TY - JOUR
T1 - The Epidemiology of Pelvic Floor Disorders and Childbirth. An Update.
AU - Hallock, Jennifer L.
AU - Handa, Victoria L.
N1 - Funding Information:
This work was supported by R01HD056275 and R01HD082070.
Publisher Copyright:
© 2016 Elsevier Inc..
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Using a lifespan model, this article presents new scientific findings regarding risk factors for pelvic floor disorders (PFDs), focusing on the role of childbirth in the development of single or multiple coexisting PFDs. Phase I of the model includes predisposing factors, such as genetic predisposition and race. Phase II includes inciting factors, such as obstetric events. Prolapse, urinary incontinence (UI), and fecal incontinence (FI) are more common among vaginally parous women, although the impact of vaginal delivery on risk of FI is less dramatic than prolapse and UI. Phase III includes intervening factors, such as age and obesity.
AB - Using a lifespan model, this article presents new scientific findings regarding risk factors for pelvic floor disorders (PFDs), focusing on the role of childbirth in the development of single or multiple coexisting PFDs. Phase I of the model includes predisposing factors, such as genetic predisposition and race. Phase II includes inciting factors, such as obstetric events. Prolapse, urinary incontinence (UI), and fecal incontinence (FI) are more common among vaginally parous women, although the impact of vaginal delivery on risk of FI is less dramatic than prolapse and UI. Phase III includes intervening factors, such as age and obesity.
KW - Cesarean section
KW - Childbirth
KW - Fecal incontinence
KW - Pelvic floor disorders
KW - Pelvic organ prolapse
KW - Urinary incontinence
KW - Vaginal delivery
UR - http://www.scopus.com/inward/record.url?scp=84957806538&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84957806538&partnerID=8YFLogxK
U2 - 10.1016/j.ogc.2015.10.008
DO - 10.1016/j.ogc.2015.10.008
M3 - Review article
C2 - 26880504
AN - SCOPUS:84957806538
VL - 43
SP - 1
EP - 13
JO - Obstetrics and Gynecology Clinics of North America
JF - Obstetrics and Gynecology Clinics of North America
SN - 0889-8545
IS - 1
ER -