Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women

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11 Citations (Scopus)

Abstract

Introduction and hypothesis This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery. Methods This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery. Results Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both. Conclusions In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.

Original languageEnglish (US)
Pages (from-to)1293-1298
Number of pages6
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume22
Issue number10
DOIs
StatePublished - Oct 2011

Fingerprint

Pelvic Organ Prolapse
Urodynamics
Prolapse
Second Labor Stage
Vagina
Hispanic Americans
Postpartum Period
Population

Keywords

  • Detrusor overactivity
  • Multichannel urodynamics
  • POP-Q
  • Postpartum
  • Pregnancy
  • Primiparous
  • Urodynamic stress incontinence

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

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title = "Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women",
abstract = "Introduction and hypothesis This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery. Methods This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery. Results Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7{\%} stage 0, 39{\%} stage I, 56{\%} stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1{\%} had urodynamic stress incontinence, 12.5{\%} had detrusor overactivity, and 6{\%} had both. Conclusions In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.",
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author = "Wai, {Clifford Y.} and McIntire, {Donald D.} and Atnip, {Shanna D.} and Schaffer, {Joseph I.} and Bloom, {Steven L.} and Leveno, {Kenneth J.}",
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T1 - Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women

AU - Wai, Clifford Y.

AU - McIntire, Donald D.

AU - Atnip, Shanna D.

AU - Schaffer, Joseph I.

AU - Bloom, Steven L.

AU - Leveno, Kenneth J.

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N2 - Introduction and hypothesis This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery. Methods This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery. Results Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both. Conclusions In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.

AB - Introduction and hypothesis This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery. Methods This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery. Results Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both. Conclusions In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.

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