DELIVERY AND PELVIC FLOOR DYSFUNCTION

Abstract

Urinary incontinence, anal incontinence, pelvic organ prolapse and sexual dysfunction are included in the definition of pelvic floor dysfunction. Pregnancy and childbirth play a major role in the emergence of pelvic floor dysfunction, which is seen in 41%-65% of women worldwide. Studies have suggested that childbirth causes damage to the pelvic floor due to damage to nerves, muscles and connective tissue. Particularly, obstetric factors related to labor, episiotomy, second stage of labor, interventions and lacerations have been suggested to be associated with pelvic floor dysfunction. It is seen that vaginal delivery increases pelvic floor dysfunction, and there are controversial results in studies on cesarean delivery. In this review, the effects of childbirth on the pelvic floor were examined and discussed in the light of current literature.

Keywords

• Birth
• Pelvic floor
• Pelvic floor disorders

DOĞUM VE PELVİK TABAN DİSFONKSİYONU

Abstract

Üriner inkontinans, anal inkontinans, pelvik organ prolapsusu ve cinsel disfonksiyon pelvik taban disfonksiyonu kapsamında yer almaktadır. Dünya genelindeki kadınların %41-%65’inde görülmekte olan pelvik taban disfonksiyonunun ortaya çıkışında gebelik ve doğum büyük rol oynamaktadır. Yapılan çalışmalarda doğumun sinirlere, kaslara ve bağ dokusuna zarar vererek pelvik taban hasarına neden olduğu ileri sürülmektedir. Özellikle doğuma bağlı obstetrik faktörlerin, epizyotominin, doğumun ikinci evresinin, müdahaleli doğumların ve laserasyonların pelvik taban disfonksiyonları ile ilişkili olduğu düşünülmektedir. Vajinal doğumların pelvik taban disfonksiyonunu arttırdığı, sezaryen doğumlar ile ilgili çalışmalarda ise tartışmalı sonuçların olduğu görülmektedir. Bu derlemede, doğumun pelvik taban üzerindeki etkileri incelenerek, güncel literatür doğrultusunda tartışıldı.

Keywords

• Doğum
• pelvik taban
• Pelvik taban kusurları

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