OBJECTIVE: To estimate the risk for stress urinary incontinence and pelvic organ prolapse surgery related to vaginal birth or cesarean delivery. STUDY DESIGN: A cohort study of all women having their first and all subsequent deliveries by cesarean (n = 33,167), and an age-matched sample of women only having vaginal deliveries (n = 63,229) between 1973 and 1983. Hazard ratios were calculated using Cox regression models with 95% confidence intervals. RESULTS: Women only having vaginal deliveries had increased overall risks of incontinence (hazard ratio, 2.9; 95% confidence interval, 2.4-3.6) and prolapse surgery (hazard ratio, 9.2; 95% confidence interval, 7.0-12.1) compared with women only having cesarean deliveries. CONCLUSION: Having only vaginal childbirths was associated with a significantly increased risk of stress urinary incontinence and pelvic organ prolapse surgery later in life compared with only having cesarean deliveries.
OBJECTIVE: To estimate the risk for stress urinary incontinence and pelvic organ prolapse surgery related to vaginal birth or cesarean delivery. STUDY DESIGN: A cohort study of all women having their first and all subsequent deliveries by cesarean (n = 33,167), and an age-matched sample of women only having vaginal deliveries (n = 63,229) between 1973 and 1983. Hazard ratios were calculated using Cox regression models with 95% confidence intervals. RESULTS:Women only having vaginal deliveries had increased overall risks of incontinence (hazard ratio, 2.9; 95% confidence interval, 2.4-3.6) and prolapse surgery (hazard ratio, 9.2; 95% confidence interval, 7.0-12.1) compared with women only having cesarean deliveries. CONCLUSION: Having only vaginal childbirths was associated with a significantly increased risk of stress urinary incontinence and pelvic organ prolapse surgery later in life compared with only having cesarean deliveries.
Authors: Jinyong Kim; Cornelia Betschart; Rajeev Ramanah; James A Ashton-Miller; John O L DeLancey Journal: Neurourol Urodyn Date: 2014-08-22 Impact factor: 2.696
Authors: Keith T Downing; Mubashir Billah; Eva Raparia; Anup Shah; Moshe C Silverstein; Amanda Ahmad; Gregory S Boutis Journal: J Mech Behav Biomed Mater Date: 2013-09-08
Authors: R G Rogers; L M Leeman; N Borders; C Qualls; A M Fullilove; D Teaf; R J Hall; E Bedrick; L L Albers Journal: BJOG Date: 2014-02-19 Impact factor: 6.531