Trial reportActa obstetricia et gynecologica Scandinavica2026
Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women-A follow-up of a randomized controlled trial.
Trial report in Acta obstetricia et gynecologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03770962 (One Plus One Equals Two - Will That do? A Randomized Controlled Trial to Evaluate Collegial Midwifery Practice to Prevent Perineal Trauma), which is not on this map. Cited by 3 papers.
What it found
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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
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.
One Plus One Equals Two - Will That do? A Randomized Controlled Trial to Evaluate Collegial Midwifery Practice to Prevent Perineal Trauma
Who cites it
3 citing papers in PubMed.
- 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
- Lack of association between second-degree tears and pelvic floor symptoms one year postpartum.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Association of labor epidural analgesia with early postpartum pelvic floor function in primiparous women undergoing vaginal delivery: a retrospective cohort study.Frontiers in surgery · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
introductionLong-term pelvic floor symptoms after childbirth may impair women's quality of life. The aim of this study was to assess the prevalence of self-reported pelvic floor symptoms 1 year postpartum in primiparous women by degree of perineal tear, with a focus on minor and major second-degree tears, and their association with quality of life. MATERIAL AND
methodsThis prospective cohort study was based on data collected within a randomized controlled trial (the Oneplus trial). Women in the trial who had a vaginal birth and responded to a 1-year postpartum follow-up questionnaire were included. Data were collected between January 2020 and May 2021. The main outcome measures were pelvic floor symptoms assessed using the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7), and study-specific items related to suturing and perceived body image. Associations between type of perineal tear and pelvic floor symptoms and their impact on quality of life were examined using generalized linear models, estimating adjusted risk ratios (aRRs) with 95% confidence intervals (CIs).
trial registrationClinicalTrials.gov, NCT03770962.
resultsThe cohort consisted of 1911 primiparous women. Among the tear categories investigated, major second-degree tears were the most common (30.4%), followed by minor second-degree tears (18.4%), episiotomy (9.8%), and obstetric anal sphincter injury (OASI) (5.3%). PFD symptoms were reported by 31.4-51.5% of the women. Women with OASI had an increased risk of colorectal-anal distress compared with those with no tear or a first-degree tear (aRR 1.56, 95% CI 1.24-1.96). No associations were observed between minor or major second-degree tears and pelvic floor symptoms. Increasing tear severity was associated with a higher likelihood of perceiving the vagina as narrow. No differences between tear categories were observed regarding impact on quality of life. Episiotomy was associated with a negative body image related to vaginal symptoms (aRR 1.45, 95% CI 1.03-1.99).
conclusionsPelvic floor symptoms and their impact on quality of life were common 1 year postpartum, irrespective of perineal tear category. Minor and major second-degree tears were not associated with an increased risk of pelvic floor dysfunction or reduced quality of life.
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