Pelvic Floor Dysfunction among Primiparous Woman After Vaginal Delivery and Cesarian Section: A Prospective Cohort Study

Abstract

Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, pelvic visceral prolapse, and sexual dysfunction, which are more common in women after childbirth. In the present study, we aimed to investigate and compare pelvic floor disorders in primiparous women 2 and 6 months after vaginal delivery and cesarean section by using a questionnaire, clinical examination, and perineometer at the same time.Methods: This Prospective cohort study was performed on 76 primiparous mothers under normal delivery and cesarean section. All participants were examined after 2 to 6 months after delivery by perineometer pelvic organ prolapse quantification test (POPQ), pelvic floor distress questionnaire (PFDI-20), and female sexual function index (FSFI).Results: The mean of perineometer power and FSFI in the cesarean section group was significantly higher than in the vaginal delivery group (P<0.001). Otherwise, the mean of Anterior and posterior wall prolapse severity and mean of PFDI in the vaginal delivery group were significantly higher than cesarean section patients (P<0.05 and <0.001, respectively).Conclusion: Although the symptoms of pelvic floor muscle weakness, pelvic floor disorder, and the severity of prolapse in the vaginal delivery group was greater than the cesarean section, the improvement in sexual function and prolapse symptoms over time in the vaginal delivery group and obtaining the sameresults in questionnaires after 6 months, shows that most of these symptoms are temporary in the women who had an uncomplicated vaginal delivery, and passing of time, environmental factors and lifestyle are effective in improving most of the pelvic symptoms after delivery.

Keywords

• cesarean section
• pelvic floor disorders
• sexual dysfunction
• pelvic floor