Table 4.
PFDI-20 questionnaire outcomes comparing adolescents, late adolescents, and young women, according to mode of delivery, Brazilian Western Amazon, 2016–2017
| Vaginal delivery
|
Cesarean delivery
|
|||||||
|---|---|---|---|---|---|---|---|---|
| No N (%) | Yes N (%) | PR (95% CI)* | P-value* | No N (%) | Yes N (%) | PR (95% CI)* | P-value* | |
| POPDI score | ||||||||
| Young women | 30 (61.2) | 19 (38.8) | Reference | 54 (58.7) | 38 (41.3) | Reference | ||
| Late adolescents | 27 (61.4) | 17 (38.6) | 1.00 (0.60–1.67) | 0.989 | 25 (42.4) | 34 (57.6) | 1.40 (1.00–1.94) | 0.047 |
| Adolescents | 9 (42.9) | 12 (57.1) | 1.47 (0.88–2.46) | 0.139 | 2 (11.1) | 16 (88.9) | 2.15 (1.60–2.89) | <0.001 |
| CRADI score | ||||||||
| Young women | 32 (65.3) | 17 (34.7) | Reference | 59 (64.1) | 33 (35.9) | Reference | ||
| Late adolescents | 26 (59.1) | 18 (40.9) | 1.18 (0.70–1.99) | 0.539 | 30 (50.9) | 29 (49.1) | 1.37 (0.94–2.00) | 0.102 |
| Adolescents | 12 (57.1) | 9 (42.9) | 1.24 (0.66–2.32) | 0.510 | 8 (44.4) | 10 (55.6) | 1.55 (0.94–2.55) | 0.084 |
| UDI score | ||||||||
| Young women | 33 (67.4) | 16 (32.6) | Reference | 58 (63.0) | 34 (37.0) | Reference | ||
| Late adolescents | 30 (68.2) | 14 (31.8) | 0.97 (0.54–1.76) | 0.932 | 31 (52.5) | 28 (47.5) | 1.28 (0.88–1.88) | 0.197 |
| Adolescents | 10 (47.6) | 11 (52.4) | 1.60 (0.90–2.85) | 0.107 | 3 (16.7) | 15 (83.3) | 2.25 (1.61–3.16) | <0.001 |
| PFDI total score | ||||||||
| Young women | 28 (57.1) | 21 (42.9) | Reference | 56 (60.9) | 36 (39.1) | Reference | ||
| Late adolescents | 23 (52.3) | 21 (47.7) | 1.11 (0.71–1.75) | 0.639 | 27 (45.8) | 32 (54.2) | 1.39 (0.98–1.96) | 0.065 |
| Adolescents | 8 (38.1) | 13 (61.9) | 1.44 (0.90–2.30) | 0.124 | 2 (11.1) | 16 (88.9) | 2.27 (1.68–3.08) | <0.001 |
| UI | ||||||||
| Young women | 33 (67.4) | 16 (32.6) | Reference | 67 (72.8) | 25 (27.2) | Reference | ||
| Late adolescents | 27 (61.4) | 17 (38.6) | 1.18 (0.68–2.05) | 0.549 | 39 (66.1) | 20 (33.9) | 1.25 (0.76–2.04) | 0.377 |
| Adolescents | 10 (47.6) | 11 (52.4) | 1.60 (0.90–2.85) | 0.107 | 9 (50.0) | 9 (50.0) | 1.84 (1.04–3.26) | 0.037 |
| UUI | ||||||||
| Young women | 35 (71.4) | 14 (28.6) | Reference | 79 (85.9) | 13 (14.1) | Reference | ||
| Late adolescents | 36 (81.8) | 8 (18.2) | 0.64 (0.29–1.38) | 0.250 | 47 (79.7) | 12 (20.3) | 1.44 (0.70–2.94) | 0.318 |
| Adolescents | 14 (66.7) | 7 (33.3) | 1.17 (0.55–2.48) | 0.688 | 12 (66.7) | 6 (33.3) | 2.36 (1.03–5.40) | 0.042 |
| SUI | ||||||||
| Young women | 40 (81.6) | 9 (18.4) | Reference | 74 (80.4) | 18 (19.6) | Reference | ||
| Late adolescents | 37 (84.1) | 7 (15.9) | 0.87 (0.35–2.14) | 0.755 | 47 (79.7) | 12 (20.3) | 1.04 (0.54–2.00) | 0.908 |
| Adolescents | 15 (71.4) | 6 (28.6) | 1.56 (0.63–3.83) | 0.337 | 11 (61.1) | 7 (38.9) | 1.99 (0.97–4.06) | 0.059 |
| FI | ||||||||
| Young women | 48 (98.0) | 1 (2.0) | Reference | 87 (94.6) | 5 (5.4) | Reference | ||
| Late adolescents | 44 (100) | 0 | NA | NA | 53 (89.8) | 6 (10.2) | 1.87 (0.60–5.88) | 0.283 |
| Adolescents | 17 (80.9) | 4 (19.1) | 9.33 (1.10–79.32) | 0.041 | 14 (77.8) | 4 (22.2) | 4.09 (1.21–13.81) | 0.023 |
| POP | ||||||||
| Young women | 46 (93.9) | 3 (6.1) | Reference | 89 (96.7) | 3 (3.3) | Reference | ||
| Late adolescents | 41 (93.2) | 3 (6.8) | 1.11 (0.24–5.27) | 0.892 | 56 (94.9) | 3 (5.1) | 1.56 (0.32–7.50) | 0.579 |
| Adolescents | 20 (95.2) | 1 (4.8) | 0.78 (0.08–7.12) | 0.824 | 17 (94.4) | 1 (5.6) | 1.70 (0.19–15.57) | 0.637 |
Note:
*
Poisson Regression model with robust variance.
Abbreviations: PFDI-20, Pelvic Floor Distress Inventory-20; PR, prevalence ratio; POPDI, Pelvic Organ Prolapse Distress Inventory; CRADI, Colorectal Anal Distress Inventory; NA, not applicable, as no case was detected for this category; UDI, Urinary Distress Inventory; PFDI, Pelvic Floor Distress Inventory; UI, urinary incontinence; UUI, urge urinary incontinence; SUI, stress urinary incontinence; FI, fecal incontinence; POP, pelvic organ prolapse.