Pubococcygeus-puborectalis trauma after forceps delivery: evaluation of the levator ani muscle with 3D/4D ultrasound
International urogynecology journal and pelvic floor dysfunction | Int Urogynecol J Pelvic Floor Dysfunct
Zdroj
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- dospělí MeSH
- extrakce porodnická škodlivé účinky MeSH
- lidé MeSH
- pánevní dno diagnostické zobrazování zranění MeSH
- pilotní projekty MeSH
- ultrasonografie MeSH
- zobrazování trojrozměrné MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
INTRODUCTION AND HYPOTHESIS: This study seeks to assess the effects of forceps-assisted delivery on the levator hiatus. METHODS: Seventy-six women were investigated 12 months after forceps-assisted delivery. Introital three-/four-dimensional ultrasound measured volumes at rest and during the Valsalva maneuver. Morphological parameters analyzed were angle gamma, hiatal area, pubovisceral angle, and continuity between the muscle and pelvic sidewall. Avulsion was diagnosed by loss of continuity. RESULTS: Forty-eight women had avulsion injuries, 23 had bilateral, and 25 had unilateral. Bilateral avulsion increased hiatal area during straining and at rest and was associated with changes in bladder neck position at rest. Unilateral avulsion injury was associated with a higher pubovisceral angle on the side of the avulsion. CONCLUSION: Forceps-assisted vaginal delivery is associated with levator ani injury. Avulsion of the pubovisceral muscle seems more common after forceps delivery than after spontaneous vaginal delivery. Avulsion alters hiatal shape and area and influences the position and mobility of the anterior compartment.
Zobrazit více v PubMed
Ultrasound Obstet Gynecol. 2004 Jan;23(1):80-92 PubMed
Br J Obstet Gynaecol. 1997 May;104(5):579-85 PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):236-41 PubMed
Am J Obstet Gynecol. 1955 Oct;70(4):800-7 PubMed
Ultrasound Obstet Gynecol. 2007 Mar;29(3):329-34 PubMed
Obstet Gynecol. 2004 Jan;103(1):31-40 PubMed
Am J Obstet Gynecol. 2005 May;192(5):1488-95 PubMed
Obstet Gynecol. 2008 Mar;111(3):631-8 PubMed
Aust N Z J Obstet Gynaecol. 2007 Dec;47(6):491-5 PubMed
Ultrasound Obstet Gynecol. 2007 Jun;29(6):692-6 PubMed
Obstet Gynecol. 2006 Jan;107(1):144-9 PubMed
S D J Med. 1990 Jul;43(7):7-12 PubMed
Am J Obstet Gynecol. 2005 May;192(5):1669-76 PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(1):3-6 PubMed
Am J Obstet Gynecol. 2006 Jul;195(1):23-8 PubMed
Obstet Gynecol. 2003 Jan;101(1):46-53 PubMed
Ultrasound Obstet Gynecol. 2005 Jun;25(6):580-5 PubMed
Ultrasound Obstet Gynecol. 2007 Jul;30(1):81-5 PubMed
Obstet Gynecol. 2001 Dec;98(6):1004-10 PubMed
Psychol Bull. 1979 Mar;86(2):420-8 PubMed
Obstet Gynecol. 2005 Oct;106(4):774-81 PubMed
Obstet Gynecol. 2005 Oct;106(4):707-12 PubMed
Ultrasound Obstet Gynecol. 2006 Oct;28(5):710-6 PubMed
Obstet Gynecol. 1998 Mar;91(3):364-8 PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):227-35 PubMed
Am J Obstet Gynecol. 2001 Jul;185(1):11-9 PubMed
BJOG. 2006 Feb;113(2):225-30 PubMed
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