Cesarean section as a cause of chronic pelvic pain

E.C. Almeida, E C S Almeida, A A Nogueira, F J Candido dos Reis, Francisco José Cândido dos Reis, J C Rosa e Silva
International Journal of Gynecology & Obstetrics · 2002 · vol. 79(2) , pp. 101–104 · doi:10.1016/s0020-7292(02)00227-8 · PMID:12427392 · W2091252324
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This retrospective study found that a history of cesarean section was significantly associated with chronic pelvic pain, even when controlling for other pelvic conditions.

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Abstract

OBJECTIVE: To determine if the history of cesarean section was associated with chronic pelvic pain, independent of the presence of other conditions such as pelvic adhesions, endometriosis, sequelae of pelvic inflammatory disease, leiomyoma and pelvic varices. METHODS: Retrospective case-control study conducted on 199 patients consecutively admitted from January 1998 to January 2000, 116 of them submitted to laparoscopy for the diagnosis of chronic pelvic pain and 83 asymptomatic patients submitted to tubal ligation by laparoscopy. A logistic regression analysis was used to verify the association between chronic pelvic pain and the history of previous cesarean section. RESULTS: In women with chronic pelvic pain, a history of cesarean section was observed in 67.2% of cases, adhesions in 51.7%, endometriosis in 33.6%, sequelae of pelvic inflammatory disease in 31.9%, leiomyoma in 6.9% and pelvic varices in 11.2%. In asymptomatic women, a history of cesarean section was observed in 38.5%, adhesions in 24.1%, endometriosis in 9.6%, sequelae of pelvic inflammatory disease in 4.8%, leiomyoma in 7.2% and pelvic varices in 3.6%. In a logistic model, chronic pelvic pain was associated with a history of cesarean section (O.R.=3.7), as well as with endometriosis (O.R.=8.5), sequelae of pelvic inflammatory disease (O.R.=10.5). CONCLUSIONS: In the present study cesarean section was associated with chronic pelvic pain. This fact may be the cause of a public health problem in the coming years, due to the raised rates of cesarean section in Brazilian women.

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Condition tags

mesh:D004715mesh:D017699endometriosischronic_pelvic_pain

MeSH descriptors

Cesarean Section Pelvic Pain Pelvic Pain Adult Case-Control Studies Cesarean Section Chronic Disease Endometriosis Endometriosis Female Humans Laparoscopy Leiomyomatosis Leiomyomatosis Logistic Models Middle Aged Pelvic Inflammatory Disease Pelvic Inflammatory Disease Pelvic Pain Pelvic Pain

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