Postpartum urinary incontinence: a comparison of vaginal delivery, elective, and emergent cesarean section
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- Chin, H., Chen, M., Liu, Y. et al. Int Urogynecol J (2006) 17: 631. doi:10.1007/s00192-006-0085-y
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The aim of this study was to assess the impact of delivery on the pelvic floor and whether cesarean section (C/S) can prevent pelvic floor injury. Five hundred thirty nine women were divided into three groups according to the delivery method adopted: elective C/S, emergent C/S, and vaginal delivery. A urinary incontinence questionnaire survey was conducted around 1 year postpartum. Emergent C/S may be a major risk factor for postpartum urinary incontinence and interfere with the benefit of elective C/S for preventing pelvic floor injury. Hence, not all C/S deliveries can reduce the likelihood of postpartum urinary incontinence. The key lies in whether the C/S is performed before labor.