Does the severity of spontaneous genital tract trauma affect postpartum pelvic floor function?
Int Urogynecol J Pelvic Floor Dysfunct
; 19(3): 429-35, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-17896065
ABSTRACT
We describe the impact of genital trauma on pelvic floor function in a low-risk cohort of women after vaginal birth. Questionnaires (Present Pain Intensity Scale, Incontinence Impact Questionnaire, Fecal Incontinence Score, and Intimate Relationship Scale) were completed up to 12 weeks postpartum. Severity of trauma was recorded at delivery. Overall follow-up was 444/565 (79%). Major trauma (trauma that involved perineal muscles or required suturing) occurred in 20%; 20% delivered intact. At 12 weeks, 10% complained of perineal pain; 24% reported anal (AI) and 27% urinary incontinence (UI). Women with trauma were no more likely than those intact to complain of UI or AI, sexual inactivity, or perineal pain postpartum (all P=NS). Women with major trauma had weaker pelvic floor exercise strength than those who delivered intact or with minor trauma (odds ration 3.06, 95% confidence interval 1.41-6.63). Pelvic floor complaints postpartum were common but not associated with severity of genital trauma in a cohort of low-risk women.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diafragma da Pelve
/
Parto Obstétrico
/
Período Pós-Parto
/
Genitália Feminina
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Int Urogynecol J Pelvic Floor Dysfunct
Ano de publicação:
2008
Tipo de documento:
Article