CoChat
Sign Up
Cited by 345Pelvic floor disorders treatmentsMaternal and Perinatal Health InterventionsPregnancy-related medical research

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth

Open access
Handa, Victoria L., Blomquist, Joan L., Knoepp, Leise R., Hoskey, Kay A., McDermott, Kelly C., Muñoz, Alvaro·2011·Obstetrics & Gynecology
DOI 10.1097/aog.0b013e3182267f2fPMC PMC3178744
Open this paper in CoChat — free account

Abstract

OBJECTIVE: To estimate differences in pelvic floor disorders by mode of delivery. METHODS: We recruited 1,011 women for a longitudinal cohort study 5-10 years after first delivery. Using hospital records, we classified each birth as: cesarean without labor, cesarean during active labor, cesarean after complete cervical dilation, spontaneous vaginal birth, or operative vaginal birth. At enrollment, stress incontinence, overactive bladder, anal incontinence, and prolapse symptoms were assessed with a validated questionnaire. Pelvic organ support was assessed using the Pelvic Organ Prolapse Quantification system. Logistic regression analysis was used to estimate the relative odds of each pelvic floor disorder by obstetric history, adjusting for relevant confounders. RESULTS: Compared with cesarean without labor, spontaneous vaginal birth was associated with a significantly greater odds of stress incontinence (odds ratio [OR] 2.9, 95% confidence interval [CI] 1.5-5.5) and prolapse to or beyond the hymen (OR 5.6, 95% CI 2.2-14.7). Operative vaginal birth significantly increased the odds for all pelvic floor disorders, especially prolapse (OR 7.5, 95% CI 2.7-20.9). These results suggest that 6.8 additional operative births or 8.9 spontaneous vaginal births, relative to cesarean births, would lead to one additional case of prolapse. Among women delivering exclusively by cesarean, neither active labor nor complete cervical dilation increased the odds for any pelvic floor disorder considered, although the study had less than 80% power to detect a doubling of the odds with these exposures. CONCLUSION: Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth. LEVEL OF EVIDENCE: II.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1097/aog.0b013e3182267f2f

Cites

30 of 30 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 30 references

Research works printed but not linked: 1

  1. Sze, 2002, Obstet Gynecol, 100, 981

Cited by

Sorted by citations

Related

See all

Metadata

Authors
Handa, V. L., Blomquist, J. L., Knoepp, L. R., Hoskey, K. A., McDermott, K. C., & Muñoz, A.
Affiliations
Greater Baltimore Medical Center (US)
ORCID
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-10
Volume
118
Issue
4
Pages
777-784
ISSN
0029-7844 (ISSN-L)
DOI
10.1097/aog.0b013e3182267f2f
PMC
PMC3178744
OpenAlex
W2155715307
Cited by
345
References
30
Citations by year
2026: 13 · 2025: 23 · 2024: 38 · 2023: 20 · 2022: 19 · 2021: 23 · 2020: 34 · 2019: 23 · 2018: 23 · 2017: 22 · 2016: 23 · 2015: 24 · 2014: 17 · 2013: 12 · 2012: 25
FWCI
13.51
Type
journal article
Language
en
Open access
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD056275)
Topics
  • Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords
pelvic floor dysfunction, mode of delivery, cesarean section, vaginal delivery, instrumental delivery, stress urinary incontinence, overactive bladder, anal incontinence, pelvic organ prolapse, pelvic organ support, postpartum women
MeSH terms
Adult, Cesarean Section, Fecal Incontinence, Female, Humans, Obstetric Labor Complications, Longitudinal Studies, Pregnancy, Prospective Studies, Surveys and Questionnaires, Urinary Incontinence, Stress, Pelvic Floor, Parturition, Urinary Bladder, Overactive, Pelvic Organ Prolapse

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review