Incidence and Etiology of Pelvic Floor Dysfunction and Mode of Delivery: An Overview

被引：34

作者：

Turner, Catherine E. ^{[1
,2
]}

Young, Jane M. ^{[3
,4
]}

Solomon, Michael J. ^{[1
,2
,3
]}

Ludlow, Joanne ^{[5
]}

Benness, Christopher ^{[5
]}

机构：

[1] Royal Prince Alfred Hosp, Dept Colorectal Surg, Sydney, NSW, Australia

[2] Univ Sydney, Dept Surg, Sydney, NSW 2006, Australia

[3] Sydney SW Area Hlth Serv, SOuRCe, Sydney, NSW, Australia

[4] Univ Sydney, Sch Publ Hlth, Sydney, NSW 2006, Australia

[5] Royal Prince Alfred Hosp, Dept Obstet & Gynaecol, Sydney, NSW, Australia

来源：

DISEASES OF THE COLON & RECTUM | 2009年 / 52卷 / 06期

关键词：

Elective cesarean section; Vaginal delivery; Incontinence; Pelvic organ prolapse; ELECTIVE CESAREAN-SECTION; RANDOMIZED CONTROLLED-TRIAL; ANAL-SPHINCTER DISRUPTION; NEONATAL RESPIRATORY MORBIDITY; TERM BREECH TRIAL; VAGINAL DELIVERY; URINARY-INCONTINENCE; RISK-FACTORS; FECAL INCONTINENCE; RETROSPECTIVE COHORT;

D O I：

10.1007/DCR.0b013e31819f283f

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Elective cesarean section at patient request is becoming common place. Women are requesting the intervention for preservation of the pelvic floor, but there is conflicting evidence to suggest that this mode of delivery has such benefits. The risks vs. benefits of both vaginal delivery and cesarean section need to be well understood before deciding on a surgical delivery. This review outlines the current available evidence of the risks and benefits associated with vaginal delivery and elective cesarean section and the incidence and mechanisms of injury that lead to pelvic floor dysfunction. As in most surgical conditions, a better understanding of causality of pelvic floor dysfunction may help treatment effectiveness.

引用

页码：1186 / 1195

页数：10

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