ABSTRACT
AIMS: The aims of this study were to describe pelvic organ support 6 months postpartum among women who delivered by cesarean section, spontaneous and instrumental vaginal delivery, and to evaluate the differences between the groups. METHODS: This was a cross-sectional study of 382 primigravid women who gave birth at Donostia Hospital during 2007. Pelvic organ support was explored 6 months postpartum using the pelvic organ prolapse quantification (POPQ) system. Joint hypermobility, height and weight were also assessed. RESULTS: POPQ stage ≥II was present in 7.7, 18.1 and 29.0% of women who delivered by cesarean section, spontaneous and instrumental vaginal delivery, respectively. Spontaneous vaginal delivery increased the risk by more than three times (OR 3.19; 95% CI 1.07-9.49) while instrumental vaginal delivery increased it more than fivefold (OR 5.52; 95% CI 1.79-17.30) in comparison with cesarean section. Instrument-assisted delivery did not increase the risk of prolapse in women who delivered vaginally. CONCLUSIONS: Cesarean section is associated with a lower prevalence of pelvic organ prolapse after delivery. Instrument- assisted delivery is not associated with an increased risk of postpartum prolapse among women who delivered vaginally.
Subject(s)
Delivery, Obstetric/adverse effects , Obstetric Labor Complications/epidemiology , Pelvic Floor/physiopathology , Pelvic Organ Prolapse/epidemiology , Adolescent , Adult , Cesarean Section , Cross-Sectional Studies , Delivery, Obstetric/methods , Delivery, Obstetric/statistics & numerical data , Female , Humans , Middle Aged , Obstetric Labor Complications/etiology , Outcome Assessment, Health Care , Parity , Pelvic Organ Prolapse/etiology , Postpartum Period , Pregnancy , Risk Factors , Spain/epidemiology , Young AdultABSTRACT
El síndrome (Sd) de Sjögren es un trastorno inmunológico caracterizado por una destrucción linfocitaria progresiva de las glándulas exocrinas y a menudo está asociado con trastornos autoinmunitarios. Los anticuerpos anti-Ro/SSA y anti-La/SSB tienen una alta prevalencia en pacientes con Sd de Sjögren y están íntimamente relacionados con el aumento del riesgo de muerte fetal, abortos de repetición, lupus neonatal, bloqueo cardíaco congénito completo y, menos frecuentemente, con valvulopatías fetales. Presentamos un caso de muerte fetal anteparto en una paciente con Sd de Sjögren oculto. Incluso sin clínica sugestiva, es necesario incluir esta patología en el diagnóstico diferencial de muerte fetal anteparto (AU)
Sjögren's syndrome is an immunological disorder characterized by progressive lymphocyte destruction of exocrine glands and is often associated with autoimmune diseases. Anti-Ro/SSA and anti-La SSB antibodies have a high prevalence in Sjögren's syndrome and are closely associated with fetal loss, recurrent abortions, neonatal lupus, and congenital complete atrioventricular block and less frequently with fetal valvulopathy. We report a case of antepartum fetal death in a patient with occult (..) (AU)
