Influence Factors Analysis of Early Postpartum Pelvic Organ Prolapse Following Transvaginal Delivery

Corresponding author: zhaohanqing, zhaohq@hbu.edu.cn

DOI: 10.12201/bmr.202412.00029

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  Abstract: To investigate the influencing factors of early postpartum pelvic organ prolapse (POP) after vaginal delivery. Methods Clinical data of 153 postpartum women were collected from Beijing Tongren Hospital, Capital Medical University, from June 2015 to May 2021. The women were divided into two groups: non-POP group (91 cases) and POP group (62 cases). Univariate and multivariate logistic regression analyses were conducted to identify the independent factors influencing early postpartum POP. Subgroup analysis was also performed to assess the relationship between family history of POP and early postpartum POP after adjusting for confounding factors.Results Multivariate logistic regression analysis revealed that neonatal birth weight, maternal pre-pregnancy BMI, use of delivery balls, and family history of POP were independent factors associated with early postpartum POP occurrence (P<0.05). In women who did not use a delivery ball, the presence of a family history of POP significantly increased the risk of POP after adjusting for birth weight, pre-pregnancy BMI, and perineal laceration (P<0.05). However, there was no significant effect of POP in women who used a delivery ball (P>0.05).Conclusion Neonatal birth weight, maternal pre-pregnancy BMI, and family history of POP are risk factors for early postpartum POP, while the use of delivery balls is a protective factor. Women with a family history of POP are advised to use delivery balls to reduce the risk of early postpartum POP.

  Key words: Elderly parturient women; Pelvic organ prolapse; Delivery balls; Influence factors

  Submit time: 11 December 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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