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Planned cesarean section versus planned vaginal delivery : Comparison of lower urinary tract symptoms
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- Ekström, Å. (author)
- Karolinska Institutet
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- Altman, D. (author)
- Karolinska Institutet
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- Wiklund, Ingela (author)
- Karolinska Institutet
- show more...
- Andolf, E. (author)
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- (creator_code:org_t)
- 2007-09-26
- 2008
- English.
- In: International Urogynecology Journal. - : Springer London. - 0937-3462 .- 1433-3023. ; 19:4, s. 459-465
- Journal article (peer-reviewed)
Abstract
Subject headings
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- We compared the prevalence and risk of lower urinary tract symptoms in healthy primiparous women in relation to vaginal birth or elective cesarean section 9 months after delivery. We performed a prospective controlled cohort study including 220 women delivered by elective cesarean section and 215 by vaginal birth. All subjects received an identical questionnaire on lower urinary tract symptoms in late pregnancy, at 3 and 9 months postpartum. Two hundred twenty subjects underwent elective cesarean section, and 215 subjects underwent vaginal delivery. After childbirth, the 3-month questionnaire was completed by 389/435 subjects (89%) and the 9-month questionnaire by 376/435 subjects (86%). In the vaginal delivery cohort, all lower urinary tract symptoms increased significantly at 9 months follow-up. When compared to cesarean section, the prevalence of stress urinary incontinence (SUI) after vaginal delivery was significantly increased both at 3 (p < 0.001) and 9 months (p = 0.001) follow-up. In a multivariable risk model, vaginal delivery was the only obstetrical predictor for SUI [relative risk (RR) 8.9, 95% confidence interval (CI) 1.9 - 42] and for urinary urgency (RR 7.3 95% CI 1.7 - 32) at 9 months follow-up. A history of SUI before pregnancy (OR 5.2, 95% CI 1.5 - 19) and at 3 months follow-up (OR 3.9, 95% CI 1.7 - 8.5) were independent predictors for SUI at 9 months follow-up. Vaginal delivery is associated with an increased risk for lower urinary tract symptoms 9 months after childbirth when compared to elective cesarean section. © International Urogynecology Journal 2007.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Cesarean
- Delivery
- Incontinence
- Prospective
- adult
- article
- cesarean section
- childbirth
- clinical trial
- cohort analysis
- confidence interval
- controlled clinical trial
- controlled study
- female
- follow up
- human
- intermethod comparison
- lower urinary tract symptom
- major clinical study
- pregnancy
- prevalence
- primipara
- priority journal
- prospective study
- puerperium
- questionnaire
- risk assessment
- statistical model
- stress incontinence
- symptom
- treatment planning
- vaginal delivery
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Ekström, Å.
- Altman, D.
- Wiklund, Ingela
- Larsson, C.
- Andolf, E.
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- Högskolan Dalarna
- Karolinska Institutet
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