Recovery from pelvic floor dysfunction symptoms in the postpartum is associated with the duration of the second stage of labor

Ella Pardo, Reut Rotem, Hannah Glinter, Miriam Erenberg, Lior Yahav, Zehava Yohay, David Yohay, Adi Y. Weintraub

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Purpose: Pregnancy and labor are known risk factors for pelvic floor dysfunction (PFD). Yet not much is known regarding recovery from PFD. We hypothesized that the recovery from PFD during the postpartum period would be associated with the duration of the second stage of labor (SSL). Methods: We conducted a case–control study of patients who gave birth at the Soroka University Medical Center, Beer-Sheva, Israel. Those who consented completed the Pelvic Floor Distress Inventory-20 (PFDI-20), a questionnaire developed to measure the extent of injury to the pelvic floor, after delivery and 3-month postpartum. The difference between the scores was calculated, representing recovery of symptoms. The duration of the SSL, and clinical and obstetrical characteristics were retrieved from the patients’ medical records. Wilcoxon rank test was used, assessing the significance of the recovery. The association between the degree of the recovery and the duration of SSL was tested using Mann–Whitney ranking. Results: A total of 92 patients completed the PFDI-20 after delivery and 3-month postpartum. We found a significant difference between PFD symptoms during pregnancy and 3-month postpartum (P < 0.001). This difference remained consistent in all components of the PFDI-20. In addition, a more profound recovery of colorectal and anal dysfunction (CRAD) symptoms was associated with a shorter duration of the SSL (P = 0.03). Conclusions: There is a statistically significant recovery of PFD symptoms in the postpartum period. Furthermore, greater recovery from CRAD symptoms is associated with a shorter duration of the SSL.

Original languageEnglish
Pages (from-to)127-133
Number of pages7
JournalArchives of Gynecology and Obstetrics
Volume300
Issue number1
DOIs
StatePublished - 1 Jul 2019
Externally publishedYes

Keywords

  • Colorectal and anal distress
  • In pregnancy
  • Pelvic Floor Distress Inventory
  • Pelvic floor dysfunction
  • Postpartum
  • Second stage of labor

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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