Subjects
-Tags
-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.
Keywords
Pelvic organ Prolapse, Urinary incontinence, Pelvic Floor Disorders, vaginal delivery, cesarean section
Authors
First Name
Osama Saleh Hassan
MiddleName
-Affiliation
Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University
Email
-City
-Orcid
-MiddleName
-Affiliation
Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University
Email
-City
-Orcid
-First Name
Haitham Abd El Mohsen
MiddleName
-Affiliation
Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University
Email
-City
-Orcid
-First Name
Alaa Hafez Mohamed Shawky
MiddleName
-Affiliation
Obstetrics and Gynecology Department, El Mataria Teaching Hospital
Email
-City
-Orcid
-Link
https://ejhm.journals.ekb.eg/article_13395.html
Detail API
https://ejhm.journals.ekb.eg/service?article_code=13395
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