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Updated: Oct 25, 2025

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
Pelvic floor dysfunction in primiparous women up to 6 months after delivery: cohort study
Sheyla Guimarães Oliveira1, Adriana Caroci-Becker2, Edilaine de Paula Batista Mendes3
1Hospital Municipal Dr Moysés Deutsh. São Paulo, São Paulo, Brazil.
Objective:
To analyze pelvic floor muscular strength (PFMS), urinary (UI) and anal (AI) incontinence and dyspareunia in primiparous women up to 6 months after normal or cesarean delivery.
Methods:
this is a prospective cohort with 169 women (128 normal births, 41 cesarean sections), followed between 50-70 and 170-190 days postpartum, when PFMS was measured using perineometry, and UI and AI and dyspareunia, through interview.
Results:
PFMS, UI and dyspareunia were similar between types of delivery. The difference was significant only for the time elapsed, with improvement in the studied period (2 and 6 months postpartum). Regarding AI, there was a significant difference between 2 and 6 months postpartum, with an interaction between type of delivery and time (p=0.022).
Conclusion:
the type of delivery did not show any influence on pelvic floor dysfunctions, except for AI. For all outcomes, there was an improvement in the period studied.

