Observational studyInternational urogynecology journal2019
Risk factors for anatomic pelvic organ prolapse at 6 weeks postpartum: a prospective observational study.
Observational study in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Association Between Striae and Pelvic Organ Prolapse in Women: A Systematic Review and Meta-Analysis.International urogynecology journal · 2024Pooled it
- Association between neonatal birthweight and maternal vaginal wall prolapse: a retrospective analysis of postpartum women.Frontiers in medicine · 2026Article
- Postpartum Anorectal and Pelvic Floor Disorders: Evaluation, Treatment, and Prevention.Current gastroenterology reports · 2025Review
- Unveiling the depths of pelvic organ prolapse: From risk factors to therapeutic methods (Review).Experimental and therapeutic medicine · 2025Review
- Insulin Resistance as a Biomarker for Pelvic Organ Prolapse in Gestational Diabetes Mellitus: Stratification by Delivery Modes.International journal of general medicine · 2025Article
- Explorative Identification of Anatomical Parameters Associated with Successful Pessary Fitting in Pelvic Organ Prolapse Using Dynamic Magnetic Resonance Imaging.Journal of clinical medicine · 2024Article
- Fecal incontinence and associated pelvic floor dysfunction during and one year after the first pregnancy.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Pelvic floor dysfunction and electrophysiology in postpartum women at 6-8 weeks.Frontiers in physiology · 2023Article
- Reducing pelvic floor injury by induction of labor.International urogynecology journal · 2022Article
- Pelvic floor dysfunction after vaginal delivery: MOODS-a prospective study.International urogynecology journal · 2022Observational
- Longitudinal Study of Pelvic Floor Characteristics Before, During, and After Pregnancy in Nulliparous Women.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022Observational
- Surgical Repair of the Genital Hiatus: A Narrative Review.International urogynecology journal · 2021Review
- Cross-sectional study of early postpartum pelvic floor dysfunction and related bother in primiparous women 6-10 weeks postpartum.International urogynecology journal · 2021Article
- Effects of Oxytocin for Induction and Augmentation of Labor on Pelvic Floor Symptoms and Support in the Postpartum Period.Female pelvic medicine & reconstructive surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe objective was to identify risk factors for postpartum anatomic pelvic organ prolapse (aPOP) by comparing women with and without aPOP at 6 weeks postpartum with regard to pelvic floor measurements antepartum and obstetrical characteristics.
methodsWe carried out a prospective observational cohort study including nulliparous pregnant women in a Norwegian university hospital. Participants underwent clinical examinations, including pelvic organ prolapse quantification system (POP-Q) and transperineal ultrasound at gestational week 21 and at 6 weeks postpartum. Background and obstetrical information was obtained from an electronic questionnaire and from the patient's electronic medical file respectively. Associations were estimated using logistic regression analyses. The dependent variable was aPOP, defined as POP-Q stage ≥2 at 6 weeks postpartum. Independent variables were mid-pregnancy measurements of selected POP-Q variables and levator hiatus area (LHarea), delivery route, and the presence of major levator ani muscle (LAM) injuries at 6 weeks postpartum.
resultsA larger LHarea, a more distensible LAM, a longer distance from the meatus urethra to the anus (Gh + Pb) and a more caudal position of the anterior vaginal wall (Ba) at mid-pregnancy were risk factors for aPOP at 6 weeks postpartum, whereas delivery route and the presence of major LAM injuries were not.
conclusionPrelabor differences in the pelvic floor rather than obstetrical events were risk factors for aPOP at 6 weeks postpartum.
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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.