Pelvic Organ Prolapse: A Comparative Study between Hospital and Home Childbirth in Women from the Brazilian Amazon - Abstract
Pelvic Organ Prolapse (POP), is a condition associated with the descent of pelvic floor organs of complex and multifactorial etiology, which implies losses in social, sexual, and physical life. Objective: To analyze the influence of parity, place (hospital or home), and type of childbirth with the degree of POP, through the Pelvic Organ Prolapse-Quantification (POP-Q), staging in women in Amapá State. Methods: A cross-sectional and quantitative study was conducted in the Basic Health Unit - Polyclinic of the Federal University of Amapá, collecting epidemiological data and evaluating the POP-Q in 377 women. Data were collected from February to November 2013. Results: 31.6% of women had no genital prolapse (POP 0), and only 7.4% with POP grade 3. The increase in the average number of children establishes a direct relationship with the worsening of prolapse, where POP 2 and 3 were present in 32% of multiparous women and only 2.9% of non-multiparous women. For patients who had only a cesarean childbirth, POP 3 was not observed, while 7% of patients with vaginal delivery presented POP grade 3. The history of home birth was more related to POP 2 and 3 than the history of hospital delivery. Conclusion: Multiparity, Vaginal childbirth, and Home birth were directly related to the increased degree of genital prolapse.