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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Child birth, pregnancy and pelvic floor dysfunction
1Department of Obstetrics & Gynecology, P.S.G. Institute of Medical Sciences & Research, Peelamedu, Coimbatore, 641 004 Tamil Nadu India.
Journal of Obstetrics and Gynaecology of India
|December 4, 2012
Summary
Urinary incontinence affects 18.6% of women post-childbirth, increasing with age and parity. Cesarean section did not significantly reduce incontinence rates compared to vaginal delivery.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Pelvic Floor Disorders
Background:
- Childbirth is a significant risk factor for pelvic floor dysfunction.
- Urinary incontinence is a common, yet often underreported, consequence of childbirth.
- Understanding contributing factors is crucial for prevention and management strategies.
Purpose of the Study:
- To investigate the prevalence of urinary incontinence in women after childbirth.
- To examine the association between incontinence and factors such as age, parity, mode of delivery, and birth weight.
Main Methods:
- A cross-sectional study involving a questionnaire administered by trained interviewers.
- Informed consent was obtained from all participants prior to data collection.
Main Results:
- The overall prevalence of incontinence was 18.6%.
- Incontinence rates were higher in multiparous women (26.4%) compared to primiparous women (12.5%).
- Incontinence incidence increased with advancing maternal age, and no significant difference was observed between LSCS (16%) and normal delivery (19.8%).
Conclusions:
- Pelvic floor dysfunction, particularly stress urinary incontinence, is common after childbirth and is associated with increased parity.
- Cesarean section (LSCS) did not demonstrate a significant protective effect against incontinence in this study.
- Further research into preventative measures and targeted interventions for women experiencing postpartum incontinence is warranted.
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