Cesarean section and pelvic organ prolapse

For further information, contact Melissa Maimann at Essential Birth Consulting. Link to article

30 Mar 2009 Source: American Journal of Obstetrics & Gynecology 2009; 200:243.e1-243.e4.

Cesarean section is associated with a significantly reduced future risk of pelvic organ prolapse (POP) compared with vaginal delivery, according to new findings from a study of more than 1 million women ...

The study ... was prompted by conflicting evidence ... on whether or not cesarean section confers some protection against future POP ...

The researchers ... found a significant association between cesarean section and a reduced risk of POP ... They conclude that ... cesarean section is associated with a significantly lower risk of inpatient diagnosis of POP than vaginal delivery, and that there is a further decrease in risk after several cesareans compared with several vaginal deliveries.

It would be interesting to further analyse this research: The authors state that the study was conducted on women who had their babies between 1973 and 2004. It is well-known that babies born in the 70s were more likely to have been delivered with forceps, compared to today. Considering we know that forceps deliveries result in more POPs than natural vaginal births, I would be interested to see the comparison between normal birth, forceps and caesarean.

Melissa Maimann, Essential Birth Consulting.