The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update.
The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update.
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DOI：
10.1016/j.ogc.2015.10.008
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发表时间：
2016-03
影响因子：
3.2
通讯作者：
Handa VL
中科院分区：
文献类型：
--
作者：
Hallock JL;Handa VL
本文使用寿命模型，提出了有关盆底疾病（PFDs）危险因素的新科学发现，重点关注分娩在单个或多个共存PFDs发展中的作用。寿命模型的第一阶段包括易感因素，如遗传易感性和种族。模型的第二阶段包括产科事件等诱发因素。脱垂、尿失禁（UI）和大便失禁（FI）在经阴道分娩的妇女中更常见，尽管阴道分娩对FI风险的影响不如脱垂和UI显著。最后，第三阶段包括年龄和肥胖等干预因素。年龄和肥胖均与PFDs的患病率相关。预防和治疗肥胖是预防PFD的重要组成部分。
Using a life span model, this article presents new scientific findings regarding risk factors for pelvic floor disorders (PFDs), with a focus on the role of childbirth in the development of single or multiple co-existing PFDs. Phase I of the life span model includes predisposing factors such as genetic predisposition and race. Phase II of the model includes inciting factors such as obstetric events. Prolapse, urinary incontinence (UI) and fecal incontinence (FI) are more common among vaginally parous women, although the impact of vaginal delivery on risk of FI is less dramatic than for prolapse and UI. Finally, Phase III includes intervening factors such as age and obesity. Both age and obesity are associated with prevalence of PFDs. The prevention and treatment of obesity is an important component to PFD prevention.