Table 2.
Pelvic floor disorders 5-10 years from first delivery, according to characteristics of 1,011 women
| Pelvic floor disorder | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| SUI* | OAB* | AI* | POP symptoms* | POP exam* | ||||||
| 112 (11%) | 79 (8%) | 107 (11%) | 26 (3%) | 75 (7%) | ||||||
| N (%) | P† | N (%) | P† | N (%) | P† | N (%) | P† | N (%) | P† | |
| Obstetric exposure group¥ | [lt]0.001 | 0.002 | 0.195 | 0.012 | [lt]0.001 | |||||
| Group 0 (n=192) | 14 (7%) | 13 (7%) | 15 (8%) | 3 (2%) | 5 (3%) | |||||
| >Group 1 (n=228) | 14 (6%) | 11 (5%) | 19 (8%) | 2 (1%) | 3 (1%) | |||||
| Group 2 (n=140) | 12 (9%) | 9 (6%) | 17 (12%) | 2 (1%) 10(3%) | 3 (2%) | |||||
| Group 3 (n=325) | 47(14%) | 24 (7%) | 37 (11%) | 9 (7%) | 43(13%) | |||||
| Group 4 (n=126) | 25(20%) | 22(17%) | 19 (15%) | 21(17%) | ||||||
| Primary Race | 0.491 | 0.586 | [lt]0.001 | 0.345 | 0.003 | |||||
| Caucasian(n=830) | 96(12%) | 62 (7%) | 101(12%) | 24(3%) | 68 (8%) | |||||
| Black (n=137) | 11 (8%) | 13 (9%) | 2 (1%) | 1 (1%) | 2 (1%) | |||||
| Other (n=44) | 5 (11%) | 4 (9%) | 4 (9%) | 1 (2%) | 5 (11%) | |||||
| Maternal age [mt]35 yrs at 1st delivery | 0.095 | 0.089 | 0.820 | 0.006 | 0.081 | |||||
| Yes (n=283) | 39(14%) | 29(10%) | 31 (11%) | 14(5%) | 28(10%) | |||||
| No (n=728) | 73(10%) | 50 (7%) | 76 (10%) | 12(2%) | 47 (6%) | |||||
| Multiparous at enrollment | 0.074 | 0.002 | 0.211 | 0.508 | 0.06 | |||||
| Yes (n=726) | 72(10%) | 44 (6%) | 71 (10%) | 17(2%) | 61 (8%) | |||||
| No (n=285) | 40(14%) | 35(12%) | 36 (13%) | 9 (3%) | 14 (5%) | |||||
| BMI††[mt]30kg/m2 at enrollment | 0.004 | [lt]0.001 | 0.413 | 0.823 | 0.170 | |||||
| Yes (n=259) | 42(16%) | 34(13%) | 31 (12%) | 7 (3%) | 14 (5%) | |||||
| No (n=752) | 70 (9%) | 45 (6%) | 76 (10%) | 19(3%) | 61 (8%) | |||||
| Smoking ever | 0.198 | 0.033 | 0.584 | 0.020 | 0.898 | |||||
| Yes (n= 324) | 42(13%) | 34(10%) | 37(11%) | 14(4%) | 23(7%) | |||||
| No (n= 687) | 70(10%) | 45(7%) | 70(10%) | 12(2%) | 52(8%) | |||||
*
SUI=stress urinary incontinence; OAB=overactive bladder; AI=anal incontinence; POP symptoms=prolapse symptoms; POP exam=prolapse to or beyond the hymen on physical examination
†
P values reflects comparison across groups for each exposure category
¥
Obstetric exposure groups: 0=all births by cesarean prior to labor; 1= All births by cesarean with at least one cesarean in active labor (but prior to complete cervical dilation); 2=all births by cesarean but at least one after complete cervical dilation; 3=at least one spontaneous vaginal birth; 4=at least one operative vaginal birth
††
BMI = Body mass index = weight (kg)/ (height(m))2