OC4.04: Pelvic floor trauma in labour

Pelvic floor trauma following vaginal delivery.

PURPOSE OF REVIEW Recent years have seen a steady increase in the information available regarding pelvic floor trauma in childbirth. A review of this information is timely in view of the ongoing discussion concerning elective caesarean section. RECENT FINDINGS In addition to older evidence regarding pudendal nerve injury, it has recently been shown that inferior aspects of the levator ani and...

Pelvic floor trauma in childbirth - myth or reality?

The issue of traumatic damage to the pelvic floor in childbirth is attracting more and more attention amongst obstetric caregivers and laypersons alike. This is partly due to the fact that elective Caesarean section, as a potentially preventative intervention, is increasingly available and perceived as safe. As there are a multitude of emotive issues involved, including health economics and the...

Pelvic Floor Ultrasound

Aims of course/workshop This workshop will familiarize attendees with the basic methodology and clinical uses of pelvic floor ultrasound imaging, both using 2D ultrasound and 3D/ 4D technology, including the detection and assessment of pelvic floor trauma. Depending on local conditions, we may also be able to use live scan demonstrations to illustrate examination methodology and common conditions.

, Continence and Pelvic Floor

Pelvic Floor Muscles

33 Normal bowel continence is a complex process that involves the coordinated interaction between multiple different neuronal pathways and the pelvic and perineal musculature.1 The importance of the anatomic relationships of the pelvic floor in maintaining normal continence has been suggested since the 1950s.2 Yet the complex series of neural and behavioral-mediated interactions, combined with ...