title: A questionnaire on pelvic floor dysfunction postpartum.
abstract: OBJECTIVE
  the incidence of obstetric anal sphincter injuries is used in Sweden as a measurement of quality of care and this might influence the reporting. However, the correlation between reported diagnosis of pelvic floor injury at delivery and pelvic floor symptoms a year later is unknown. A questionnaire could identify such symptoms and provide beneficial feedback to obstetrical practices.
  
  
  METHODS
  we made a cross-sectional study by sending out a questionnaire about pelvic floor dysfunction to 599 women depending on reported injury at delivery. The answers provided by the groups were then compared.
  
  
  RESULTS
  the questionnaire identified women with pelvic floor dysfunction. Anal incontinence was most common among women with obstetric anal sphincter injuries but also occurred among women delivered vaginally without known tears.
  
  
  CONCLUSIONS
  we suggest that a questionnaire is used 12-18 months after delivery to establish the short-time outcome in terms of pelvic floor dysfunction.
authors.affiliation: Södersjukhuset, Division of Obstetrics and Gynaecology, Sjukhusbacken 10S-11883, Stockholm, Sweden. charlotte.luthander@sodersjukhuset.se
authors.forename: Charlotte
authors.initials: C
authors.lastname: Luthander
authors.forename: Thomas
authors.initials: T
authors.lastname: Emilsson
authors.forename: Gunnar
authors.initials: G
authors.lastname: Ljunggren
authors.forename: Margareta
authors.initials: M
authors.lastname: Hammarström
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000293:injuries; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000009:adverse effects*; D005242:Fecal Incontinence / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D017773:Pelvic Floor / Q000293:injuries / Q000503:physiopathology*; D056887:Pelvic Organ Prolapse / Q000453:epidemiology / Q000209:etiology; D049590:Postpartum Period / Q000502:physiology*; D011795:Surveys and Questionnaires; D013548:Sweden; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000209:etiology
references.citation: Neurourol Urodyn. 2006;25(2):128-34
references.pmid: 16353239
references.citation: Acta Obstet Gynecol Scand. 2003 Mar;82(3):246-50
references.pmid: 12694121
references.citation: Obstet Gynecol. 2005 Jul;106(1):6-13
references.pmid: 15994610
references.citation: Obstet Gynecol. 1999 Jul;94(1):21-8
references.pmid: 10389712
references.citation: Dis Colon Rectum. 1993 Jan;36(1):77-97
references.pmid: 8416784
references.citation: Acta Obstet Gynecol Scand. 1998 Nov;77(10):974-7
references.pmid: 9849840
references.citation: Eur J Obstet Gynecol Reprod Biol. 2002 Feb 10;101(1):19-21
references.pmid: 11803094
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1503-8
references.pmid: 18548181
references.citation: Br J Surg. 1990 Dec;77(12):1358-60
references.pmid: 2276018
references.citation: Obstet Gynecol. 2006 Jun;107(6):1261-8
references.pmid: 16738150
references.citation: Obstet Gynecol. 2001 Mar;97(3):350-6
references.pmid: 11239635
references.citation: Am J Obstet Gynecol. 2006 Jan;194(1):75-81
references.pmid: 16389012
references.citation: BJOG. 2006 Feb;113(2):208-17
references.pmid: 16412000
references.citation: Br J Obstet Gynaecol. 1994 Jan;101(1):22-8
references.pmid: 8297863
references.citation: Br J Surg. 1998 Oct;85(10):1433-8
references.pmid: 9782032
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1495-501
references.pmid: 18566731
references.citation: J Clin Epidemiol. 2005 Jan;58(1):41-6
references.pmid: 15649669
references.citation: Dis Colon Rectum. 2001 Jan;44(1):67-71
references.pmid: 11805565
references.citation: Br J Obstet Gynaecol. 1997 May;104(5):563-6
references.pmid: 9166198
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):179-83
references.pmid: 17671753
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):407-10
references.pmid: 19082774
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2004 May-Jun;15(3):149-53
references.pmid: 15167991
references.citation: Acta Obstet Gynecol Scand. 2009;88(1):36-42
references.pmid: 19023680
references.citation: Obstet Gynecol. 2005 Oct;106(4):707-12
references.pmid: 16199625
references.citation: N Engl J Med. 1993 Dec 23;329(26):1905-11
references.pmid: 8247054
references.citation: Am J Obstet Gynecol. 2006 May;194(5):1255-9
references.pmid: 16647908
references.citation: BJOG. 2006 Feb;113(2):195-200
references.pmid: 16411998
references.citation: J Am Coll Surg. 1996 Dec;183(6):553-8
references.pmid: 8957456
references.citation: Am J Obstet Gynecol. 2007 Mar;196(3):217.e1-5
references.pmid: 17346526
references.citation: BMJ. 1994 Apr 2;308(6933):887-91
references.pmid: 8173367