Is cesarean section a real panacea to prevent pelvic organ disorders
International Urogynecology Journal, 06/06/2011
Koc O et al. – Pregnancy increases postpartum muscle weakness independent of the mode of delivery. Increased stress urinary incontinence (SUI) symptoms are associated with vaginal delivery.Methods
- 5 groups of 50 cases each were designated as follows: nullipara (control group), spontaneous vaginal delivery (SVD), repeat SVD (SVD-R), cesarean section (CS), and repeat CS (CS-R).
- Perineometric measurements, stress urinary incontinence (SUI) symptoms, pelvic organ prolapse quantification examinations, and Incontinence-Specific Quality of Life Questionnaire (IQOL) were evaluated.
- In all delivery groups, pelvic muscle strength was significantly lower than the control group (65.10±15.69, 56.29±17.39, 54.28±20.08, 56.82±17.62, and 57.92±16.45 (cm H2O±SD) for the control, SVD, SVD-R, CS, and CS-R groups, respectively; p<0.05).
- No significant difference was found among the delivery groups.
- There were significant differences in SUI symptoms between the control (2%) and SVD-R (26%) groups and between the SVD (10%) and SVD-R groups (p<0.001 and p=0.037, respectively).
- No statistically significant correlations between IQOL and perineometric measurements were noted (r=0.097 and p=0.598).