OBJECTIVE: To analyse the associations between delivery mode and symptoms and signs of @entity3577 ( @entity3577 ) in a cohort of symptomatic @entity1 . DESIGN: Retrospective observational study. POPULATION: A total of 1258 consecutive @entity1 attending a tertiary urogynaecological unit for the investigation of lower urinary tract or @entity3087 between January 2012 and December 2014. METHODS: Obstetric history and clinical examination data were obtained from the unit database. Prolapse quantification on imaging was performed using stored four-dimensional translabial ultrasound volume data sets. @entity1 were grouped into four groups according to the most @entity130 reported. The presence of symptoms and signs of @entity3577 were compared between delivery groups while controlling for potential confounders. MAIN OUTCOME MEASURES: Prolapse symptoms, visual analogue score for prolapse bother, International Continence Society Prolapse Quantification System findings and ultrasound findings of anterior, central and posterior compartment descent. RESULTS: Nulliparae showed the lowest prevalence of most measures of @entity3577 , followed by @entity1 exclusively delivered by caesarean section. Highest prevalences were consistently found in @entity1 delivered at least once by forceps, although the differences between this group and @entity1 delivered by normal vaginal delivery and/or vacuum extraction were significant in three out of eight measures only. Compared with @entity1 in the caesarean section group, the adjusted odds ratios for reporting symptoms of prolapse were 2.4 (95% CI 1.30-4.59) and 3.2 (95% CI 1.65-6.12) in the normal vaginal delivery/vacuum extraction group and forceps group, respectively. CONCLUSIONS: There is a clear link between vaginal delivery and symptoms and signs of @entity3577 in urogynaecological @entity1 . TWEETABLE ABSTRACT: Compared with caesarean section a history of vaginal delivery more than doubles the risk for @entity3577 .

Delivery mode and XXXX : a retrospective observational study.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic delivery'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['pelvic organ prolapse', 'POP'] @entity3087 :: ('MESH:D059952', 'Disease') :: ['pelvic floor disorders']
@entity3577 :: (MESH:D056887,Disease) :: ['pelvic organ prolapse']
