Effects of Oxytocin for Induction and Augmentation of Labor on Pelvic Floor Symptoms and Support in the Postpartum Period
| Autor: | Lauren Nicola, Ingrid Nygaard, Marlene J. Egger, Jingye Yang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Urology 030232 urology & nephrology Oxytocin Pelvic Floor Disorders Pelvic Organ Prolapse Article Young Adult 03 medical and health sciences 0302 clinical medicine Oxytocics Humans Medicine Labor Induced Prospective Studies Prospective cohort study 030219 obstetrics & reproductive medicine Pelvic floor business.industry Vaginal delivery Obstetrics Incidence Incidence (epidemiology) Postpartum Period Obstetrics and Gynecology Pelvic Floor medicine.anatomical_structure Relative risk Gestation Surgery business Postpartum period medicine.drug |
| Zdroj: | Female Pelvic Med Reconstr Surg |
| ISSN: | 2151-8378 |
| DOI: | 10.1097/spv.0000000000000848 |
| Popis: | OBJECTIVE: To determine whether oxytocin for induction or augmentation of labor impacts the incidence or persistence of pelvic floor symptoms and support 5–10 weeks after first vaginal delivery. METHODS: Participants in this prospective cohort study were nulliparous women ≥ 18 years that delivered vaginally at ≥ 37 weeks gestation, completed the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ) and the Pelvic Organ Prolapse Quantification examination (POP-Q) in third trimester and 5–10 weeks postpartum. We compared the incidence and persistence of symptomatic EPIQ domains and worse vaginal support (maximal vaginal descent ≥ 0 cm) between women who received oxytocin to those that did not (with or without prostaglandin or mechanical methods in both groups). We performed modified binomial regression to calculate adjusted relative risks of each outcome with 95% confidence intervals. RESULTS: Mean age of the 722 participants was 28.3 (SD 5.2) years; 20% were Hispanic. There were no significant differences according to oxytocin exposure in either incidence or persistence of symptomatic EPIQ domains or worse vaginal support. We found similar results in sensitivity analyses comparing women who received oxytocin as the sole pharmacologic agent to women who received no pharmacologic agent. After adjusting for demographic and obstetric factors associated with incidence and persistence of symptoms and support, oxytocin exposure continued to have no effect. CONCLUSIONS: Oxytocin during labor does not significantly increase the risks for the incidence or persistence of pelvic floor symptoms or worse vaginal support in the early postpartum period, though power for less frequent outcomes was limited. SINGLE SENTENCE SUMMARY: Oxytocin during labor does not significantly increase the risks for the incidence or persistence of pelvic floor symptoms or worse vaginal support in the early postpartum period. |
| Databáze: | OpenAIRE |
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