[
    {
        "id": "osp-9978",
        "type": "article-journal",
        "title": "Comparison of Pelvic Floor Muscle Strength in Women With Vaginal Delivery and Caesarean Section After 1–3 Years: A Retrospective Cohort Study",
        "author": [
            {
                "family": "Sharifi",
                "given": "Zahra"
            },
            {
                "family": "Pazandeh",
                "given": "Farzaneh"
            },
            {
                "family": "Ozgoli",
                "given": "Giti"
            },
            {
                "family": "Bagherinia",
                "given": "Marzieh"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/comparison-of-pelvic-floor-muscle-strength-in-women-with-vaginal-delivery-and-caesarean-section-after-1-3-years-a-retrospective-cohort-study",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "25",
        "issue": "1",
        "page": "946-952",
        "DOI": "10.18295/2075-0528.2924",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "abstract": "Objectives: This study aimed to compare pelvic floor muscle strength (PFMS) in women who had vaginal delivery with episiotomy and those who underwent planned caesarean section 1–3 years postpartum. Methods: This retrospective cohort included 208 women from Taleghani Hospital, Arak, Iran, recruited by purposive sampling between May and August 2022. Participants were allocated to two groups: 104 with vaginal delivery and episiotomy and 104 with planned caesarean section. Data were collected using a sociodemographic questionnaire and a perineometer to assess PFMS. Statistical analyses used the independent-samples t test and multiple linear regression. Results: The mean (± standard deviation) PFMS was 28.6 ± 7.9 in the vaginal delivery group and 29.1 ± 7.1 in the caesarean section group (perineometer scale: 2–124 units). No significant between-group difference was observed (mean difference =-0.55; 95% confidence interval [CI]: -2.6 to 1.5; P = 0.595). Conclusion: Mode of childbirth—vaginal delivery with episiotomy or planned caesarean section—did not significantly influence PFMS 1–3 years postpartum. Caesarean section did not demonstrate a protective effect on PFMS. These findings suggest that concerns about long-term PFMS should not be a primary factor when considering caesarean section over vaginal delivery."
    }
]