title: Degree of bother from pelvic floor dysfunction in women one year after first delivery.
abstract: OBJECTIVE
  To investigate rates and range of pelvic floor dysfunction complaints, including anterior and posterior compartments and sexual function, in an unselected population of primiparous women one year from delivery, and examine the degree of bother they cause.
  
  
  METHODS
  Cross sectional study. Primiparous women who delivered their first child in our delivery wards 10-14 months previously, were approached by phone and asked to complete the Pelvic Floor Symptom Bother Questionnaire (PFBQ) and provide general demographic information. Details regarding participants' labor and delivery were extracted from electronic medical records. PFBQ score was correlated to demographic and labor and delivery parameters.
  
  
  RESULTS
  198 women completed the questionnaire. Response rate was 94%. Scores ranged from 0 to 44.4 (out of a possible 100). At least one symptom of PFD was reported by 64% of respondents. Various degrees of urinary incontinence were reported by 9.1-12.1% of women. Some degree of fecal or flatus incontinence was reported by 10.1% of women; 11.1% reported some degree of obstructed defecation. Severe degree of bother from one or more PFD symptoms was reported by 40.1-90.9%. Some level of dyspareunia was reported by 37.3%. A "dose response" trend between mode of delivery and rate of dyspareunia was observed.
  
  
  CONCLUSIONS
  Two-thirds of primiparous women one year after delivery suffer PFD symptoms that cause some degree of bother. When asked, women are willing to discuss pelvic floor function; caregivers should initiate discussion and refer women promptly to interventions where necessary.
authors.affiliation: Division of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Michal
authors.initials: M
authors.lastname: Lipschuetz
authors.affiliation: Division of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Cohen
authors.affiliation: Henrietta Szold Hadassah/Hebrew University School of Nursing, Jerusalem, Israel.
authors.forename: Michal
authors.initials: M
authors.lastname: Liebergall-Wischnitzer
authors.affiliation: Henrietta Szold Hadassah/Hebrew University School of Nursing, Jerusalem, Israel.
authors.forename: Kifah
authors.initials: K
authors.lastname: Zbedat
authors.affiliation: Division of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Drorith
authors.initials: D
authors.lastname: Hochner-Celnikier
authors.affiliation: Division of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Yuval
authors.initials: Y
authors.lastname: Lavy
authors.affiliation: Division of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. Electronic address: simcha.yagel@gmail.com.
authors.forename: Simcha
authors.initials: S
authors.lastname: Yagel
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000009:adverse effects*; D004414:Dyspareunia / Q000453:epidemiology / Q000209:etiology; D057286:Electronic Health Records; D005242:Fecal Incontinence / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D007557:Israel / Q000453:epidemiology; D010298:Parity; D017773:Pelvic Floor / Q000503:physiopathology*; D059952:Pelvic Floor Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D049590:Postpartum Period; D011247:Pregnancy; D015995:Prevalence; D012306:Risk; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*; D055815:Young Adult
keywords: Dyspareunia; Fecal incontinence; Pelvic Floor Symptom Bother Questionnaire; Pelvic floor; Urinary incontinence