Effect of prolonged second stage of labor on pelvic floor function: A prospective cohort study.
Int Urogynecol J
; 33(6): 1633-1638, 2022 06.
Article
en En
| MEDLINE
| ID: mdl-35267059
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
To evaluate the effect of the second stage of labor (SSL) lasting > 2 h on pelvic floor function.METHODS:
This single-center prospective cohort study included primiparous women with SSL > 2 h treated at Tongji Hospital between January 2018 and December 2019 (case group). A matched group of women with similar newborn weight and SSL < 2 h were recruited simultaneously (control group). Stress urinary incontinence (SUI) and pelvic floor muscle (PFM) characteristics were measured at 6 weeks, 6 months, and finally 1 year postpartum.RESULTS:
A total of 63 pairs of primiparous women completed 1-year follow-up. The incidence of SUI in the case group was significantly higher than that in the control group at 6 weeks postpartum (P = 0.020); however, the differences were not significant at 1 year postpartum (P=1.00). PFM endurance was significantly lower in the case group at 6 weeks (P = 0.000), 6 months (P = 0.000), and 1 year (P = 0.011) after childbirth. There was no difference in PFM strength between the two groups. The maximal voluntary contraction (MVC) of PFM was significantly lower in the case group at 6 weeks postpartum (P = 0.007), but the differences were not significant at 1 year postpartum (P = 0.197). PFM endurance and MVC were higher at 1 year than at 6 weeks postpartum in both groups.CONCLUSIONS:
The SSL > 2 h increased the incidence of SUI at 6 weeks postpartum and decreased PFM endurance for 1 year.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Incontinencia Urinaria de Esfuerzo
/
Diafragma Pélvico
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
En
Año:
2022
Tipo del documento:
Article