title: Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women.
abstract: OBJECTIVE
  This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery.
  
  
  METHODS
  This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery.
  
  
  RESULTS
  Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both.
  
  
  CONCLUSIONS
  In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA. Clifford.wai@utsouthwestern.edu
authors.forename: Clifford Y
authors.initials: CY
authors.lastname: Wai
authors.forename: Donald D
authors.initials: DD
authors.lastname: McIntire
authors.forename: Shanna D
authors.initials: SD
authors.lastname: Atnip
authors.forename: Joseph I
authors.initials: JI
authors.lastname: Schaffer
authors.forename: Steven L
authors.initials: SL
authors.lastname: Bloom
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Leveno
mesh_terms: D000293:Adolescent; D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000208:ethnology; D006801:Humans; D015994:Incidence; D010298:Parity; D056887:Pelvic Organ Prolapse / Q000453:epidemiology* / Q000208:ethnology / Q000503:physiopathology; D049590:Postpartum Period; D011247:Pregnancy; D013997:Time Factors; D053201:Urinary Bladder, Overactive / Q000453:epidemiology* / Q000208:ethnology / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000208:ethnology / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology*; D014621:Vagina; D055815:Young Adult