Childbirth after pelvic floor surgery: analysis of Hospital Episode Statistics in England, 2002–2008. Issue 2 (27th November 2012)

• Record Type: Journal Article
• Authors: Pradhan, A; Tincello, DG; Kearney, R
• Is Part Of: BJOG. Volume 120:Issue 2(2013:Feb.)
• Page Start: 200
• Page End: 204
• Publication Date: 2012-11-27
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1111/1471-0528.12076
• Languages: English
• ISSNs: 1470-0328

Abstract

<abstract abstract-type="main" id="bjo12076-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bjo12076-sec-0001" sec-type="section"> <title>Objective</title> <p>To report the numbers of patients having childbirth after pelvic floor surgery in England.</p> </sec> <sec id="bjo12076-sec-0002" sec-type="section"> <title>Design</title> <p>Retrospective analysis of Hospital Episode Statistics data.</p> </sec> <sec id="bjo12076-sec-0003" sec-type="section"> <title>Setting</title> <p>Hospital Episode Statistics database.</p> </sec> <sec id="bjo12076-sec-0004" sec-type="section"> <title>Population</title> <p>Women, aged 20–44 years, undergoing childbirth after pelvic floor surgery between the years 2002 and 2008.</p> </sec> <sec id="bjo12076-sec-0005" sec-type="section"> <title>Methods</title> <p>Analysis of the Hospital Episode Statistics database using <italic>Office of Population, Censuses and Surveys: Classification of Interventions and Procedures</italic>, 4th Revision (OPCS‐4) code at the four‐character level for pelvic floor surgery and delivery, in women aged 20–44 years, between the years 2002 and 2008.</p> </sec> <sec id="bjo12076-sec-0006" sec-type="section"> <title>Main outcome measures</title> <p>Numbers of women having delivery episodes after previous pelvic floor surgery, and numbers having further pelvic floor surgery after delivery.</p> </sec> <sec id="bjo12076-sec-0007" sec-type="section"> <title>Results</title> <p>Six hundred and three women had a delivery episode after previous pelvic floor surgery in the time period 2002–2008. In this group of 603 women, 42 had a further pelvic floor surgery episode following delivery in the same time period. The incidence of repeat surgery episode following delivery was higher in the group delivered vaginally than in those delivered by caesarean (13.6 versus 4.4%; odds ratio, 3.38; 95% confidence interval, 1.87–6.10).</p> </sec> <sec id="bjo12076-sec-0008" sec-type="section"> <title>Conclusions</title> <p>There were 603 women having childbirth after pelvic floor surgery in the time period 2002–2008. The incidence of further pelvic floor surgery after childbirth was lower after caesarean delivery than after vaginal delivery, and this may indicate a protective effect of abdominal delivery.</p> </sec> </abstract>