ArticlePloS one2024
Pelvic floor dysfunction in postpartum women: A cross-sectional study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transperineal ultrasound-based outcomes of postpartum pelvic floor recovery after elective cesarean section versus vaginal delivery: a systematic review and meta-analysis.Frontiers in global women's health · 2026Pooled it
- Exploring the application of an integrated health behavior change-based nursing model in pelvic floor muscle self-training.Scientific reports · 2025Trial
- Identification of risk factors for postpartum pelvic floor dysfunction in a Chinese population: a retrospective study.BMC pregnancy and childbirth · 2026Article
- The influence of neonatal birth weight on postpartum pelvic floor function in primiparas.Medicine · 2026Article
- Prevalence and Determinants of Anorectal Disorders in Adult Patients with Urinary Incontinence: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Association Between Daily Sitting Time and Urinary Leakage and the Double Mediation Effects of Inflammation and Physical Activity: A Cross-Sectional Study.International journal of women's health · 2026Article
- Transperineal Ultrasound Immediately After Birth to Predict Postpartum Anorectal Dysfunction: A Prospective Cohort Study.International urogynecology journal · 2025Article
- Association Between Weight Change Pelvic Organ Prolapse and Weight Change During the Perinatal Period Among Chinese Women.International journal of women's health · 2025Article
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Authors and funding
9 authors.
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Abstract
backgroundPelvic floor dysfunction (PFD) is a disease of weakened pelvic floor support tissues, leading to changes in the pelvic organ position and function of pelvic organs, with long-term effects on women. This study aimed to assess pelvic floor function using electrophysiology and clinical symptoms, exploring the risk factors for PFD one month postpartum.
methodsThis cross-sectional study included 845 women from postpartum outpatient clinic of Nantong Affiliated Hospital from August 2019 to October 2021. Pelvic floor muscle strength was evaluated via pelvic floor surface electromyography. Clinical symptoms (urinary incontinence (UI) and pelvic organ prolapse) were diagnosed by gynecologists. Sociodemographic, pregnancy, and obstetrical data were obtained from self-reported questionnaires and electronic records.
resultsThe study identified maternal age, parity, immigrant status, and economic income as factors were related to PFD. Gestational constipation increased the risk of abnormal resting muscle strength (OR:1.553, 95%CI: 1.022-2.359). Cesarean delivery was associated with higher rates of abnormal resting muscle strength than vaginal delivery (post-resting stage: OR, 2.712; 95% CI, 1.189-6.185), but a decreased incidence of UI (OR: 0.302; 95% CI, 0.117-0.782). Increased gestational weight gain was correlated with a greater risk of developing UI (OR:1.030, 95%CI: 1.002-1.058). Women with vaginal inflammation faced a higher risk of abnormal fast-twitch muscle (OR: 2.311, 95%CI: 1.125-4.748).
conclusionsIn addition to uncontrollable factors like mode of delivery, age, and parity, interventions targeting weight gain and constipation during pregnancy and vaginal flora could mitigate the risks of PFD. Educational programs for pregnant women should emphasize a proper diet and lifestyle. For women with vaginal inflammation, clinical treatment should be carried out as soon as possible to avoid further aggravating the damage to the pelvic floor muscles.
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