• A Pradhan, D G Tincello, and R Kearney.
• Department of Obstetrics and Gynaecology, Addenbrooke's Hospital, Cambridge, UK. swatash@yahoo.com
• BJOG. 2013 Jan 1;120(2):200-4.

ObjectiveTo report the numbers of patients having childbirth after pelvic floor surgery in England.DesignRetrospective analysis of Hospital Episode Statistics data.SettingHospital Episode Statistics database.PopulationWomen, aged 20-44 years, undergoing childbirth after pelvic floor surgery between the years 2002 and 2008.MethodsAnalysis of the Hospital Episode Statistics database using Office of Population, Censuses and Surveys: Classification of Interventions and Procedures, 4th Revision (OPCS-4) code at the four-character level for pelvic floor surgery and delivery, in women aged 20-44 years, between the years 2002 and 2008.Main Outcome MeasuresNumbers of women having delivery episodes after previous pelvic floor surgery, and numbers having further pelvic floor surgery after delivery.ResultsSix hundred and three women had a delivery episode after previous pelvic floor surgery in the time period 2002-2008. In this group of 603 women, 42 had a further pelvic floor surgery episode following delivery in the same time period. The incidence of repeat surgery episode following delivery was higher in the group delivered vaginally than in those delivered by caesarean (13.6 versus 4.4%; odds ratio, 3.38; 95% confidence interval, 1.87-6.10).ConclusionsThere were 603 women having childbirth after pelvic floor surgery in the time period 2002-2008. The incidence of further pelvic floor surgery after childbirth was lower after caesarean delivery than after vaginal delivery, and this may indicate a protective effect of abdominal delivery.© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

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