Pelvic organ prolapse and XXXX 15-23 years after first delivery: a cross-sectional study.

@entity1 @entity1241 @entity322 @entity3087
OBJECTIVE: To study the association between @entity3087 ( @entity3087 ) and mode of delivery and to calculate the risks of @entity3087 comparing caesarean delivery and operative vaginal delivery to normal vaginal delivery 15-23 years after childbirth. A subgroup analysis comparing forceps and vacuum delivery was planned. DESIGN: Cross-sectional study. SETTING: Postal questionnaire. POPULATION: 1641 (53%) of 3115 @entity1 who delivered their first @entity1 in Trondheim, Norway, between January 1990 and December 1997. METHODS: A questionnaire including questions on symptomatic pelvic organ prolapse, @entity322 and surgery for these conditions. MAIN OUTCOME MEASURES: Prevalence of @entity3087 measured by symptomatic pelvic organ prolapse or surgery (sPOP), @entity322 or surgery (UI) and @entity1241 or surgery (FI). RESULTS: When caesarean delivery was compared to normal vaginal delivery the adjusted odds ratio (aOR) for sPOP was 0.42 (95% confidence interval, CI, 0.21-0.86) and the aOR for UI was 0.65 (95% CI 0.46-0.92). Operative vaginal delivery was associated with increased risk of sPOP (aOR 1.73, 95% CI 1.21-2.48) and FI (aOR 1.96, 95% CI 1.26-3.06) when compared with normal vaginal delivery. There were no differences in sPOP, UI or FI in a subgroup analysis comparing forceps and vacuum delivery. CONCLUSIONS: Caesarean delivery was associated with decreased risk and operative vaginal delivery with increased risk of @entity3087 15-23 years after first delivery, but there were no differences between forceps and vacuum delivery.
