Frequency of pelvic floor dysfunctions after normal vaginal delivery
Background: The pelvic floor dysfunction is an umbrella term which encompasses the disorder of pelvic floor anatomy and physiology such as pelvic organ prolapse, urinary and fecal incontinence, and many other defecating and sensory abnormalities of the GI tracts and lower urinary. Many various factors are associated with pelvic floor dysfunction such as childbirth, obesity, multipara and increased BMI.
Objective: To determine the frequency of pelvic floor dysfunctions after normal vaginal delivery.
Methods: A study was conducted in obstetrics and gynecology department of Akbar Khan Teaching Hospital (ANTH), Islamabad Pakistan between February and August 2022 demonstrating observational cross-sectional study design. The data was collected from 285 females using non probability convenience sampling technique. Multipara females having child birth (≥ 2) history of normal vaginal delivery either undergone episiotomy or not were included in this study. All the data were analyzed in SPSS v 23.
Results: The mean patient age was 38.15±7.85 years. In context of pelvic floor dysfunctions, pain in pelvic area 80%, urinary leakage 79% and bowel leakage 52% were observed. The secondary dysfunctions i.e., gait abnormality 42% was observed. The frequency of symptomatic pelvic floor dysfunctions in female’s undergone normal vaginal delivery was 65% in interviewed patients. The post stratification analysis of quality-of-life questionnaire with pelvic floor dysfunctions. A significant association (p ≤ 0.05) was observed between quality-of-life and pelvic floor dysfunctions after normal vaginal delivery.
Conclusion: This study concluded that the pelvic floor dysfunctions are more common in obese multipara females & multiple vaginal births. Obesity and multiple births are the major contributor factors to pelvic floor dysfunction.
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