Increased public awareness of changes in pelvic floor anatomy related to pregnancy continues to contribute to the growing phenomenon of cesarean on demand, requested in large part to maintain prepregnancy sexual function and to reduce risk for prolapse and incontinence; two conditions known to negatively impact sexual QOL in the majority of women so-affected. The true impact of pregnancy on pelvic support may be because of pregnancy itself, regardless of delivery mode, as stated by these authors; "cesarean delivery as a potential prevention strategy remains unproven." This study prospectively evaluated the impact of first pregnancy on pelvic organ support of 256 women with three pregnancy outcomes-vaginal delivery without anal sphincter tear, vaginal delivery with anal sphincter tear, and cesarean delivery without labor.
展开▼
