The impact of breastfeeding on pelvic floor recovery from pregnancy and labor

Shoham, Iris; Baumfeld, Yael; Yohay, Zehava; Pardo, Ella; Glinter, Hannah; Erenberg, Miriam; Yahav, Lior; Yohay, David; Weintraub, Adi Y.

doi:10.1016/j.ejogrb.2020.04.017

Cited by 2 publications

(3 citation statements)

References 18 publications

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Section: Discussionmentioning

confidence: 99%

“…Another important consideration is the relative hypoestrogenic state that occurs in postpartum and breastfeeding mothers [ 13 , 14 ] which may warrant the use of intra-vaginal oestrogen cream. Importantly, breastfeeding does not delay the recovery of pelvic floor dysfunction following childbirth [ 14 ]. In the index case, intra-vaginal oestrogen cream was not used because it was not a routine therapy for management of puerperal POP in adolescents at the managing hospital.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Orji

Ngene

2022

Case Reports in Women's Health

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Orji

Ngene

2022

Case Reports in Women's Health

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“…As a major public health concern after childbirth, pelvic floor dysfunction (PFD) seriously affects women's physical and mental health. 1 PFD could lead to dysfunction such as pelvic organ prolapse (POP), stress urinary incontinence, overactive bladder (OAB), and sexual dysfunction. 2,3 One-third of the world's women are estimated to suffer from PFD during their lifetime.…”

mentioning

confidence: 99%

Effects of Labor Analgesia on Pelvic Floor Function at 6 to 8 Weeks after Delivery: A Prospective Cohort Study

et al. 2022

Am J Perinatol

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Objective The aim of the study is to determine whether the use of labor analgesia had a higher risk of pelvic floor functional problems after delivery. Study Design All primiparas who delivered at our hospital between June 2019 and May 2020 were enrolled in the study. They were divided into two groups according to their choices: delivery with labor analgesia (analgesia group, n ¼ 76), and delivery without labor analgesia (nonanalgesia group, n ¼ 78). The primary outcome of the study was to test the pelvic floor function by electromyography (EMG) at postpartum 6 to 8 weeks. Participants also completed questionnaires including Pelvic Floor Distress Inventory (PFDI-20), International Consultation on Incontinent Questionnaire-Short Form (ICIQ-SF), and Overactive Bladder Symptom Score (OABSS) at postpartum 6 to 8 weeks. Results Primiparas in the analgesia group experienced longer first and second stages of labor (p < 0.05), and had significantly higher PFDI-20 scores at postpartum 6 to 8 weeks (p < 0.05). But the differences in ICIQ-SF, OABSS scores, and Pelvic Organ Prolapse Quantification (POP-Q) system between the two groups were not significant (p > 0.05). No statistically significant difference was found in class II and class I muscles, scores of pretest resting baseline, and posttest resting baseline between primiparas with or without labor analgesia (p > 0.05). Conclusion Our results strongly confirmed that labor analgesia did not increase the risk of pelvic floor dysfunction up to 6 to 8 weeks after delivery, although symptom burden might be increased after labor analgesia. Key Points• Labor analgesia did not increase risk of pelvic floor muscle dysfunction after delivery.• There are longer first and second stages of labor in primiparas with labor analgesia.• Primiparas with labor analgesia had more obvious subjective symptoms of PFD.

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The impact of breastfeeding on pelvic floor recovery from pregnancy and labor

Cited by 2 publications

References 18 publications

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Effects of Labor Analgesia on Pelvic Floor Function at 6 to 8 Weeks after Delivery: A Prospective Cohort Study

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