scholarly journals Depression symptoms in women with pelvic floor dysfunction: a case-control study

2019 ◽  
Vol Volume 11 ◽  
pp. 143-148 ◽  
Author(s):  
Baraa Mazi ◽  
Ouhoud Kaddour ◽  
Ahmed Al-Badr
Author(s):  
Tapaswini Hota ◽  
Sujata Misra

Background: It is a study to determine whether or not, the widening of GH and PB with valsalva is evidence of pelvic floor dysfunction, and by the logic should the values in POPQ staging, be taken at valsalva or at rest.Methods: Prospective 2 arm cohort study. However, the analysis of various risk factors for prolapse was done in a case control study manner.Results: As compared to women without prolapse, in patients with POP, the dimensions of GH and PB are higher. Also, the increase in their dimensions with valsalva is more in prolapse cases. So valsalving while measurement of GH and PB would give a better idea of pelvic floor dysfunction.Conclusions: The study shows association between the severity of urinary problems and degree of prolapse. Measurements of POPQ when taken during valsalva, tend to give a better picture of levator dysfunction in prolapse patients.


2014 ◽  
Vol 26 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Rosa Maria Laterza ◽  
Lore Schrutka ◽  
Wolfgang Umek ◽  
Stefan Albrich ◽  
Heinz Koelbl

2011 ◽  
Vol 140 (5) ◽  
pp. S-795
Author(s):  
Jessica Noelting ◽  
David Lake ◽  
Anna Baron ◽  
Armando Manduca ◽  
Joel G. Fletcher ◽  
...  

2018 ◽  
Vol 40 (6) ◽  
pp. 830
Author(s):  
Brianna Cameron ◽  
May Sanaee ◽  
Johanne Sabourin ◽  
Nicole Koenig ◽  
Hong Quian ◽  
...  

2020 ◽  
Author(s):  
Yanxia Wang ◽  
Zhaoyan Meng ◽  
Jianyin Pei ◽  
Liu Qian ◽  
Baohong Mao ◽  
...  

Abstract Background: To evaluate the interaction of depression and anxiety with the development of recurrent pregnancy loss (RPL).Methods: A nested case–control study involving 2,558 participants was conducted with data from the prospective Miscarriage Woman Cohort study between 2017 and 2019 in the province of Gansu, China. The questionnaire data, self-rating anxiety scale and self-rating depression scale were collected after each participant’s first miscarriage. Information on RPL outcomes was obtained from the medical records within the subsequent two years. All patients diagosed RPL were recruited as cases whilst a randomly selected group of women with only one miscarriage in the past were recruited as controls. The logistic regression and the interaction effects between anxiety and depression and RPL were analysed.Results: The prevalence of anxiety (n=325, 28.7% vs. n=278, 19.5%) and depression symptoms (n=550, 48.6% vs. n=589, 41.3%) for the 1,132 RPL cases were higher than 1,426 non-RPL controls (P< 0.001). After adjusting for possible confounding variables, the odds ratio (OR) value, reflecting the multiplicative interaction, was 1.91 (95% CI: 1.50–2.44, P<0.001) for cases with both anxiety and depression symptoms compared with the non-RPL group. The relative excess risk of interaction value, reflecting the additive interaction between anxiety and depression to RPL was 1.15 (95% CI: 0.32–4.21). Moreover, the adjusted OR for RPL cases with mild anxiety and severe depression was 2.77 (95% CI:1.07-44.14, P<0.001) , for RPL cases with severe anxiety and mild depression was 4.23 (95% CI: 1.01–22.21, P<0.001), for RPL cases with severe anxiety and moderate depression was 4.34 (95% CI: 1.03–21.28, P<0.001) and for RPL cases with severe anxiety and severe depression was 5.95 (95% CI: 1.09–45.09, P<0.05).Conclusions: Either depression or anxiety alone could increase the risk of subsequent RPL. Anxiety and depression had a synergistic effect after the first miscarriage which increased the development of subsequent RPL disease.


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