics - Campus Innenstadt, Ludwig-Maximilians-University, 80337 München, Germany. katharina.jundt@med.uni-muenchen.de

European Journal of Medical Research

|October 16, 2010

Summary

Subsequent deliveries do not further compromise pelvic floor function, although childbirth causes lasting changes in incontinence symptoms and bladder support. Pelvic floor function is significantly altered after childbirth.

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Last Updated: Jun 8, 2026

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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

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Published on: April 17, 2019

Area of Science:

Obstetrics and Gynecology
Pelvic Floor Disorders
Female Reproductive Health

Background:

Childbirth significantly impacts pelvic floor function.
Urinary and anal incontinence are common postpartum issues.
Understanding long-term pelvic floor changes is crucial for women's health.

Purpose of the Study:

To compare pelvic floor function in women after one delivery versus after a second delivery.
To assess symptoms of urinary and anal incontinence, anal sphincter integrity, and bladder-neck mobility.
To evaluate the long-term effects of childbirth on pelvic floor function.

Main Methods:

A cohort of nulliparous women was followed for 27 months postpartum.
Questionnaires assessed urinary and anal incontinence symptoms.
Gynecologic examination, perineal, and endoanal ultrasound evaluated pelvic floor function.

Main Results:

No significant difference in pelvic floor function between women with one versus two deliveries, except for levator ani muscle strength.
Childbirth led to lasting increases in stress urinary and anal incontinence, and overactive bladder symptoms.
Postpartum, women showed decreased bladder neck support and increased bladder neck mobility compared to pre-childbirth.

Conclusions:

Childbirth causes significant, lasting changes in pelvic floor function and incontinence symptoms.
A second delivery does not appear to further compromise pelvic floor function compared to a first delivery.
Long-term follow-up reveals persistent effects on pelvic floor support and continence.