Cesarean delivery linked to lower incidence of pelvic floor
Compared with spontaneous vaginal delivery, cesarean delivery was associated with a lower hazard for pelvic floor disorders, according to findings recently published in JAMA.

“Despite recent advances, the biological mechanisms underlying pelvic floor disorders remain uncertain. Epidemiologic studies suggest that pelvic floor disorders are associated with childbirth, because these conditions are strongly associated with parity and are more common after vaginal birth vs. cesarean birth,” the authors write.

Researchers followed-up annually with 1,528 women, of whom 1,092 were multiparous (median age at first delivery, 30.6 years). They found that after a median of 5.1 years, there were 168 cases of anal interference, 153 cases of pelvic organ prolapse, 138 cases of stress urinary incontinence, and 117 cases of overactive bladder.

“Results of this study showed a substantial difference in pelvic floor disorder incidence based on a woman’s obstetrical characteristics. The cumulative incidence of each pelvic floor disorder was significantly associated with delivery mode,” the authors observed.

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