Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth
- PMID: 21187196
- DOI: 10.1016/j.ajog.2010.08.034
Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth
Abstract
Objective: To estimate the risk for stress urinary incontinence and pelvic organ prolapse surgery related to vaginal birth or cesarean delivery.
Study design: A cohort study of all women having their first and all subsequent deliveries by cesarean (n = 33,167), and an age-matched sample of women only having vaginal deliveries (n = 63,229) between 1973 and 1983. Hazard ratios were calculated using Cox regression models with 95% confidence intervals.
Results: Women only having vaginal deliveries had increased overall risks of incontinence (hazard ratio, 2.9; 95% confidence interval, 2.4-3.6) and prolapse surgery (hazard ratio, 9.2; 95% confidence interval, 7.0-12.1) compared with women only having cesarean deliveries.
Conclusion: Having only vaginal childbirths was associated with a significantly increased risk of stress urinary incontinence and pelvic organ prolapse surgery later in life compared with only having cesarean deliveries.
Copyright © 2011. Published by Mosby, Inc.
Comment in
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Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of delivery.Am J Obstet Gynecol. 2011 Nov;205(5):e9. doi: 10.1016/j.ajog.2011.06.092. Epub 2011 Jul 13. Am J Obstet Gynecol. 2011. PMID: 21889765 No abstract available.
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