Parity, Mode of Delivery, and Pelvic Floor Disorders

Lukacz, Emily S.; Lawrence, Jean M.; Contreras, Richard; Nager, Charles W.; Luber, Karl M.

doi:10.1097/01.aog.0000218096.54169.34

Cited by 336 publications

(252 citation statements)

References 30 publications

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“…This ranks the severity of symptoms in four categories:. Mild (1-5 points), moderate (6)(7)(8)(9)(10)(11)(12), severe (13)(14)(15)(16)(17)(18), and severe (19)(20)(21). (11) In this study the overall average ICIQ-SF score was 9.9 points.…”

Section: Evaluation Of the Knowledge Of The Perineal Regionmentioning

confidence: 45%

“…(13,14) However, it is stated that the greatest impact would be of gestation and type of delivery, which would jeopardize the PF by different mechanisms. (15,16) Some studies show that the UI is common during pregnancy. Sharma et al (17) evaluated 240 primiparae through the same questionnaire used in this study found the presence of urinary symptoms in about 48% of the women studied in the third quarter.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Symptoms of the lower urinary tract in pregnant women in prenatal care.

Morato

Filoni

Fitz³

2014

mtprehabjournal

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Section: Evaluation Of the Knowledge Of The Perineal Regionmentioning

confidence: 45%

Section: Resultsmentioning

confidence: 99%

Symptoms of the lower urinary tract in pregnant women in prenatal care.

Morato

Filoni

Fitz³

2014

mtprehabjournal

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“…In addition, CD is associated with longer hospital stays for both mother and baby [18,19], increased frequency of serious complications during future pregnancies [18], and higher costs [20]. Despite suggestions that elective CD might improve maternal perineal health [21,22], its long-term benefits are unproven [16,23], and its long-term risks have probably been minimized [24,25].…”

Section: Introductionmentioning

confidence: 99%

The association between the regular use of risk-based term IOL and improved birth outcomes in an Italian hospital: A retrospective cohort study

Boca¹,

Biffi²,

R³

et al. 2017

Med Res Innov

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Objective: Associations have been recently reported between the regular use of risk-based term labor induction and improvements in birth outcomes. We wanted to study the use of this approach in an Italian hospital. Design: Retrospective Cohort StudySetting: The Mandic Hospital, in Merate, Italy, from March 2009 through July 2010.Population: All pregnant women delivering at term who met study inclusion and exclusion criteria. Methods:The "exposed" group was comprised of women cared for and delivered by providers who regularly offered risk-based term labor induction. The "nonexposed" group was comprised of women cared for and delivered by providers who followed the "expectant management" approach to risk. Prenatal, intrapartum and outcome data for the two cohorts were collected and compared. Main outcome measures:Cesarean delivery rate and weighted Adverse Outcome Index (AOI) Score. Results:The exposed group (n=120), as compared to the non-exposed group (n=159), had a higher induction rate, a lower cesarean rate (1.7% vs. 43.4%, aOR 0.04, CI [0.01-0.22]), and a numerically lower weighted Adverse Outcome Index Score (0.4 vs. 6.1, p=0.61). Two cases of term stillbirth occurred in the non-exposed group. No adverse birth outcome occurred with greater frequency in the exposed group. Conclusion:In this Italian hospital, and consistent with previous studies, exposure to the regular use of risk-based term labor induction was associated with a more favorable set of birth outcomes. Randomised clinical trials are needed to further explore this alternative approach.

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“…Urinary incontinence is the most prevalent pelvic floor dysfunction linked to birth (1) and is responsible for 16 billion dollars annual expense. (2) Stress urinary incontinence (SUI) affects 86% of incontinent women either alone (50%) or in conjunction with urge incontinence (36%).…”

Section: Introductionmentioning

confidence: 99%