title: How do delivery mode and parity affect pelvic organ prolapse?
abstract: OBJECTIVE
  To determine the association between mode of delivery, parity, and pelvic organ prolapse, as assessed by the pelvic organ prolapse quantification system.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Tertiary referral center, Turkey.
  
  
  METHODS
  A total of 1964 women with benign gynecological disorders who presented between October 2009 and July 2011.
  
  
  METHODS
  Evaluation using the pelvic organ prolapse quantification system and questionnaire assessing previous obstetrics and medical history.
  
  
  METHODS
  Difference in pelvic organ prolapse stages between nulliparous and multiparous women, impact of parity and mode of delivery.
  
  
  RESULTS
  In the study population, 86.4, 7.2 and 6.4% had pelvic organ prolapse of stages 0-I, II, and III-IV, respectively, and 7.9% had significant prolapse beyond the hymen. The mean age, parity, and number of vaginal deliveries were significantly higher in the prolapse than in the non-prolapse group. Vaginal delivery was associated with an odds ratio of 2.92 (95% confidence interval 1.19-7.17) for prolapse when compared with nulliparity. Each vaginal delivery increased the risk of prolapse (odds ratio 1.23; 95% confidence interval 1.12-1.35) after controlling for all confounding factors. Cesarean delivery had no impact on the odds for prolapse.
  
  
  CONCLUSIONS
  Vaginal delivery was an independent risk factor for prolapse, and additional vaginal deliveries significantly increased the risk. However, cesarean delivery had no effect on the development of prolapse in this material.
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Ege University, Bornova, Turkey. drayeniel@hotmail.com
authors: A Özgür
authors: AÖ
authors: Yeniel
authors: A Mete
authors: AM
authors: Ergenoglu
authors: Niyazi
authors: N
authors: Askar
authors: Ismaıl Mete
authors: IM
authors: Itil
authors: Reci
authors: R
authors: Meseri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002585:Cesarean Section; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D016017:Odds Ratio; D010298:Parity; D036801:Parturition; D056887:Pelvic Organ Prolapse / Q000209:etiology*; D011247:Pregnancy; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult