Analytical study to evaluate the relation between vaginal Birth Order and pelvic organ prolapse quantification stages

Authors

  • Prachi Kushwaha Department of Obstetrics and Gynecology, GMC, Bhopal, Madhya Pradesh, India
  • Sona Soni Department of Obstetrics and Gynecology, GMC, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193513

Keywords:

Pelvic organs, POP, POPQ, Vaginal vault

Abstract

Background: Pelvic organ Prolapse (POP) is the downward displacement of central pelvic organs that are normally located at the level of or adjacent to the vaginal vault. These conditions are common and affect a progressively larger percentage of women as age advances especially in the postmenopausal years.

Methods: Data were collected as a retrospective study. Thorough history was taken and physical examination was done. Demographic details of each patient were recorded including age, residence type, education and socio- economic status. A detailed history of all the patients was obtained included parity, live birth and nutrition status.

Results: Most of the patients belong to birth order 4 or more than that [73 (62.9%)] followed by birth order 3 [26 (22.4%)] and 2 [16 (13.8%)] whereas 38 (32.7%) patients had birth order >4. In patients with birth order ≥4 and 3 had higher distribution of POPQ stage III and IV respectively.

Conclusions: From Present study it can be concluded that vaginal childbirth plays a major role in development of POP. POPQ stages were statistically significant with high birth order.

References

Schaffer JI, Wai CY, Boreham MK. Etiology of pelvic organ prolapse. Clin Obstet Gynecol. 2005;48(3):639-47.

Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the prevalence of pelvic floor disorders in US Women: 2010 to 2050. Obstetrics Gynecol. 2009;114(6):1278-83.

Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186(6):1160-6.

Swift S, Woodman P, O'boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obst Gynecol. 2005;192(3):795-806.

Handa VL, Harris TA, Ostergard DR. Protecting the pelvic floor: obstetric management to prevent incontinence and pelvic organ prolapse. Obstet Gynecol. 1996;88(3):470-8.

Moalli PA, Ivy SJ, Meyn LA, Zyczynski HM. Risk factors associated with pelvic floor disorders in women undergoing surgical repair. Obstet Gynecol. 2003;101(5):869-74.

Tegerstedt G, Miedel A, Mæhle-Schmidt M, Nyrén O, Hammarström M. Obstetric risk factors for symptomatic prolapse: a population-based approach. Am J Obst Gynecol. 2006;194(1):75-81.

Sze EH, Hobbs G. Relation between vaginal birth and pelvic organ prolapse. Acta Obstetricia Gynecol Scandinavica. 2009;88(2):200-3.

Swift SE, Pound T, Dias JK. Case control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J. 2001;12(3):187-92.

O'boyle AL, O'boyle JD, Ricks RE, Patience TH, Calhoun B, Davis G. The natural history of pelvic organ support in pregnancy. Int Urogynecol J. 2003;14(1):46-9.

Seo JT, Kim JM. Pelvic organ support and prevalence by Pelvic Organ Prolapse-Quantification (POP-Q) in Korean women. J Urol. 2006;175(5):1769-72.

Trowbridge ER, Fultz NH, Patel DA, DeLancey JO, Fenner DE. Distribution of pelvic organ support measures in a population-based sample of middle-aged, community-dwelling African American and white women in southeastern Michigan. Am J Obstet Gynecol. 2008;198(5):548-e1.

Aytan H, Ertunç D, Tok EC, Yaşa O, Nazik H. Prevalence of pelvic organ prolapse and related factors in a general female population. Turkish J Obstet Gynecol. 2014;11(3):176.

Elbiss HM, Osman N, Hammad FT. Prevalence, risk factors and severity of symptoms of pelvic organ prolapse among Emirati women. BMC Urol. 2015;15(1):66.

Sharma A, Zhang JP. Risk factors and symptoms of uterine prolapse: reality of Nepali women. Asian Women. 2014;30(1):81-95.

Bradley CS, Nygaard IE. Vaginal wall descensus and pelvic floor symptoms in older women. Obstet Gynecol. 2005;106(4):759-66.

Baruwal A, Somronthong R, Pradhan S. Knowledge, attitude and preventive measures amongst married women of reproductive age towards uterine prolapse in the eight villages of Surkhet District of Nepal. J Health Res. 2011;25(3):129-33.

Bortolini MA, Drutz HP, Lovatsis D, Alarab M. Vaginal delivery and pelvic floor dysfunction: current evidence and implications for future research. Int Urogynecol J. 2010;21(8):1025-30.

Luber KM, Boero S, Choe JY. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol. 2001;184(7):1496-503.

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Published

2019-07-26

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Original Research Articles