Pelvic organ support among primiparous women in the first year after childbirth.

Victoria L Handa, Ingrid Nygaard, Kimberly Kenton, Geoffrey W. Cundiff, Chiara Ghetti, Wen Ye, Holly E. Richter, Floor Disorders Network Pelvic Floor Disorders Network

Research output: Contribution to journalArticle

Abstract

INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.

Original languageEnglish (US)
Pages (from-to)1407-1411
Number of pages5
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume20
Issue number12
DOIs
StatePublished - Dec 2009

Fingerprint

Tears
Parturition
Hymen
Pelvic Organ Prolapse
Prolapse
Confidence Intervals

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Handa, V. L., Nygaard, I., Kenton, K., Cundiff, G. W., Ghetti, C., Ye, W., ... Pelvic Floor Disorders Network, F. D. N. (2009). Pelvic organ support among primiparous women in the first year after childbirth. International Urogynecology Journal and Pelvic Floor Dysfunction, 20(12), 1407-1411. https://doi.org/10.1007/s00192-009-0937-3

Pelvic organ support among primiparous women in the first year after childbirth. / Handa, Victoria L; Nygaard, Ingrid; Kenton, Kimberly; Cundiff, Geoffrey W.; Ghetti, Chiara; Ye, Wen; Richter, Holly E.; Pelvic Floor Disorders Network, Floor Disorders Network.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 20, No. 12, 12.2009, p. 1407-1411.

Research output: Contribution to journalArticle

Handa, VL, Nygaard, I, Kenton, K, Cundiff, GW, Ghetti, C, Ye, W, Richter, HE & Pelvic Floor Disorders Network, FDN 2009, 'Pelvic organ support among primiparous women in the first year after childbirth.', International Urogynecology Journal and Pelvic Floor Dysfunction, vol. 20, no. 12, pp. 1407-1411. https://doi.org/10.1007/s00192-009-0937-3
Handa, Victoria L ; Nygaard, Ingrid ; Kenton, Kimberly ; Cundiff, Geoffrey W. ; Ghetti, Chiara ; Ye, Wen ; Richter, Holly E. ; Pelvic Floor Disorders Network, Floor Disorders Network. / Pelvic organ support among primiparous women in the first year after childbirth. In: International Urogynecology Journal and Pelvic Floor Dysfunction. 2009 ; Vol. 20, No. 12. pp. 1407-1411.
@article{9602e6b2c8874415b9757cb9fcca363a,
title = "Pelvic organ support among primiparous women in the first year after childbirth.",
abstract = "INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2{\%} had stage II support. Prolapse to or beyond the hymen was present in 14{\%} after vaginal delivery with sphincter tear (95{\%} confidence interval 8{\%}, 22{\%}), 15{\%} (9{\%}, 24{\%}) after vaginal delivery without sphincter tear, and 5{\%} (1{\%}, 17{\%}) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80{\%} power to test differences between 5{\%} and 15{\%}. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.",
author = "Handa, {Victoria L} and Ingrid Nygaard and Kimberly Kenton and Cundiff, {Geoffrey W.} and Chiara Ghetti and Wen Ye and Richter, {Holly E.} and {Pelvic Floor Disorders Network}, {Floor Disorders Network}",
year = "2009",
month = "12",
doi = "10.1007/s00192-009-0937-3",
language = "English (US)",
volume = "20",
pages = "1407--1411",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "12",

}

TY - JOUR

T1 - Pelvic organ support among primiparous women in the first year after childbirth.

AU - Handa, Victoria L

AU - Nygaard, Ingrid

AU - Kenton, Kimberly

AU - Cundiff, Geoffrey W.

AU - Ghetti, Chiara

AU - Ye, Wen

AU - Richter, Holly E.

AU - Pelvic Floor Disorders Network, Floor Disorders Network

PY - 2009/12

Y1 - 2009/12

N2 - INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.

AB - INTRODUCTION AND HYPOTHESIS: This study describes pelvic organ support after childbirth. METHODS: This ancillary analysis of the Childbirth and Pelvic Symptoms Imaging Study compares pelvic organ prolapse quantification 6-12 months after childbirth among three cohorts of primiparous women: vaginal delivery with sphincter tear (n = 106), vaginal delivery without sphincter tear (n = 108), and cesarean without labor (n = 39). RESULTS: Of participants, 31.2% had stage II support. Prolapse to or beyond the hymen was present in 14% after vaginal delivery with sphincter tear (95% confidence interval 8%, 22%), 15% (9%, 24%) after vaginal delivery without sphincter tear, and 5% (1%, 17%) after cesarean without labor (p = 0.23). A study of 132 women per group would be required for 80% power to test differences between 5% and 15%. CONCLUSIONS: While these data provide insufficient power to dismiss a difference in pelvic organ support between modes of delivery, they add to our understanding of support following childbirth.

UR - http://www.scopus.com/inward/record.url?scp=77953433444&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953433444&partnerID=8YFLogxK

U2 - 10.1007/s00192-009-0937-3

DO - 10.1007/s00192-009-0937-3

M3 - Article

VL - 20

SP - 1407

EP - 1411

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 12

ER -