ArticleActa obstetricia et gynecologica Scandinavica2026
Self-reported pelvic floor dysfunction 12 months after an obstetric anal sphincter injury in relation to maternal body mass index.
Article in Acta obstetricia et gynecologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
introductionThe aim of this study was to evaluate self-reported pelvic floor symptoms 12 months postpartum, in women after a first-time vaginal delivery complicated by an obstetric anal sphincter injury, according to body mass index. The hypothesis was that dyspareunia, urinary incontinence, and anal incontinence would be more common in overweight and obese women compared with normal weight women 12 months postpartum. MATERIAL AND
methodsThis is a population-based cohort study. Altogether, 6595 primiparous women with a first-time vaginal delivery complicated by an obstetric anal sphincter injury in Sweden between 2014 and 2019 were included in the Swedish Perineal Laceration Registry. Self-reported pre-pregnancy data and data from the 12-month follow-up questionnaire were retrieved from the Perineal Laceration Registry. Uni- and multivariate analyses were used to compare normal weight (BMI ≤ 24.9), overweight (25.0-29.9), and obese (≥30) women in regard to the self-reported prevalence of dyspareunia, urinary incontinence, and anal incontinence 12 months postpartum.
resultsOverweight and obese women had a decreased risk of dyspareunia compared with normal weight women, aOR 0.82 (CI = 0.68-0.98) and aOR 0.71 (CI = 0.54-0.93), respectively. The absolute rate of dyspareunia was 41% among normal weight women, 38% among overweight women, and 33% among the obese group. In the univariate analyses, episiotomy and the grade of anal sphincter injury did not affect the risk of dyspareunia. There was an increased risk of urinary incontinence among overweight (aOR = 1.51, CI = 1.11-2.04) and obese women (aOR = 2.82, CI = 1.94-4.12) compared with normal weight women. The risk of anal incontinence did not differ between the BMI groups.
conclusionsDyspareunia 12 months after an obstetric anal sphincter injury was less common among overweight and obese women than in normal-weight women. Self-reported anal incontinence one year after an obstetric anal sphincter injury was equally distributed over the BMI groups 12 months after delivery, which is a new finding and clinically relevant.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.