Pelvic Floor Dysfunction after Vaginal Delivery

Khushboo Jawed; Gulfareen Haider; Shehla Channa; Anila Mujadid; Roomi Aijaz; Majida Memon

doi:10.71104/jsogp.v15i4.982

Khushboo Jawed 1WMO, (MS Gynae and OBS, Isra University Hospital Hyderabad
Gulfareen Haider Professor of Obs & Gynae, Isra University Hospital Hyderabad
Shehla Channa 3Associate Professor of Obs & Gynae, LUH Hospital Hyderabad
Anila Mujadid Assistant Professor, Gynae and OBS, LUMHS Thatta
Roomi Aijaz Associate Professor, Department of Physiology, Isra University Hospital Hyderabad
Majida Memon Senior Demonstrator SRMC Tando Adam (M. Phil Physiology LUMHS)

DOI: https://doi.org/10.71104/jsogp.v15i4.982

Keywords: Vaginal delivery, PFD, Urinary Incontinence

Abstract

Objective: To evaluate the frequency of Pelvic floor disorders (PFD) after vaginal deliveries and to compare their frequency in different forms of labor.

Methodology: This cross-sectional study was conducted at the department of gynecology and obstetrics, Isra University Hospital, from January 2021 to July 2021, on 99 women aged 16 to 45 years who had given birth through vaginal delivery or assisted vaginal delivery (forceps or episiotomy) within the last six months, regardless of parity or booking status. A structured checklist or questionnaire, the Pelvic Floor Dysfunction Index-20 (PFDI-20), was used to assess symptoms experienced by the patients over the previous three months. Additionally, socio-demographic details, current and past obstetric history, and clinical characteristics were evaluated. The data was analyzed using SPSS version 21.

Results: Overall mean age of women was 32.2 +6.03 years. Most common types of PFD were urinary incontinence (UI), and pelvic organ prolapse (POP) affecting 48.5% and 25.3% of the women respectively, followed mixed PFD (combination of symptoms) 7.1%, fecal incontinence FI 5.1%, and others were 14.1%. The mean PFDI-20 scores were significantly higher among women aged more than 30, parity above two, birth weight over 3.5 kg, prolonged or obstructed 2^nd stage of labor, and assisted vaginal deliveries p=0.001.

Conclusion: The urinary incontinence and POP were observed to be the most prevalent pelvic dysfunctions followed by fecal incontinence. Maternal age and new-born birth weight, parity, the second stage of labor, and mode of delivery were identified as factors for PFD.

Keywords: Vaginal delivery, PFD, Urinary Incontinence, PO, Fecal Incontinence, Delayed 2^nd stage labor.