Pelvic organ prolapse and sexual dysfunction in primiparous adolescents with episiotomy: a cross-sectional study
DOI:
https://doi.org/10.33448/rsd-v11i16.36193Keywords:
Adolescent; Parity; Episiotomy; Pelvic Organ Prolapse; Physiological sexual dysfunction.Abstract
Objective: To compare the presence of pelvic organ prolapse (POP) and sexual dysfunction (DS) in primiparous adolescents who underwent vaginal delivery, according to exposure to episiotomy. Methods: A cross-sectional study was carried out at the Federal University of Pernambuco, with primiparous adolescents aged 10 to 19 years who gave birth 7 to 48 months before data collection. Participants filled out a form with their personal and clinical data and answered the International Incontinence Consultation Questionnaire on Urinary Short Form Incontinence, the Incontinence Severity Index and the Jorge & Wexner Incontinence Scale. Pelvic floor assessments were also performed. Statistical analysis was performed using SigmaPlot 12.0 and Statistical Package for the Social Sciences 25.0. Results: Our results showed a greater chance of functional alterations and the development of POP and SD in primiparous post-vaginal delivery adolescents who underwent episiotomy, compared to those who did not undergo an incision. Conclusion: Puerperal adolescents with functional alterations and pelvic floor dysfunctions should be referred for physical therapy treatment as soon as possible.
References
Alligood-Percoco, N. R., Kjerulff, K. H., & Repke, J. T. (2016). Risk Factors for Dyspareunia After First Childbirth. Obstetrics and gynecology, 128(3), 512–518. https://doi.org/10.1097/AOG.0000000000001590.
Amorim, M. M., Coutinho, I. C., & Katz, L. (2017). Selective episiotomy vs. implementation of a non-episiotomy protocol: a randomized clinical trial. Reprod Health, 14(1), 1-10. https://doi.org/10.1186/s12978-017-0315-4.
Arbuckle, J. L., Parden, A. M., Hoover, K., Griffin, R. L., & Richter, H. E. (2019). Prevalence and Awareness of Pelvic Floor Disorders in Female Adolescents Seeking Gynecologic Care. Journal of pediatric and adolescent gynecology, 32(3), 288–292. https://doi.org/10.1016/j.jpag.2018.11.010.
Aytan, H., Ertunç, D., Tok, E. C., Yaşa, O., & Nazik, H. (2014). Prevalence of pelvic organ prolapse and related factors in a general female population. Turkish journal of obstetrics and gynecology, 11(3), 176–180. https://doi.org/10.4274/tjod.90582.
Banaei, M., Azizi, M., Moridi, A., Dashti, S., Yabandeh, A. P., & Roozbeh, N. (2019). Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol. Systematic reviews, 8(1), 161. https://doi.org/10.1186/s13643-019-1079-4.
Barber, M. D., & Maher, C. (2013). Epidemiology and outcome assessment of pelvic organ prolapse. International urogynecology journal, 24(11), 1783–1790. https://doi.org/10.1007/s00192-013-2169-9.
Barbosa, L., Kühni, D., Vasconcelos, D., Sales, E., Lima, G., Santos, M., & Lemos, A. (2018). Factors Associated with Urinary Incontinence in Pregnant Adolescents: A Case-Control Study. Journal of pediatric and adolescent gynecology, 31(4), 382–387. https://doi.org/10.1016/j.jpag.2018.02.131.
Bertozzi, S., Londero, A. P., Fruscalzo, A., Driul, L., & Marchesoni, D. (2010). Prevalence and risk factors for dyspareunia and unsatisfying sexual relationships in a cohort of primiparous and secondiparous women after 12 months postpartum. Int J Sex Health, 22(1), 47-53. https://doi.org/10.1080/19317610903408130.
Bozkurt, M., Yumru, A. E., & Şahin, L. (2014). Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor. Taiwanese journal of obstetrics & gynecology, 53(4), 452–458. https://doi.org/10.1016/j.tjog.2014.08.001.
Dabiri, F., Yabandeh, A. P., Shahi, A., Kamjoo, A., & Teshnizi, S. H. (2014). The effect of mode of delivery on postpartum sexual functioning in primiparous women. Oman medical journal, 29(4), 276–279. https://doi.org/10.5001/omj.2014.72.
Declercq, E., Cunningham, D. K., Johnson, C., & Sakala, C. (2008). Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth (Berkeley, Calif.), 35(1), 16–24. https://doi.org/10.1111/j.1523-536X.2007.00207.x.
Enderle, C. F., Kerber, N. P. C., Suzin, L. R. O., & Mendoza-Sassi, R. A. (2012). Avaliação da atenção ao parto por adolescentes em um hospital universitário. Rev Bras Saúde Matern Infant, 12(4), 383-394. https://doi.org/10.1590/S1519-38292012000400005.
Figueiredo, G., Barbieri, M., Gabrielloni, M. C., Araújo, E. S., & Henrique, A. J. (2015). Episiotomy: perceptions from adolescent puerperae. Investigacion y educacion en enfermeria, 33(2), 365–373. https://doi.org/10.17533/udea.iee.v33n2a19.
Gil, A. C. (2002). Como elaborar projeto de pesquisa (4a ed.). Atlas
Gunderson, E. P., Striegel-Moore, R., Schreiber, G., Hudes, M., Biro, F., Daniels, S., & Crawford, P. B. (2009). Longitudinal study of growth and adiposity in parous compared with nulligravid adolescents. Archives of pediatrics & adolescent medicine, 163(4), 349–356. https://doi.org/10.1001/archpediatrics.2009.9.
Handa, V. L., Roem, J., Blomquist, J. L., Dietz, H. P., & Muñoz, A. (2019). Pelvic organ prolapse as a function of levator ani avulsion, hiatus size, and strength. American journal of obstetrics and gynecology, 221(1), 41.e1–41e7. https://doi.org/10.1016/j.ajog.2019.03.004.
Haylen, B. T., de Ridder, D., Freeman, R. M., Swift, S. E., Berghmans, B., Lee, J., Monga, A., Petri, E., Rizk, D. E., Sand, P. K., & Schaer, G. N. (2010). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. International urogynecology journal, 21(1), 5–26. https://doi.org/10.1007/s00192-009-0976-9.
Hochman, B., Nahas, F. X., Oliveira Filho, R. S., & Ferreira, L. M. (2005). Desenhos de pesquisa. Acta Cir Bras, 20(Suppl. 2), 02-9. https://doi.org/10.1590/S0102-86502005000800002.
Holanda, J. B. L., Abuchaim, E. S. V., Coca, K. P., & Abrão, A. C. F. V. (2014). Disfunção sexual e fatores associados relatados no período pós-parto. Acta Paul Enferm., 27(6), 573-578. http://dx.doi.org/10.1590/1982- 0194201400093.
Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. The Cochrane database of systematic reviews, 2(2), CD000081. https://doi.org/10.1002/14651858.CD000081.pub3.
Kayhan, F., Küçük, A., Satan, Y., İlgün, E., Arslan, Ş., & İlik, F. (2016). Sexual dysfunction, mood, anxiety, and personality disorders in female patients with fibromyalgia. Neuropsychiatric disease and treatment, 12, 349–355. https://doi.org/10.2147/NDT.S99160.
Leeman, L. M., & Rogers, R. G. (2012). Sex after childbirth: postpartum sexual function. Obstetrics and gynecology, 119(3), 647–655. https://doi.org/10.1097/AOG.0b013e3182479611.
Lurie, S., Aizenberg, M., Sulema, V., Boaz, M., Kovo, M., Golan, A., & Sadan, O. (2013). Sexual function after childbirth by the mode of delivery: a prospective study. Archives of gynecology and obstetrics, 288(4), 785–792. https://doi.org/10.1007/s00404-013-2846-4.
McDonald, E. A., Gartland, D., Small, R., & Brown, S. J. (2015). Dyspareunia and childbirth: a prospective cohort study. BJOG : an international journal of obstetrics and gynaecology, 122(5), 672–679. https://doi.org/10.1111/1471-0528.13263.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Ana Clara de Sousa Santos; Dominique Babini Albuquerque Cavalcanti; Andrea Lemos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
