Trends in delivery mode occurring during the Covid-19 pandemic and risks in long-term urogynecology cases: A narrative review
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HIGHLIGHT
1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.
2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.
3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.
4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors.
ABSTRACT
Women's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.
Beketie ED, Tafese WT, Assefa ZM, et al. Symptomatic pelvic floor disorders and its associated factors in South-Central Ethiopia. PLoS One [Internet]. 2021;16(7 July):1–15. Available from: http://dx.doi.org/10.1371/journal.pone. 0254050
Segedi LM, Ilić KP, Curcić A, Visnjevac N. [Quality of life in women with pelvic floor dysfunction]. Vojnosanit Pregl. 2011;68(11):940-7. Serbian. doi: 10.2298/vsp1111940m. PMID: 22191311.
Carlin GL, Kimberger O, Morgenbesser R, et al. Female Pelvic Floor Dysfunction Continues to Negatively Impact Quality-of-Life during the COVID-19 Lockdown. J Clin Med. 2021;10(5): 1075. doi: 10.3390/jcm10051075. PMID: 33807 502; PMCID: PMC7961535.
Tennstedt SL, Fitzgerald MP, Nager CW, et al. Urinary Incontinence Treatment Network. Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(5):543–9.
Nappi PRE, Cucinella L, Martella S, et al. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas [Internet]. 2016;94:87–91. Available from: https://www. sciencedirect.com/science/article/pii/S0378512216302353
WHO. Making childbirth a positive experience New WHO guideline on intrapartum care [Internet]. WHO. 2018. Available from: https://www.who.int/ reproductivehealth/intrapartum-care/en/
Finlayson K, Crossland N, Bonet M, Downe S. What matters to women in the postnatal period: A meta-synthesis of qualitative studies. PLoS One. 2020 ;15(4):e0231415. doi: 10.1371/journal.pone. 0231415. PMID: 32320424; PMCID: PMC717 6084.
Palma PCR, Brito LGO, Ghigo J. Impact of COVID-19 in Female Urology. Int Braz J Urol. 2020;46(suppl.1):93-97. doi: 10.1590/S1677-5538.IBJU.2020.S111. PMID: 32568498; PMCID: PMC7719992.
Sarastry R, Layarta C, Aladini U, Pramono BA. Delivery routes in pregnancy with covid-19 and the risk of intrapartum vertical transmission: A meta-analysis. Med J Indones. 2021;30(2):116–22. doi: 10.13181/mji.oa.214779
Giaxi P, Maniatelli E, Vivilaki VG. Evaluation of mode of delivery in pregnant women infected with COVID-19. Eur J Midwifery. 2020;4:28. doi: 10.18332/ejm/123888. PMID: 33537629; PMCID: PMC7839092.
Li M, Yin H, Jin Z, Zhang H, et al. Impact of Wuhan lockdown on the indications of cesarean delivery and newborn weights during the epidemic period of Covid-19. PLoS One [Internet]. 2020;15:1–9. Available from: http://dx.doi.org/10. 1371/journal.pone.0237420
Cai J, Tang M, Gao Y, et al. Cesarean Section or Vaginal Delivery to Prevent Possible Vertical Transmission From a Pregnant Mother Confirmed With COVID-19 to a Neonate: A Systematic Review. Front Med (Lausanne). 2021 Feb 17;8:634949. doi: 10.3389/fmed.2021.634949. PMID: 33681259; PMCID: PMC7926203.
Fan D, Li S, Wang W, et al. Sexual dysfunction and mode of delivery in Chinese primiparous women: a systematic review and meta-analysis. BMC Pregnancy Childbirth [Internet]. 2017;17(1):408. Available from: https://pubmed.ncbi.nlm.nih.gov/ 29212464
Dabiri F, Yabandeh AP, Shahi A, et al. The effect of mode of delivery on postpartum sexual functioning in primiparous women. Oman Med J [Internet]. 2014;29(4):276–9. Available from: https://pubmed.ncbi.nlm.nih.gov/25170409
Ghorat F, Esfehani RJ, Sharifzadeh M, et al. Long term effect of vaginal delivery and cesarean section on female sexual function in primipara mothers. Electron physician [Internet]. 2017;9(3):3991–6. Available from: https://pubmed.ncbi.nlm.nih.gov/ 28461875
Barbara G, Pifarotti P, Facchin F, et al. Impact of mode of delivery on female postpartum sexual functioning: Spontaneous vaginal delivery and operative vaginal delivery vs cesarean section. J Sex Med [Internet]. 2016;13(3):393–401. Available from: http://dx.doi.org/10.1016/j.jsxm.2016.01.004
Urbankova I, Grohregin K, Hanacek J, et al. The effect of the first vaginal birth on pelvic floor anatomy and dysfunction. Int Urogynecol J. 2019;30(10):1689–96. doi: 10.1007/s00192-019-04044-2. Epub 2019 Jul 20.
Eason E, Labrecque M, Marcoux S, Mondor M. Effects of carrying a pregnancy and of method of delivery on urinary incontinence: A prospective cohort study. BMC Pregnancy Childbirth. 2004;4:1–6. doi: 10.1186/1471-2393-4-4.
Tähtinen RM, Cartwright R, Tsui JF, et al. Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis. Eur Urol [Internet]. 2016/02/10. 2016 Jul;70(1):148–58. Available from: https://pubmed.ncbi.nlm.nih.gov/ 26874810
Baud D, Sichitiu J, Lombardi V, et al. Comparison of pelvic floor dysfunction 6 years after uncomplicated vaginal versus elective cesarean deliveries: a cross-sectional study. Sci Rep [Internet]. 2020;10(1):1–8. Available from: https://doi.org/10.1038/s41598-020-78625-3
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric [Internet]. 2019 May 4;22(3):217–22. Available from: https://doi.org/ 10.1080/13697137.2018.1543263
Blomquist JL, Muñoz A, Carroll M, Handa VL. Association of delivery mode with pelvic floor disorders after childbirth. J Am Med Assoc. 2018;320(23):2438–47. doi: 10.1001/jama.2018. 18315.
Marvi N, Heidarian Miri H, Hooshmand E, et al The association of mode of delivery and dyspareunia: a systematic review and meta-analysis. J Obstet Gynaecol (Lahore) [Internet]. 2021 ;1–9. Available from: https://doi.org/10.1080/ 01443615.2021.1916802
McDonald EA, Gartland D, Small SB. R Dyspareunia and childbirth: a prospective cohort study. BJOG. 2015;122(5). doi: 10.1111/1471-0528.13263.
de Oliveira L, Carvalho J. Women’s sexual health during the pandemic of Covid-19: Declines in sexual function and sexual pleasure. Curr Sex Heal Reports. 2021;13(3):76–88. doi: 10.1007/s11930-021-00309-4.
Kaya Y, Kaya C, Tahta T, et al. Examination of the effect of Covid-19 on sexual dysfunction in women. Int J Clin Pract. 2021;75(3):1–5. doi: 10.1111/ijcp.13923.
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