Observational studyArchives of gynecology and obstetrics2021
Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study.
Observational study in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Identification of risk factors for postpartum pelvic floor dysfunction in a Chinese population: a retrospective study.BMC pregnancy and childbirth · 2026Article
- Article
- Association between neonatal birthweight and maternal vaginal wall prolapse: a retrospective analysis of postpartum women.Frontiers in medicine · 2026Article
- A study on the association between different delivery modes and pelvic floor muscle strength in women during early postpartum period.Frontiers in global women's health · 2026Article
- Treatment of Postpartum Myofascial Perineal Pain and Dyspareunia Through Local Anaesthetic Infiltrations Compared to Anaesthetic and Corticosteroids: A Randomised Double-Blind Clinical Trial.Journal of clinical medicine · 2025Article
- A cross-sectional investigation on the function of the female pelvic floor in the Sichuan Province, China.BMC women's health · 2025Article
- Influence of Gestational Age on Pelvic Floor Muscle Activity, Plantar Contact, and Functional Mobility in High-Risk Pregnant Women: A Cross-Sectional Study.Sensors (Basel, Switzerland) · 2024Observational
- Associated factors and quality of life in women with urinary incontinence in southern Peru, 2023.Frontiers in public health · 2024Article
- Article
- Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem.Healthcare (Basel, Switzerland) · 2023Article
- Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China.BMC pregnancy and childbirth · 2023Article
- Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study.BMC pregnancy and childbirth · 2022Article
- Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess changes in the pelvic floor anatomy that cause pelvic floor disorders (PFDs) in primigravidae during and after pregnancy and to evaluate their impact on women's quality of life (QoL).
methodsPOP-Q and translabial ultrasound examination was performed in the third trimester and 3 months after delivery in a cohort of primigravidae with singleton pregnancy delivering in a tertiary center. Results were analyzed regarding mode of delivery and other pre- and peripartal factors. Two individualized detailed questionnaires were distributed at 3 months and at 12 months after childbirth to determinate QoL.
resultsWe recruited 45 women, of whom 17 delivered vaginally (VD), 11 received a vacuum extraction delivery (VE) and 17 a Cesarean section in labor (CS). When comparing third-trimester sonography to 3 months after delivery, bladder neck mobility increased significantly in each delivery group and hiatal area increased significantly in the VD group. A LAM avulsion was found in two women after VE. Connective tissue weakness (p = 0.0483) and fetal weight at birth (p = 0.0384) were identified as significant risk factors for the occurrence of PFDs in a multivariant regression analysis. Urinary incontinence was most common with 15% and 11% of cases at 3, respectively, 12 months after delivery. 42% of women reported discomfort during sexual intercourse, 3 months after delivery and 24% 12 months postpartum. Although 93% of women engage a midwife after delivery, only 56% participated in pelvic floor muscle training.
conclusionConnective tissue weakness and high fetal weight at birth are important risk factors for the occurrence of PFDs. Nevertheless, more parturients should participate in postpartal care services to prevent future PFDs.
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