Obstet Gynecol 2021 Apr 8. Epub 2021 Apr 8.
Department of Obstetrics and Gynecology and the Department of Internal Medicine, University of Utah School of Medicine, the Study Design and Biostatistics Center, University of Utah Health Center for Clinical & Translational Science, the College of Nursing, University of Utah, and the Department of Health and Kinesiology, University of Utah College of Health, Salt Lake City, Utah.
Objective: To estimate the association between habitus measures and pelvic floor support and symptoms in primiparous women 1 year after term vaginal delivery.
Methods: In this cross-sectional study including women enrolled at seven academic and community sites, we assessed pelvic floor support, weight, height, waist circumference, and percent fat using air displacement plethysmography and participants completed questionnaires, all at one year postpartum. We tested the association of quintiles of habitus measure, including body mass index (BMI), waist circumference, percent body fat, and waist/height ratio, with the primary outcomes: anatomic support, dichotomized as maximal vaginal descent less than 0 cm (better support) compared with 0 cm or more (worse support) per the pelvic organ prolapse quantification examination and symptom burden (positive with bothersome symptoms in two or more of six symptom domains), and on five secondary outcomes. Read More