Choose your font:
 Mukta Malar
 Open Sans Condensed
 Source Sans Pro


[Valid RSS] RSS

Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3106 records
YouTube channel (tutorial)

Created on : 02 Jan 2018
Modified on : 07 Jan 2018

 Modify this record
Do not follow this link unless you know an editor’s password!

Share: Facebook logo   Tweeter logo   Hard

Bibliographical entry (without author) :

Longitudinal study of quantitative changes in pelvic organ support among parous women. American Journal of Obstetrics & Gynecology. Presented at the 38th annual scientific meeting of the American Urogynecologic Society, Providence, RI, Oct. 3–7, 2017.

Author(s) :

Victoria L. Handa, MD, Joan L. Blomquist, MD, Ms Jennifer Roem, MS, Alvaro Muňoz, PhD

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :


Pelvic organ prolapse is more common among parous (versus nulliparous) women and also more common after vaginal (versus cesarean) birth. However, very little is known about how childbirth affects the course and progression of pelvic organ prolapse across a woman’s lifespan.


To investigate longitudinal, quantitative changes in pelvic organ support after childbirth, focusing on the impact of vaginal versus cesarean delivery.

Study design

This was a prospective longitudinal cohort study in which parous women were recruited 5-10 years from first delivery and followed annually. Using data from annual Pelvic Organ Prolapse Quantification examinations, we considered changes in vaginal support at the anterior vaginal wall (point Ba), the vaginal apex (point C), and the posterior wall (point Bp). In univariate and multivariable models, we compared pelvic organ support between women who had delivered at least one child vaginally versus those delivered exclusively by cesarean. Other covariates considered included race, age at first delivery, and the size of the genital hiatus (GH). For models of support at Ba and Bp we also considered the independent association with apical support. For women who delivered vaginally, we also considered forceps birth.


1224 women participated for a total of 7055 woman-visits. In multivariable models, vaginal birth was associated with significantly worse support 5 years from first delivery. Also, women with at least one vaginal birth had more rapid worsening of support at C. The width of GH was a significant independent predictor of worse support 5 years from delivery as well as the rate of change over time. In models that controlled for GH, the strength of the impact of vaginal birth was attenuated.


Vaginal birth was associated with worse support 5 years from first delivery and with more rapid deterioration in support at the apex. Above and beyond the impact of vaginal birth, the size of GH may be an independent marker for those at greatest risk of prolapse progression.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ attendance ; c-section/caesarean ; incontinence/prolapsus

Author of this record :

Bernard Bel — 02 Jan 2018
➡ latest update : Bernard Bel — 07 Jan 2018

Discussion (display all languages)
➡ Only identified users

 I have read the guidelines of discussions and I accept all terms (read guidelines)


New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact


This database is managed by Alliance francophone pour l'accouchement respecté (AFAR,
affiliated with Collectif interassociatif autour de la naissance (CIANE,
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting AFAR (see below)
(3) or joining the AFAR (or another society affiliated with CIANE).
Sign in or create an account to follow changes or become an editor.
Contact afar.association(arobase) for more information.

Valid CSS! Valid HTML!
Donating to AFAR (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth