{"id":"https://openalex.org/W4386533504","doi":"https://doi.org/10.22541/au.169420343.34366729/v1","title":"Delivery Determinants of Pelvic Floor Dysfunction and Pelvic Floor Muscle Strength among Post-Partum Women in an NHS Trust in The North of England: A Cross-sectional Retrospective Observational Study.","display_name":"Delivery Determinants of Pelvic Floor Dysfunction and Pelvic Floor Muscle Strength among Post-Partum Women in an NHS Trust in The North of England: A Cross-sectional Retrospective Observational Study.","publication_year":2023,"publication_date":"2023-09-08","ids":{"openalex":"https://openalex.org/W4386533504","doi":"https://doi.org/10.22541/au.169420343.34366729/v1"},"language":"en","primary_location":{"id":"doi:10.22541/au.169420343.34366729/v1","doi":"https://doi.org/10.22541/au.169420343.34366729/v1","is_oa":true,"landing_page_url":"https://doi.org/10.22541/au.169420343.34366729/v1","pdf_url":"https://www.authorea.com/doi/pdf/10.22541/au.169420343.34366729","source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.authorea.com/doi/pdf/10.22541/au.169420343.34366729","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005153087","display_name":"Alejandro Gonz\u00e1lez-Aquines","orcid":"https://orcid.org/0000-0002-9377-6494","observed_orcids":["https://orcid.org/0000-0002-9377-6494"]},"institutions":[{"id":"https://openalex.org/I139894009","display_name":"University of Bradford","ror":"https://ror.org/00vs8d940","country_code":"GB","type":"education","lineage":["https://openalex.org/I139894009"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Alejandro Gonzalez-Aquines","raw_affiliation_strings":["University of Bradford Faculty of Health Studies"],"raw_orcid":"https://orcid.org/0000-0002-9377-6494","affiliations":[{"raw_affiliation_string":"University of Bradford Faculty of Health Studies","institution_ids":["https://openalex.org/I139894009"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092773442","display_name":"Jenna Attew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I139894009","display_name":"University of Bradford","ror":"https://ror.org/00vs8d940","country_code":"GB","type":"education","lineage":["https://openalex.org/I139894009"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jenna Attew","raw_affiliation_strings":["University of Bradford Faculty of Health Studies"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Bradford Faculty of Health Studies","institution_ids":["https://openalex.org/I139894009"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020343757","display_name":"Elizabeth Doxford\u2010Hook","orcid":"https://orcid.org/0000-0003-3181-5555","observed_orcids":["https://orcid.org/0000-0003-3181-5555"]},"institutions":[{"id":"https://openalex.org/I130828816","display_name":"University of Leeds","ror":"https://ror.org/024mrxd33","country_code":"GB","type":"education","lineage":["https://openalex.org/I130828816"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Elizabeth Doxford-Hook","raw_affiliation_strings":["University of Leeds School of Healthcare"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Leeds School of Healthcare","institution_ids":["https://openalex.org/I130828816"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5005153087"],"corresponding_institution_ids":["https://openalex.org/I139894009"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12715","display_name":"Pregnancy-related medical research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pelvic-floor-dysfunction","display_name":"pelvic floor dysfunction","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pelvic-floor-muscle-strength","display_name":"pelvic floor muscle strength","score":0.9589999914169312},{"id":"https://openalex.org/keywords/postpartum-women","display_name":"postpartum women","score":0.7730000019073486},{"id":"https://openalex.org/keywords/mode-of-delivery","display_name":"mode of delivery","score":0.8579999804496765},{"id":"https://openalex.org/keywords/forceps-delivery","display_name":"forceps delivery","score":0.9950000047683716},{"id":"https://openalex.org/keywords/vaginal-delivery","display_name":"vaginal delivery","score":0.7749999761581421},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.8240000009536743},{"id":"https://openalex.org/keywords/maternal-age","display_name":"maternal age","score":0.7390000224113464},{"id":"https://openalex.org/keywords/oxford-scale","display_name":"Oxford scale","score":0.33399999141693115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8791344165802002},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.7018170356750488},{"id":"https://openalex.org/C2908639710","wikidata":"https://www.wikidata.org/wiki/Q813683","display_name":"Pelvic Floor Muscle","level":3,"score":0.6585856080055237},{"id":"https://openalex.org/C2781244320","wikidata":"https://www.wikidata.org/wiki/Q813683","display_name":"Pelvic floor","level":2,"score":0.5861642956733704},{"id":"https://openalex.org/C2779662851","wikidata":"https://www.wikidata.org/wiki/Q7161799","display_name":"Pelvic floor dysfunction","level":3,"score":0.541104793548584},{"id":"https://openalex.org/C2778408130","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal delivery","level":3,"score":0.530620813369751},{"id":"https://openalex.org/C2776914593","wikidata":"https://www.wikidata.org/wiki/Q1378235","display_name":"Forceps","level":2,"score":0.5211546421051025},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.517486572265625},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5039548277854919},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4678916037082672},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4416854679584503},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4365188181400299},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.32546213269233704},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.24681174755096436},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.20864179730415344},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14240089058876038},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.22541/au.169420343.34366729/v1","doi":"https://doi.org/10.22541/au.169420343.34366729/v1","is_oa":true,"landing_page_url":"https://doi.org/10.22541/au.169420343.34366729/v1","pdf_url":"https://www.authorea.com/doi/pdf/10.22541/au.169420343.34366729","source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.22541/au.169420343.34366729/v1","doi":"https://doi.org/10.22541/au.169420343.34366729/v1","is_oa":true,"landing_page_url":"https://doi.org/10.22541/au.169420343.34366729/v1","pdf_url":"https://www.authorea.com/doi/pdf/10.22541/au.169420343.34366729","source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4386533504.pdf","grobid_xml":"https://content.openalex.org/works/W4386533504.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4417150734","https://openalex.org/W7212027909","https://openalex.org/W4378085178","https://openalex.org/W4403094301","https://openalex.org/W4290005685","https://openalex.org/W2090565763","https://openalex.org/W2569000662","https://openalex.org/W2810544612","https://openalex.org/W2029045339","https://openalex.org/W3037015479"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"identify":[2],"what":[3],"delivery":[4,121,149,156,215],"determinants":[5],"are":[6,252],"associated":[7,158],"with":[8,63,159,199],"higher":[9],"risks":[10],"of":[11,38,65,80,84,120,129,155,204,237,242],"Pelvic":[12,21],"floor":[13,91],"dysfunction":[14],"(PFD)":[15],"among":[16,246],"early":[17],"post-partum":[18,59,143],"women":[19,247],"receiving":[20],"Health":[22,31],"Physiotherapy":[23],"(PHP)":[24],"care":[25],"for":[26,113],"PFD":[27,66,87,114,130,160,205,217,243],"at":[28,50],"a":[29,200,225],"National":[30],"Service":[32],"(NHS)":[33],"Trust":[34],"in":[35],"the":[36,78,82,97,118,153,196,235],"North":[37],"England.":[39],"Design:":[40],"Quantitative":[41],"non-experimental":[42],"retrospective":[43],"observational":[44],"design.":[45],"Setting:":[46],"PHP":[47,62],"Urogynaecology":[48],"Unit":[49],"Leeds":[51],"Teaching":[52],"Hospital.":[53],"Population:":[54],"Women":[55],"under":[56],"six":[57],"months":[58],"referred":[60],"to":[61,117,186,229,233],"symptoms":[64,88,131,161],"between":[67],"1st":[68,72],"June":[69,73],"2021":[70],"and":[71,89,132,172,218,239,244],"2022.":[74],"Methods:":[75],"Data":[76,109],"on":[77,101,110,139],"type":[79,154],"delivery,":[81],"number":[83],"subjectively":[85],"reported":[86],"pelvic":[90],"muscle":[92],"(PFM)":[93],"strength,":[94],"graded":[95],"using":[96],"modified":[98],"Oxford":[99,136],"scale,":[100],"initial":[102],"physiotherapy":[103,107,144,245],"consultation":[104],"collected":[105],"from":[106],"records.":[108],"risk":[111,227],"factors":[112],"not":[115],"related":[116],"mode":[119],"were":[122,146],"also":[123],"collected.":[124],"Main":[125],"Outcome":[126],"Measures:":[127],"Number":[128],"PFM":[133,173,219],"strength":[134],"(modified":[135],"score)":[137],"documented":[138],"assessment.":[140],"Results:":[141],"166":[142],"records":[145],"included.":[147],"Forceps":[148,214],"was":[150,195],"identified":[151],"as":[152],"most":[157],"(2.45":[162],"\u00b1":[163,167,176,180],"0.884":[164],"vs":[165,178],"1.85":[166],"0.813;":[168],"p=<0.001;":[169],"CI":[170,183,208],"0.92-0.28)":[171],"weakness":[174],"(2.15":[175],"0.731":[177],"2.5":[179],"0.914;":[181],"p=0.02;":[182],"0.04-0.66)":[184],"compared":[185],"spontaneous":[187],"vaginal":[188],"delivery.":[189],"Age":[190],"35":[191,224,248],"years":[192,249],"or":[193,250],"above":[194,223,251],"only":[197],"factor":[198,228],"statistically":[201],"significant":[202],"association":[203],"(OR":[206],"1.079;":[207],"95%":[209],"1.011":[210],"-":[211],"1.15).":[212],"Conclusions:":[213],"increases":[216],"weakness,":[220],"while":[221],"age":[222],"major":[226],"develop":[230],"PFD.":[231],"Improvements":[232],"reduce":[234],"use":[236],"forceps":[238],"increase":[240],"awareness":[241],"needed.":[253]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2023-09-09T00:00:00"}