ArticleInternational urogynecology journal2020
Does epidural anesthesia influence pelvic floor muscle endurance and strength and the prevalence of urinary incontinence 6 weeks postpartum?
Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Efficacy of Warm Acupuncture Therapy Combined with Kegel Exercise on Postpartum Pelvic Floor Dysfunction in Women.International urogynecology journal · 2024Trial
- Association of labor epidural analgesia with early postpartum pelvic floor function in primiparous women undergoing vaginal delivery: a retrospective cohort study.Frontiers in surgery · 2026Article
- Epidural Anesthesia and Pelvic Floor Outcomes in Primiparas: A Retrospective Transperineal Ultrasound Study.International urogynecology journal · 2025Article
- Enhanced Monitoring of Urethral and Bladder Mobility in Postpartum Stress Urinary Incontinence using Combined Ultrasound Techniques.Current medical imaging · 2025Article
- Development and external validation of clinical predictive model for stress urinary incontinence in Chinese women : a multicenter retrospective study.BMC women's health · 2024Article
- Association of epidural analgesia during labor and early postpartum urinary incontinence among women delivered vaginally: a propensity score matched retrospective cohort study.BMC pregnancy and childbirth · 2023Article
- Gestational diabetes mellitus and pelvic floor function 6 weeks postpartum in Chinese women.International urogynecology journal · 2023Article
- The association between the interdelivery interval and early postpartum urinary incontinence in women who had consecutive vaginal deliveries: a retrospective cohort study.Annals of translational medicine · 2023Article
- Establishment and validation of a simple nomogram for predicting early postpartum stress urinary incontinence among women with vaginal delivery: a retrospective study.BMC women's health · 2023Article
- Effect of Epidural Analgesia on Pelvic Floor Dysfunction at 6 Months Postpartum in Primiparous Women: A Prospective Cohort Study.Sexual medicine · 2021Article
- Detection of the most influential variables for preventing postpartum urinary incontinence using machine learning techniques.Digital healthArticle
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
Abstract
introduction and hypothesisWith the increasingly extensive application of epidural analgesia, its effect on pelvic floor function outcomes has received growing attention. The aim of the study is to determine the possible effect of epidural analgesia on pelvic floor muscle (PFM) endurance and strength and the prevalence of urinary incontinence (UI) and stress urinary incontinence (SUI) at 6 weeks postpartum.
methodsThis is a retrospective cohort study of 333 primiparous women after vaginal delivery. At 6 weeks postpartum, a vaginal balloon connected to a high-precision pressure transducer was used to measure PFM strength and endurance. SUI/UI was determined using the verified Chinese International Classification of Urinary Incontinence Short Form (ICIQ-UI-SF) questionnaire. Statistical analysis was performed using binary logistic regression and multiple linear regression analysis.
resultsWomen in the epidural analgesia group experienced longer first and second stages of labor (p < 0.05). There were no statistically significant differences in the rates of perineal lacerations, forceps assistance or episiotomy between women with or without epidural analgesia (p > 0.05). No statistically significant differences were found in PFM endurance (B: 0.933, 95% CI confidence interval: -1.413 to 3.278, p: 0.435) or PFM strength (B: 0.044, 95% CI: -3.204 to 3.291, p:0.979) between these two groups. In addition, the prevalence of UI (30.77% vs. 26.87%) and SUI (21.54% vs. 16.42%) in women with or without epidural analgesia was not statistically significant (p > 0.05).
conclusionsPFM function and UI prevalence at 6 weeks postpartum are not significantly affected by epidural analgesia.
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