Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-10-05

AUTHORS

Fanny Béchard, Christel Castelli, Sandrine Alonso, Emmanuelle Vintejoux, François Goffinet, Vincent Letouzey, Thomas Schmitz, Renaud de Tayrac

ABSTRACT

Introduction and hypothesisTo compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum.MethodsThis comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses.ResultsA total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8–50) vs. 17/300 (4–36) after CS; p < 0.0001]. Vaginal bulge was more frequently reported after VD (9 vs. 4%; p = 0.0015). Abdnormal PFD-related quality-of-life scores (scores > 0) were more frequent after VD at 3 months (58 vs. 42%; p < 0.0001) and 12 months (57 vs. 43%; p = 0.0020), indicating greater discomfort. However, SF-12 scores were higher after VD [56 (53–59) vs. 55 (51–58)] at 12 months, indicating better general quality of life.ConclusionsMode of delivery is significantly associated with pelvic organ prolapse symptoms 3 months postpartum, which regress by 12 months, probably because of the known spontaneous postnatal improvement of PFDs. More... »

PAGES

893-899

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Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-018-3785-1

DOI

http://dx.doi.org/10.1007/s00192-018-3785-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107430603

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30291380


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