The relationship between mode of delivery and pelvic organ prolapse in women: A cross-sectional study

Document Type : Original Article

Authors

1 PhD in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

4 M.Sc. of Midwifery, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

6 M.Sc. in Epidemiology, Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: Pelvic organs prolapse is one of the most common disorders in women. There are conflicting studies on the relationship between mode of delivery and pelvic organ prolapse. Therefore, this study was performed with aim to determine the relationship between mode of delivery and pelvic organ prolapse in women.
Methods: This cross-sectional study was performed on 250 women referring to the health-treatment centers in Mashhad. Data collection tools included the researcher-made questionnaire (demographic and midwifery information and the form of recording observations and examinations). The necessary examinations were performed to determine the prolapse of pelvic organs as well as its severity and type. Data were analyzed using SPSS software (version 16) and Mann-Whitney, Chi-square and Spearman correlation coefficient tests. P <0.05 was considered statistically significant.
Results: Based on univariate regression results, in women with normal delivery compared to cesarean section, the chance of having a degree 2 cystocell compared to zero is 23.67 times, the chance of having a second degree rectus cell to zero is 31.13 times, the degree 2 anterocell to zero is 12.21 times and degree 2 uterine prolapse to zero is 7.38 times (p <0.001). In terms of frequency of prolapse, in the normal delivery group, grade 1 cystocele (54.4%), grade 1 uterine prolapse (52%) and grade 1 rectocele (46.4%) had the highest frequency, and in the cesarean delivery group, grade 1 uterine prolapse (57.6%), grade 1 cystocele (52%) and grade 1 rectocele (36.0%) were more common.
Conclusion: The frequency and severity of pelvic organ prolapse was higher in women with normal delivery than cesarean section.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 13
February 2022
Pages 41-50

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