Original Article

International Urogynecology Journal

, Volume 17, Issue 6, pp 631-635

Postpartum urinary incontinence: a comparison of vaginal delivery, elective, and emergent cesarean section

  • Hung-Yen ChinAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital
  • , Min-Chi ChenAffiliated withDepartment of Public Health and Biostatistics Consulting Center, School of Medicine, Chang Gung University
  • , Yu-Hung LiuAffiliated withDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital
  • , Kuo-Hwa WangAffiliated withSection of Urogynecology, Songshan Armed Forces General Hospital and Department of Biology and Anatomy, National Defense Medical Center Email author 

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Abstract

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.

Keywords

Elective cesarean section Emergent cesarean section Vaginal delivery Stress urinary incontinence