ArticleScientific reports2021
Pelvic floor dysfunction one year after first childbirth in relation to perineal tear severity.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses 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.
The trial behind it
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Who cites it
36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Prognostic factors for wound complications after childbirth-related perineal trauma: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Satisfaction of Sexual Partner After Vaginal Tightening Surgery: A Systematic Review.Aesthetic plastic surgery · 2026Pooled it
- Effectiveness of Perineal Protection Devices in Reducing Birth-Related Perineal Trauma: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and GRADE Assessment.International urogynecology journal · 2026Pooled it
- The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review.International urogynecology journal · 2025Pooled it
- A meta-analysis of the correlation between the duration of the second stage of labor and recent postpartum pelvic floor injury in primiparous.Frontiers in medicine · 2025Pooled it
- Hyaluronidase for reducing perineal trauma.The Cochrane database of systematic reviews · 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
- First and Second Stage Risk Factors Associated with Perineal Lacerations.Maternal and child health journal · 2024Trial
- Effect of Perineal Massage and Warm Compresses Technique in Postpartum Pelvic Floor Dysfunction. A Secondary Analysis from a Randomised Controlled Trial.Reproductive sciences (Thousand Oaks, Calif.) · 2024Trial
- Mode-of-Delivery-Specific Nomograms for Predicting Stress Urinary Incontinence One Year After Childbirth.International urogynecology journal · 2026Article
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- Childbirth Acquired Perineal Trauma (CHAPTER) study: A cohort study investigating health outcomes after childbirth-related perineal trauma.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Self-reported pelvic floor dysfunction 12 months after an obstetric anal sphincter injury in relation to maternal body mass index.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Impact of gestational weight gain on perineal injury and obstetric anal sphincter injury among underweight primiparous women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Severity of perineal tears and deviations in perineal body anatomy: A three-dimensional ultrasound study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Article
- Obstetric Anal Sphincter Injuries: Risk Factors, Pelvic Floor Dysfunction, and Quality of Life Outcomes.Medicina (Kaunas, Lithuania) · 2026Article
- Analysis of the Multifactorial Risks of Postpartum Urinary Incontinence: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Symptomatic Pelvic Organ Prolapse and Self-Rated Health, One Year After Childbirth: A Swedish Nationwide Register Study.International urogynecology journal · 2026Article
- Cardiovascular crisis induced by local epinephrine injection in vaginal tightening surgery: an unexpected hyperthyroidism case.BMC anesthesiology · 2026Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aims of this study were to evaluate pelvic floor dysfunction symptoms one year after delivery and investigate whether adverse functional outcomes after childbirth were related to the degree of perineal injury. A prospective cohort of 776 primiparas were included. Self-reported pelvic floor function data were obtained using a web-based questionnaire. Women with no/first-degree injuries, second-degree injuries, third-/fourth-degree injuries (obstetric anal sphincter injury, OASI) and cesarean section were compared. A total of 511 women (66%) responded. Second-degree tears were a risk factor for stress incontinence (aOR 2.6 (95% CI 1.3-5.1)). Cesarean section was protective against stress incontinence (aOR 0.2 (95% CI 0.1-0.9)). OASI was a risk factor for urge incontinence (aOR 4.8 (95% CI 1.6-15)), prolapse (aOR 7.7 (95% CI 2.1-29)) and pelvic pain (OR 3.3 (95% CI 1.1-10)). Dyspareunia was reported by 38% of women, 63% of women in the OASI group (aOR 3.1 (95% CI 1.1-9.0)). Women with OASI reported that the injury affected daily life (OR 18 (95% CI 5.1-59)). Pelvic floor dysfunction is common after childbirth, even in women with moderate injury. Women with OASI had significantly higher risks of symptoms of prolapse, urge urinary incontinence, pain, dyspareunia and impacts on daily life.
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Registered trials
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