Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity

Abstract The aims of this study were to evaluate pelvic floor dysfunction symptoms one year after delivery and investigate whether adverse functional outcomes after childbirth were related to the degree of perineal injury. A prospective cohort of 776 primiparas were included. Self-reported pelvic fl...

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Autores principales:	Malin Huber, Ellen Malers, Katarina Tunón
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f204f4d800bf4973a603a2590786ff82
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spelling	oai:doaj.org-article:f204f4d800bf4973a603a2590786ff822021-12-02T17:41:10ZPelvic floor dysfunction one year after first childbirth in relation to perineal tear severity10.1038/s41598-021-91799-82045-2322https://doaj.org/article/f204f4d800bf4973a603a2590786ff822021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91799-8https://doaj.org/toc/2045-2322Abstract The aims of this study were to evaluate pelvic floor dysfunction symptoms one year after delivery and investigate whether adverse functional outcomes after childbirth were related to the degree of perineal injury. A prospective cohort of 776 primiparas were included. Self-reported pelvic floor function data were obtained using a web-based questionnaire. Women with no/first-degree injuries, second-degree injuries, third-/fourth-degree injuries (obstetric anal sphincter injury, OASI) and cesarean section were compared. A total of 511 women (66%) responded. Second-degree tears were a risk factor for stress incontinence (aOR 2.6 (95% CI 1.3–5.1)). Cesarean section was protective against stress incontinence (aOR 0.2 (95% CI 0.1–0.9)). OASI was a risk factor for urge incontinence (aOR 4.8 (95% CI 1.6–15)), prolapse (aOR 7.7 (95% CI 2.1–29)) and pelvic pain (OR 3.3 (95% CI 1.1–10)). Dyspareunia was reported by 38% of women, 63% of women in the OASI group (aOR 3.1 (95% CI 1.1–9.0)). Women with OASI reported that the injury affected daily life (OR 18 (95% CI 5.1–59)). Pelvic floor dysfunction is common after childbirth, even in women with moderate injury. Women with OASI had significantly higher risks of symptoms of prolapse, urge urinary incontinence, pain, dyspareunia and impacts on daily life.Malin HuberEllen MalersKatarina TunónNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Malin Huber Ellen Malers Katarina Tunón Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
description	Abstract The aims of this study were to evaluate pelvic floor dysfunction symptoms one year after delivery and investigate whether adverse functional outcomes after childbirth were related to the degree of perineal injury. A prospective cohort of 776 primiparas were included. Self-reported pelvic floor function data were obtained using a web-based questionnaire. Women with no/first-degree injuries, second-degree injuries, third-/fourth-degree injuries (obstetric anal sphincter injury, OASI) and cesarean section were compared. A total of 511 women (66%) responded. Second-degree tears were a risk factor for stress incontinence (aOR 2.6 (95% CI 1.3–5.1)). Cesarean section was protective against stress incontinence (aOR 0.2 (95% CI 0.1–0.9)). OASI was a risk factor for urge incontinence (aOR 4.8 (95% CI 1.6–15)), prolapse (aOR 7.7 (95% CI 2.1–29)) and pelvic pain (OR 3.3 (95% CI 1.1–10)). Dyspareunia was reported by 38% of women, 63% of women in the OASI group (aOR 3.1 (95% CI 1.1–9.0)). Women with OASI reported that the injury affected daily life (OR 18 (95% CI 5.1–59)). Pelvic floor dysfunction is common after childbirth, even in women with moderate injury. Women with OASI had significantly higher risks of symptoms of prolapse, urge urinary incontinence, pain, dyspareunia and impacts on daily life.
format	article
author	Malin Huber Ellen Malers Katarina Tunón
author_facet	Malin Huber Ellen Malers Katarina Tunón
author_sort	Malin Huber
title	Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
title_short	Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
title_full	Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
title_fullStr	Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
title_full_unstemmed	Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
title_sort	pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f204f4d800bf4973a603a2590786ff82
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Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity

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