Women's risk for interstitial cystitis no greater with cesarean delivery

  • Chang KM & al.
  • Neurourol Urodyn
  • 1 May 2018

  • curated by Craig Hicks
  • Clinical Essentials
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Takeaway

  • Women’s risk for interstitial cystitis/painful bladder syndrome (IC/PBS) is no greater after cesarean delivery vs vaginal delivery.

Why this matters

  • Many patients with IC/PBS have had pelvic surgery, and cesarean delivery is one of the most common pelvic surgeries in women, say researchers.

Study design

  • Researchers examined the health records of women who gave birth through cesarean delivery or vaginal delivery (n=79,108), comparing their IC/PBS HRs both with and without matching for confounding factors.
  • Primary outcome: incidence of IC/PBS.
  • Funding: Feng Yuan Hospital; Ministry of Health and Welfare; Central Taiwan University.

Key results

  • HRs for vaginal and cesarean deliveries in both the matched and unmatched groups were not significantly different (HR, 1.370 and 0.725, respectively).
  • Incidence of IC/PBS was not significantly different in women with vaginal and cesarean deliveries (0.310), women with no history of delivery (0.255), and the general female population (0.292) per 1000 person-years (P=.549).

Limitations

  • The study was retrospective.

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