E-Posters-Risk factors for Pelvic Organ Prolapse and Decreased Pelvic Floor Muscle Strength at 6-8 weeks Postpartum: A Cross-Sectional Study

Risk factors for Pelvic Organ Prolapse and Decreased Pelvic Floor Muscle Strength at 6-8 weeks Postpartum: A Cross-Sectional Study - Qing Wang, MD

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In this cross-sectional study, the researchers aimed to identify risk factors for pelvic organ prolapse (POP) and decreased pelvic floor muscle strength (PFMS) at 6-8 weeks postpartum. A total of 504 postpartum women were recruited, and they underwent routine POP quantification measurements and PFMS assessment. <br /><br />The results showed that women aged 30 years or older, with low calcium ion levels, vaginal delivery (VD), and a birth weight of 3275 grams or more had an increased risk of POP at 6-8 weeks postpartum. Women over 30 years of age had significantly greater odds of POP compared to younger women. Similarly, a birth weight of 3275 grams or more was significantly associated with POP. <br /><br />Regarding PFMS, factors such as a second phase of delivery lasting 60 minutes or more and/or forceps assistance during delivery were associated with decreased PFMS in the VD group. The VD group also had a more caudal position of the anterior and posterior vaginal walls and a longer distance from the urethral meatus to the posterior labial commissure compared to the cesarean section (CS) group. <br /><br />In conclusion, age, low calcium ion levels in the third trimester, increased birth weight, and VD were identified as risk factors for POP at 6-8 weeks postpartum. Additionally, a longer second phase of delivery and/or forceps assistance were associated with decreased PFMS. Furthermore, women who had VD had anatomical differences in their pelvic floor compared to those who had CS.

Meta Tag

Concept Pelvic Organ Prolapse

Concept Pelvic Floor Muscle Strength

Concept Risk Factor

Concept Mode of Delivery

Concept Vaginal Delivery

Keywords

cross-sectional study

risk factors

pelvic organ prolapse

POP

pelvic floor muscle strength

PFMS

postpartum women

vaginal delivery

birth weight

forceps assistance

Pelvic Organ Prolapse

Pelvic Floor Muscle Strength

Risk Factor

Mode of Delivery

Vaginal Delivery