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.

Keywords

cross-sectional study

risk factors

pelvic organ prolapse

POP

pelvic floor muscle strength

PFMS

postpartum women

vaginal delivery

birth weight

forceps assistance