ArticleJournal of clinical medicine2021
Pelvic Floor Morbidity Following Vaginal Delivery versus Cesarean Delivery: Systematic Review and Meta-Analysis.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of childbirth on pelvic floor dysfunction in women who have undergone previous pelvic floor reconstructive surgery: systematic review and meta-analysis.International urogynecology journal · 2024Pooled it
- Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women-A follow-up of a randomized controlled trial.Acta obstetricia et gynecologica Scandinavica · 2026Trial
- Chronic Maternal Pelvic Morbidity: A Neglected Tragedy: Where is Pelvic Maternal Morbidity in Maternal and Child Health? : Advocating for a Public Health Approach to Pelvic Floor Disorders Resulting from Pregnancy and Childbirth Trauma.International urogynecology journal · 2026Article
- Empowering postpartum women through health education on Kegel exercises: effects on pain, pelvic floor dysfunction, and sexual function.Frontiers in reproductive health · 2026Article
- The Correlation Between the Sensation of Vaginal Bulging and Anatomical POP-Q Stage in Estonia.International urogynecology journal · 2026Article
- Prevalence and Impact of Urinary Incontinence at 5-10 Years After a Singleton Birth.Journal of clinical medicine · 2025Article
- The Use of Transperineal Ultrasonography to Compare Relevant Factors for Postpartum Urinary Incontinence Related to Different Modes of Delivery.International urogynecology journal · 2025Article
- Prevalence of Various Urogynaecological Lower Urinary Tract Symptoms (LUTS) in Relation to Mode of Delivery.Journal of obstetrics and gynaecology of India · 2025Article
- Ciliary neurotrophic factor (CNTF) contributes to pelvic organ prolapse by modulating collagen expression via the JAK2-STAT3 pathway.Journal of molecular histology · 2025Article
- Non-linear association between interpregnancy interval after vaginal delivery and singleton preterm birth: a retrospective cohort study.BMC pregnancy and childbirth · 2025Article
- Article
- Association of the second birth mode of delivery and interval with maternal pelvic floor changes: a prospective cohort study.BMC pregnancy and childbirth · 2024Article
- Pelvic Floor Muscle Training versus Functional Magnetic Stimulation for Stress Urinary Incontinence in Women: A Randomized Controlled Trial.Journal of clinical medicine · 2023Article
- The efficacy and safety of temperature controlled dual-mode radiofrequency in women with vaginal laxity.BMC women's health · 2023Article
- Pelvic floor disorder and relevant factors in Iranian women of reproductive age: a cross-sectional study.BMC women's health · 2023Article
- Recovery of pelvic floor muscle strength and endurance 6 and 12 months postpartum in primiparous women-a prospective cohort study.International urogynecology journal · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo compare pelvic floor disorders between vaginal delivery (VD) and cesarean delivery (CD).
methodsFor this study, a PUBMED database search was used, utilizing a combination of relevant medical subjects' headings (MeSH) terms, with the following keywords: "Pelvic floor disorders" or "Pelvic floor morbidity" and "Delivery". Search limits were articles in English or Spanish, about women, published from December 2009 to December 2019. The STATA 16 package was used for meta-analysis and data heterogeneity assessment.
resultsThirteen studies meeting eligibility criteria were identified comprising 1,597,303 participants. Abstract: Pelvic floor morbidity prevalence was Urinary Incontinence (UI) 27.9% (5411 patients in 7 studies with reported cases), Pelvic Organ Prolapse (POP) 14.2% (6019 patients in 8 studies with reported cases), and Anal Incontinence (AI) 0.4% (1,589,740 patients in 5 studies with reported cases). Our meta-analyses revealed significantly higher rates of all three morbidities and overall morbidity in the VD versus CD group: UI OR = 2.17, 95% CI 1.64-2.87,
conclusionVaginal delivery is directly related to the appearance of pelvic floor disorders, mainly UI, POP, and AI. The risk of POP should be taken into higher consideration after vaginal delivery and postpartum follow-up should be performed, to identify and/or treat it at the earliest stages.
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