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13395

Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life

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Last updated: 24 Dec 2024

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Abstract

Background: Pelvic floor disorders (PFDs) occurring in women comprises a broad range of clinical scenarios such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Aim of the work: The objectives of the present study were to estimate differences in the prevalence of pelvic floor disorders (POP & SUI) in Egyptian women by mode of delivery and their impact on patients' quality of life using assessment questionnaire. Materials and Methods: This observational (non-interventional) cohort study was conducted on 464 parous women from the gynecologic out-patient clinic of Ain Shams Maternity University Hospital for measuring the prevalence of POP and UI regards the mode of delivery in women delivered 5 years back or more and its impact on the quality of their lives. Pelvic organ support was assessed using the Pelvic Organ Prolapse Quantification method (POP-Q), and pelvic floor symptoms were evaluated using assessment questionnaire. Results: Our study found that compared to Cesarean Section (CS; 32.8%), vaginal delivery (VD) was associated with statistically significant increase in the occurrence (43.5%) and severity (Moderate-to-severe UI [39.6% in VD vs. 10.5% in CS]) of UI especially SUI (VD vs. CS: 62.4% vs. 51.3%). Vaginal delivery was associated with more than double the occurrence of  POP (19.4% vs. 8.2% in CS), and more than triple the concomitant occurrence of both POP and SUI (9.9% vs. 2.6% in CS). Conclusion: There is a positive correlation between the mode of delivery - as an independent factor - and the prevalence of pelvic floor disorders (both pelvic organs prolapse & urinary incontinence) in parous women.  

DOI

10.12816/0039057

Keywords

Pelvic organ Prolapse, Urinary incontinence, Pelvic Floor Disorders, vaginal delivery, cesarean section

Authors

First Name

Osama Saleh Hassan

Last Name

El Kady

MiddleName

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Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University

Email

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Orcid

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First Name

Tarek Fathy

Last Name

Tamara

MiddleName

-

Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Haitham Abd El Mohsen

Last Name

Sabaa

MiddleName

-

Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Alaa Hafez Mohamed Shawky

Last Name

Hafez

MiddleName

-

Affiliation

Obstetrics and Gynecology Department, El Mataria Teaching Hospital

Email

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City

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Orcid

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Volume

68

Article Issue

2

Related Issue

2577

Issue Date

2017-07-01

Receive Date

2018-09-12

Publish Date

2017-07-01

Page Start

1,252

Page End

1,256

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13395.html

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https://ejhm.journals.ekb.eg/service?article_code=13395

Order

24

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life

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Article

Created At

22 Jan 2023