Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden.
To estimate the risk for stress urinary incontinence and pelvic organ prolapse surgery related to vaginal birth or cesarean delivery.
A cohort study of all women having their first and all subsequent deliveries by cesarean (n = 33,167), and an age-matched sample of women only having vaginal deliveries (n = 63,229) between 1973 and 1983. Hazard ratios were calculated using Cox regression models with 95% confidence intervals.
Women only having vaginal deliveries had increased overall risks of incontinence (hazard ratio, 2.9; 95% confidence interval, 2.4-3.6) and prolapse surgery (hazard ratio, 9.2; 95% confidence interval, 7.0-12.1) compared with women only having cesarean deliveries.
Having only vaginal childbirths was associated with a significantly increased risk of stress urinary incontinence and pelvic organ prolapse surgery later in life compared with only having cesarean deliveries.
Written by:
Leijonhufvud A, Lundholm C, Cnattingius S, Granath F, Andolf E, Altman D.
Are you the author?
Reference: Am J Obstet Gynecol. 2011 Jan;204(1):70.e1-7.
doi: 10.1016/j.ajog.2010.08.034
PubMed Abstract
PMID: 21187196
UroToday.com Stress Urinary Incontinence Section
