Parity and route of delivery: does cesarean delivery reduce bladder symptoms later in life?
| Autor: | Kristen H. Kjerulff, Harold E. Fox, Lynn A. Harvey, Victoria L. Handa |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Stress incontinence Urinary urgency Urinary Incontinence Stress Urinary system medicine.medical_treatment Urinary incontinence Pregnancy Risk Factors Uterine Prolapse Prevalence medicine Humans Prospective Studies Gynecology Urinary bladder Hysterectomy Cesarean Section business.industry Vaginal delivery Obstetrics Obstetrics and Gynecology Delivery Obstetric Urination Disorders medicine.disease Parity Logistic Models medicine.anatomical_structure Female medicine.symptom business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 191:463-469 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/j.ajog.2004.03.031 |
| Popis: | This study was undertaken to investigate the impact of reproductive factors on the prevalence of urinary symptoms.Participants were women scheduled for hysterectomy (n=1299). Before surgery, urinary symptoms were assessed by questionnaire. Multiple logistic regression analysis was used to investigate the association between bladder symptoms and parity, route of delivery, and other characteristics.Stress incontinence and urinary urgency were more prevalent among parous than nulliparous women (P.01). Controlling for parity and other characteristics, women who had a history of cesarean delivery were significantly less likely to report stress incontinence than women with a history of vaginal delivery (odds ratio 0.60; 95% CI 0.39-0.93).Women who have undergone vaginal delivery are more likely to report stress incontinence than women who have delivered by cesarean section. Although this suggests that cesarean delivery might reduce incontinence later in life, further research is needed to clarify the long-term risks, benefits, and costs of cesarean delivery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect