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. 2022 Jan 20;62(3):420–425. doi: 10.1111/ajo.13481

Table 2.

Signs and symptoms of prolapse among 368 vaginally nulliparous women, and comparison of CS only vs nulliparae

Population N = 368 CS only n = 184 No births n = 184 P‐value, OR (CI) Adjusted P‐value, OR (CI)
Symptoms of prolapse (%) (n = 368) 81 (22%) 47 (26%) 34 (18%) 0.1 0.2
1.5 (0.9‐2.5) 1.51 (0.8‐2.89)
Significant prolapse on POP‐Q (n = 362) 106 (29%) 59/180 (33%) 47/182 (26%) 0.13 0.5
1.4 (0.9‐2.21) 1.25 (0.70‐2.21)
Anterior compartment stage ≥2 (n = 363) 63 (17%) 38/181 (21%) 25/182 (14%) 0.07 0.08
1.67 (0.96‐2.90) 1.81 (0.93‐3.55)
Uterine prolapse stage ≥1 (n = 293) 26 (9%) 11/139 (8%) 15/154 (10%) 0.7 0.6
0.8 (0.35‐1.8) 0.77 (0.25‐2.35)
Posterior compartment stage ≥2 (n = 363) 70 (19%) 43/181 (24%) 27/182 (15%) 0.03 0.5
1.79 (1.05‐3.05) 1.27 (0.64‐2.57)
Significant prolapse on US (n = 367) 71 (19%) 39/183 (21%) 32/184 (17%) 0.35 1
1.29 (0.77‐2.16) 0.99 (0.51‐1.92)
Significant cystocele on US (n = 367) 14 (4%) 9/183 (5%) 5/184 (3%) 0.29 0.7
1.85(0.61‐5.64) 1.27 (0.38‐4.29)
Significant central compartment prolapse on US (n = 367) 23 (6%) 11/183 (6%) 12/184 (7%) 0.84 0.94
0.92 (0.39‐2.13) 0.96 (0.33‐2.78)
Significant rectal descent on US (n = 367) 46 (13%) 27/183 (15%) 19/184 (10%) 0.2 0.7
1.50 (0.80‐2.81) 1.17 (0.52‐2.65)
True rectocele (n = 367) 68 (19%) 41/183 (22%) 27/184 (15%) 0.06 0.07
1.68 (0.98‐2.87) 1.94 (0.96‐3.92)

Univariate and multivariate logistic regression controlling for age, body mass index, chronic constipation and obstructed defecation.

CI, confidence interval; CS, caesarean section; OR, odds ratio; POP‐Q, Pelvic Organ Prolapse Quantification; US, ultrasound