Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life
El Kady, O., Tamara, T., Sabaa, H., Hafez, A. (2017). Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life. EKB Journal Management System, 68(2), 1252-1256. doi: 10.12816/0039057
Osama Saleh Hassan El Kady; Tarek Fathy Tamara; Haitham Abd El Mohsen Sabaa; Alaa Hafez Mohamed Shawky Hafez. "Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life". EKB Journal Management System, 68, 2, 2017, 1252-1256. doi: 10.12816/0039057
El Kady, O., Tamara, T., Sabaa, H., Hafez, A. (2017). 'Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life', EKB Journal Management System, 68(2), pp. 1252-1256. doi: 10.12816/0039057
El Kady, O., Tamara, T., Sabaa, H., Hafez, A. Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life. EKB Journal Management System, 2017; 68(2): 1252-1256. doi: 10.12816/0039057

Assessment of The Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on The Quality of Life

The Egyptian Journal of Hospital Medicine
Article 24, Volume 68, Issue 2, July 2017, Page 1252-1256  XML PDF (309.54 K)
Document Type: Original Article
DOI: 10.12816/0039057
View on SCiNiTO View on SCiNiTO
Authors
Osama Saleh Hassan El Kady1; Tarek Fathy Tamara1; Haitham Abd El Mohsen Sabaa1; Alaa Hafez Mohamed Shawky Hafez2
1Obstetrics and Gynecology department, Faculty of Medicine, Ain Shams University
2Obstetrics and Gynecology Department, El Mataria Teaching Hospital
Abstract
Background: Pelvic floor disorders (PFDs) occurring in women comprises a broad range of clinical scenarios such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI).
Aim of the work: The objectives of the present study were to estimate differences in the prevalence of pelvic floor disorders (POP & SUI) in Egyptian women by mode of delivery and their impact on patients’ quality of life using assessment questionnaire.
Materials and Methods: This observational (non-interventional) cohort study was conducted on 464 parous women from the gynecologic out-patient clinic of Ain Shams Maternity University Hospital for measuring the prevalence of POP and UI regards the mode of delivery in women delivered 5 years back or more and its impact on the quality of their lives. Pelvic organ support was assessed using the Pelvic Organ Prolapse Quantification method (POP-Q), and pelvic floor symptoms were evaluated using assessment questionnaire.
Results: Our study found that compared to Cesarean Section (CS; 32.8%), vaginal delivery (VD) was associated with statistically significant increase in the occurrence (43.5%) and severity (Moderate-to-severe UI [39.6% in VD vs. 10.5% in CS]) of UI especially SUI (VD vs. CS: 62.4% vs. 51.3%). Vaginal delivery was associated with more than double the occurrence of  POP (19.4% vs. 8.2% in CS), and more than triple the concomitant occurrence of both POP and SUI (9.9% vs. 2.6% in CS).
Conclusion: There is a positive correlation between the mode of delivery - as an independent factor - and the prevalence of pelvic floor disorders (both pelvic organs prolapse & urinary incontinence) in parous women.
 
Keywords
Pelvic organ Prolapse; Urinary incontinence; Pelvic Floor Disorders; vaginal delivery; cesarean section
Statistics
Article View: 265
PDF Download: 349