Evidence map›Paper›PMID 22907482›Full record

ReviewCurrent opinion in obstetrics & gynecology2012

Pelvic floor disorders following vaginal or cesarean delivery.

Hafsa Memon, Victoria L Handa

Registry-linked trialAbstract readReview
In one paragraph

Review in Current opinion in obstetrics & gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02661867 (Pelvic Floor Function Evaluation of Singleton Primiparae After Vaginal Delivery and Cesarean Section), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02661867 completednot on this map

Pelvic Floor Function Evaluation of Singleton Primiparae After Vaginal Delivery and Cesarean Section: Seven to Twelve-Year Long Observational Cohort Study

TypeobservationalSponsorBrno University HospitalRan2002 to 2014Enrolled865ConditionsPelvic Floor DisordersArmsdelivery
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  14. Care Bundles: Enhanced Recovery After Delivery.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
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  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Hafsa MemonDepartment of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Victoria L Handa
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

Cesarean and vaginal birth: cohort study of the impact on pelvic floor disordersR01HD056275 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HANDA, VICTORIA LYNN · 2008 to 2017
$5.7M
NICHD NIH HHS R01 HD056275NICHD NIH HHS R01HD056275
6 · The paper itself

Abstract

purpose of reviewPelvic floor disorders affect women of all ages and are associated with significant economic burden and poor quality of life. Current literature suggests an association between childbirth and these disorders. In this review, we summarize recent advancements in our understanding of this association. RECENT

findingsVaginal childbirth appears to be strongly associated with stress urinary incontinence and pelvic organ prolapse. There is less evidence to suggest an association between vaginal delivery and overactive bladder symptoms. History of more than one perineal laceration increases the likelihood of developing prolapse. Similar association has not been established for episiotomy. Disruption or denervation of structural components of pelvic floor support system, particularly levator ani muscle complex, is associated with later development of pelvic floor disorders. Imbalance in homeostasis of connective tissue remodeling of the vaginal wall from overstretching during childbirth is another possible mechanism. SUMMARY: Pelvic floor disorders represent a significant health problem affecting women of all ages. Identification of potential modifiable risk factors and advancement in understanding of the underlying pathophysiology is crucial for primary and secondary prevention of these disorders and for improvement in treatment strategies.

Indexed as

AgedAged, 80 and overCesarean SectionDelivery, ObstetricFecal IncontinenceFemaleHumansMiddle AgedPelvic FloorPelvic Floor DisordersPelvic Organ ProlapseRisk FactorsUrinary Bladder, OveractiveUrinary Incontinence, Stress

Identifiers

PMID22907482
PMCPMC3681820
OpenAlexW1988241562

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.