Pelvic Floor Dysfunction Among Spontaneous Vaginal Delivery And C-Section In Multigravida
https://doi.org/10.5281/zenodo.18599294
DOI:
https://doi.org/10.63075/kys3gx77Keywords:
Cesarean Section, Multigravida, Pelvic Floor Dysfunction And Postpartum Complications.Abstract
Objective: To compare the occurrence of pelvic floor dysfunction among multigravida women who gave birth by cesarean section and those who gave birth by spontaneous vaginal delivery.
Material and Methods: An observational cross-sectional study was carried out on a sample of 323 married women aged 25-40 years with a history of more than one delivery in hospitals of Sialkot using purposive sampling. Women who had urinary tract infection, pelvic surgery or perineal trauma were excluded. Structured questionnaires comprising of demographic and obstetric history and the Pelvic Floor Distress Inventory (PFDI-20), which measured urinary, colorectal-anal, and prolapse symptoms were used to collect the data. Each set of domain scores were on a range of 0-100, and the overall range was 0-300, with the higher the score, the higher the dysfunction. The statistical analysis was conducted in SPSS V.26, with descriptive statistics and the Mann-Whitney U test.
Results: Among the interviewees, 162 (50.2 percent) delivered through C-sections and 161 (49.8 percent) via vaginal delivery. In total, 58.8% experienced moderate levels of distress, 28.5% mild, 7.7% none and 5% severe. By domain: prolapse symptoms were moderate in 35 percent and severe in 11.8 percent; colorectal-anal symptoms were moderate in 44.9 percent and severe in 10.8 percent and urinary symptoms were moderate in 44.3 percent and severe in 20.1 percent in participants. Mean dysfunction scores in women with SVD were always greater in comparison to women having C-sections, and all domains had significant differences (p < 0.001).
Conclusion: PFD is a typical postpartum complication, and its severity is associated with vaginal delivery, as opposed to cesarean section. Even though C-section has a protective effect, it does not remove risk. Regular postpartum check, awareness, and specific physiotherapy are needed to avoid complications and enhance quality of life.
