Evidence map›Paper›PMID 33938963›Full record

ArticleInternational urogynecology journal2021

Cross-sectional study of early postpartum pelvic floor dysfunction and related bother in primiparous women 6-10 weeks postpartum.

Thorgerdur Sigurdardottir, Kari Bø, Thora Steingrimsdottir, Thorhallur I Halldorsson, Thor Aspelund, Reynir T Geirsson

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Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Thorgerdur SigurdardottirFaculty of Medicine, School of Health Sciences, University of Iceland, Vatnsmýrarvegi 16, 101, Reykjavík, Iceland. th.sigurdardottir@gmail.com.ORCID 0000-0001-5914-4226
Kari BøDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Thora SteingrimsdottirFaculty of Medicine, School of Health Sciences, University of Iceland, Vatnsmýrarvegi 16, 101, Reykjavík, Iceland.
Thorhallur I HalldorssonFaculty of Food Sciences and Nutrition, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Thor AspelundFaculty of Medicine, School of Health Sciences, University of Iceland, Vatnsmýrarvegi 16, 101, Reykjavík, Iceland.
Reynir T GeirssonFaculty of Medicine, School of Health Sciences, University of Iceland, Vatnsmýrarvegi 16, 101, Reykjavík, Iceland.
Reykjavík University · ISUniversity of Iceland · ISAkershus University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisTo study the prevalence of pelvic floor dysfunction and related bother in primiparous women 6-10 weeks postpartum, comparing vaginal and cesarean delivery.

methodsCross-sectional study of 721 mothers with singleton births in Reykjavik, Iceland, 2015 to 2017, using an electronic questionnaire. Information on urinary and anal incontinence, pelvic organ prolapse and sexual dysfunction with related bother (trouble, nuisance, worry, annoyance) was collected. Main outcome measures were prevalence of pelvic floor dysfunction and related bother.

resultsThe overall prevalence of urinary and anal incontinence was 48% and 60%, respectively. Bother regarding urinary symptoms was experienced by 27% and for anal symptoms by 56%. Pelvic organ prolapse was noted by 29%, with less than half finding this bothersome. Fifty-five percent were sexually active, of whom 66% reported coital pain. Of all the women, 48% considered sexual issues bothersome. Urinary incontinence and pelvic organ prolapse were more prevalent in women who delivered vaginally compared to cesarean section, but no differences were observed for anal incontinence and coital pain. Compared to women with BMI < 25, obesity was a predictor for urinary incontinence after vaginal delivery (OR 1.94; 95% CI 1.20-3.14). Birthweight > 50th percentile was predictive for urgency incontinence after vaginal delivery (OR 1.53; 95% CI 1.05-2.21). Episiotomy predicted more anal incontinence (OR 2.19; 95% CI 1.30-3.67). No associations between maternal and delivery characteristics were found for pelvic floor dysfunction after cesarean section.

conclusionsBothersome pelvic floor dysfunction symptoms are prevalent among first-time mothers in the immediate postpartum period.

Indexed as

Fecal IncontinencePelvic Floor DisordersPelvic Organ ProlapseCesarean SectionCross-Sectional StudiesDelivery, ObstetricFemaleHumansPelvic FloorPostpartum PeriodPregnancyAnal incontinenceChildbirthCoital painPelvic organ prolapsePrimiparasUrinary incontinence

Identifiers

PMID33938963
OpenAlexW3157476662

What OpenQuestion holds

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Registered trials

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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.