Pelvic Floor Disorders After Vaginal Birth

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Pelvic floor disorders after vaginal birth: effect of episiotomy, perineal laceration, and operative birth.

OBJECTIVE To investigate whether episiotomy, perineal laceration, and operative delivery are associated with pelvic floor disorders after vaginal childbirth. METHODS This is a planned analysis of data for a cohort study of pelvic floor disorders. Participants who had experienced at least one vaginal birth were recruited 5-10 years after delivery of their first child. Obstetric exposures were ...

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How common is pelvic floor muscle atrophy after vaginal childbirth?

OBJECTIVE To determine if there is evidence of levator ani atrophy in primiparous women. METHODS This was a prospective observational cohort study of 202 primiparous women recruited between November 2006 and March 2008. Translabial ultrasound volumes were obtained at 36-38 weeks' gestation and at a mean of 4.5 months postpartum. Peripartum changes in bladder neck elevation and reduction of an...

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Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth.

OBJECTIVE To estimate differences in pelvic floor disorders by mode of delivery. METHODS We recruited 1,011 women for a longitudinal cohort study 5-10 years after first delivery. Using hospital records, we classified each birth as: cesarean without labor, cesarean during active labor, cesarean after complete cervical dilation, spontaneous vaginal birth, or operative vaginal birth. At enrollme...

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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...

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Obstetrics and Pelvic Floor Disorders

Conclusion changes in the cardiovascular, hematologic, renal, and immunologic systems, and anatomic changes in the uterus and the growing fetus and placenta. There are also anatomic and physiologic changes in the lower genitourinary tract and pelvic floor support. The subsequent process of both labor and delivery also impart significant changes, especially to the pelvic floor support. To whom a...

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ژورنال

عنوان ژورنال: Obstetrics & Gynecology

سال: 2012

ISSN: 0029-7844

DOI: 10.1097/aog.0b013e318240df4f