Titre
Pelvic floor dysfunction 6 years post vaginal versus cesarean delivery
Type
mémoire de master/maîtrise/licence
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
LOMBARDI, V.
Auteure/Auteur
Directrices/directeurs
BAUD, D.
Directeur⸱rice
Liens vers les personnes
Liens vers les unités
Faculté
Université de Lausanne, Faculté de biologie et médecine
Statut éditorial
Accepté
Date de publication
2015
Nombre de pages
19
Langue
anglais
Résumé
ABSTRACT
OBJECTIVE:
To estimate fecal, urinary and sexual symptoms 6 years after uncomplicated vaginal versus
elective cesarean deliveries.
METHODS:
Patients who delivered 6 years (2000-2004) before this study were chosen at random from our
hospital database. Singleton elective cesarean deliveries (eCS, cases) were compared to
uncomplicated vaginal deliveries (uVD, controls). Validated questionnaires grading fecal,
urinary incontinence and sexual dysfunction were completed by the patients.
RESULTS:
A total of 309 women with uVD and 208 with eCS returned postal questionnaires in 2008.
Socio-demographic characteristics and fecal incontinence were similar between groups. After
eCS, women reported significantly less urge urinary incontinence (aOR 0.55; 95%CI 0.34-0-
88) and stress incontinence (aOR 0.53; 95%CI 0.35-0-80) than after uVD. However, pain
associated with urination (aOR 1.58; 95%CI 1.01-2.49) and sexual activity (aOR 0.40; 95%CI
0.19-0.84) was significantly more frequent after eCS than uVD.
CONCLUSION:
Six years postpartum, uVD is strongly associated with urinary incontinence, while eCS is
associated with sexual and urination pains.
OBJECTIVE:
To estimate fecal, urinary and sexual symptoms 6 years after uncomplicated vaginal versus
elective cesarean deliveries.
METHODS:
Patients who delivered 6 years (2000-2004) before this study were chosen at random from our
hospital database. Singleton elective cesarean deliveries (eCS, cases) were compared to
uncomplicated vaginal deliveries (uVD, controls). Validated questionnaires grading fecal,
urinary incontinence and sexual dysfunction were completed by the patients.
RESULTS:
A total of 309 women with uVD and 208 with eCS returned postal questionnaires in 2008.
Socio-demographic characteristics and fecal incontinence were similar between groups. After
eCS, women reported significantly less urge urinary incontinence (aOR 0.55; 95%CI 0.34-0-
88) and stress incontinence (aOR 0.53; 95%CI 0.35-0-80) than after uVD. However, pain
associated with urination (aOR 1.58; 95%CI 1.01-2.49) and sexual activity (aOR 0.40; 95%CI
0.19-0.84) was significantly more frequent after eCS than uVD.
CONCLUSION:
Six years postpartum, uVD is strongly associated with urinary incontinence, while eCS is
associated with sexual and urination pains.
Sujets
PID Serval
serval:BIB_7BD42857561F
Date de création
2016-08-31T13:52:09.213Z
Date de création dans IRIS
2025-05-21T03:17:04Z
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Nom
BIB_7BD42857561F.P001.pdf
Version du manuscrit
imprimatur
Taille
304.9 KB
Format
Adobe PDF
PID Serval
serval:BIB_7BD42857561F.P001
URN
urn:nbn:ch:serval-BIB_7BD42857561F5
Somme de contrôle
(MD5):6ca506fd20cf5c630bdbab6558e7db7c