![]() ![]() This is the period of transition from childhood to adulthood characterized by marked physical, emotional, and intellectual changes, which are important for the development of the individual and provide the foundation for functioning as an adult. 12 The United Nations has defined “youth” as encompassing the age range 15–24 years. The World Health Organization (WHO) considers 10–19 years as the period of adolescence, which generally encompasses population statistics and is useful for health planning. 6 – 8 There are fewer studies investigating PFD and the influence of mode of delivery in younger women, specifically in adolescents, and most of them analyze only urinary symptoms 9 – 11 without comparison to older women.Ĭurrently, there is no formal definition of adolescents, and the age range utilized varies by organization or agency. ![]() Many studies have focused on the effect of childbirth on PFD, and advanced age is associated with more severe symptoms. The estimated prevalence of PFD is between 23% and 49% in the female population. 1 – 3 They include urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP). Pelvic floor disorders (PFD) are widely related to childbirth in women in general. ![]() PFDI-20 scores also presented higher values in the adolescent group (Pelvic Organ Prolapse Distress Inventory, PR = 2.02, 95% CI 1.49–2.75 urinary distress inventory, PR = 2.09, 95% CI 1.47–2.98 PFDI, PR = 2.12, 95% CI 1.47–2.98). After controlling for confounding factors, prevalences of PFD were higher in the adolescents’ group compared with the young women’s group (urinary incontinence, prevalence ratio = 1.75, 95% CI 1.14–2.69 urge urinary incontinence, PR = 1.88, 95% CI 1.02–3.47 stress urinary incontinence, PR = 2.00, 95% CI 1.11–3.62 fecal incontinence, PR = 4.40, 95% CI 1.36–14.27). In total, 285 participants were interviewed: 41 adolescents, 103 late adolescents, and 141 young women. ![]()
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