TY - JOUR
T1 - Pelvic organ support among primiparous women in the first year after childbirth.
AU - Handa, Victoria L.
AU - Nygaard, Ingrid
AU - Kenton, Kimberly
AU - Cundiff, Geoffrey W.
AU - Ghetti, Chiara
AU - Ye, Wen
AU - Richter, Holly E.
AU - Pelvic Floor Disorders Network, Floor Disorders Network
N1 - Funding Information:
This study is a secondary analysis of data collected for the Childbirth and Pelvic Symptoms (CAPS) Study [10], which was the parent study of CAPSIS [9]. Both of these studies were performed through the Pelvic Floor Disorders Network (PFDN), a cooperative agreement network sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Research on Women’s Health.
Funding Information:
Acknowledgments Supported by grants from the National Institute of Child Health and Human Development (U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267).
PY - 2009/12
Y1 - 2009/12
N2 - INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.
AB - INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.
UR - http://www.scopus.com/inward/record.url?scp=77953433444&partnerID=8YFLogxK
U2 - 10.1007/s00192-009-0937-3
DO - 10.1007/s00192-009-0937-3
M3 - Article
C2 - 19777148
AN - SCOPUS:77953433444
SN - 0937-3462
VL - 20
SP - 1407
EP - 1411
JO - International urogynecology journal and pelvic floor dysfunction
JF - International urogynecology journal and pelvic floor dysfunction
IS - 12
ER -