Short-term Impact of Mode of Delivery on Pelvic Floor Function in Primiparous Women: An Updated Systematic Review and Meta-analysis

This systematic review and meta-analysis aimed to determine the short-term effects of delivery mode (vaginal vs. cesarean) on pelvic floor function in primiparous women, specifically focusing on pelvic floor strength, endurance, urinary incontinence, and pelvic organ prolapse. The findings suggest that cesarean delivery may preserve pelvic floor strength better than vaginal delivery, while vaginal delivery is associated with a higher likelihood of urinary incontinence. However, the overall evidence is considered weak, highlighting the need for further longitudinal studies.