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- W2318488984 abstract "Advancing maternal age at childbirth has been associated with increased risk of unfavorable perinatal outcomes, including levator muscle injury, anal sphincter laceration, and stress urinary incontinence (SUI). There is no clear evidence for an association between advanced maternal age and subsequent surgically managed SUI and pelvic organ prolapse (POP). It is possible that any maternal age–related increase in risk of SUI and POP later in life could be influenced by the mode of delivery. This nationwide register cohort study was designed to investigate the possible association of age at first childbirth and mode of delivery with surgically managed SUI and POP. Data obtained from the Swedish Medical Birth Register on women with only cesarean delivery (n = 30,880) or only vaginal delivery (n = 59,585) were compared with those from the Swedish Patient Register to estimate incidence rates of SUI and POP in relation to maternal age at delivery and mode of delivery. Analyses stratified by age showed that vaginal delivery consistently increased the risks of SUI and POP surgery later in life. Among women 30 years or older with a vaginal delivery, incidence rates of POP surgery were twice that of women younger than 30 years (13.8 [95% confidence interval, 12.7–15.1] vs 6.4 [95% confidence interval, 6.0–6.8] per 10,000 person-years). Exclusion of instrumental vaginal delivery had no effect on outcome. These findings show that advanced maternal age at first delivery increases the risk of SUI and POP surgery later in life whether delivery is vaginal or cesarean." @default.
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- W2318488984 date "2013-01-01" @default.
- W2318488984 modified "2023-10-05" @default.
- W2318488984 title "Risk of Surgically Managed Pelvic Floor Dysfunction in Relation to Age at First Delivery" @default.
- W2318488984 doi "https://doi.org/10.1097/01.ogx.0000426489.97547.2c" @default.
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