Defining 'normal recovery' of pelvic floor function and appearance in a high-risk vaginal delivery cohort
| Autor: | Giselle E. Kolenic, Pamela S. Fairchild, Katherine M Kowalk, John O.L. DeLancey, Lisa Kane Low, Dee E. Fenner |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urology 030232 urology & nephrology Pelvic Floor Muscle Pelvic Floor Disorders Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Childbirth Humans Sex organ Prospective Studies Prospective cohort study 030219 obstetrics & reproductive medicine Pelvic floor Vaginal delivery business.industry Obstetrics Obstetrics and Gynecology Pelvic Floor medicine.disease Delivery Obstetric Birth injury body regions medicine.anatomical_structure Cohort Female business |
| Zdroj: | Int Urogynecol J |
| ISSN: | 1433-3023 |
| Popis: | INTRODUCTION AND HYPOTHESIS: Childbirth pelvic floor trauma leads to pelvic floor disorders. Identification of significant injuries would facilitate intervention for recovery. Our objectives were to identify differences in pelvic floor appearance and function following delivery and identify patterns of normal recovery in women sustaining high-risk labor events. METHODS: We completed a prospective cohort study comparing women having vaginal births with risk factors for pelvic floor injury to women having cesareans. Data were collected on multidimensional factors including levator ani muscle (LA) tears. Descriptive and bivariate statistics were used to compare the groups. We identified potential markers of pelvic floor injury based on effect size. RESULTS: Eighty-two women post vaginal delivery and 30 women post cesarean enrolled. The vaginal group had decreased perineal body length between early postpartum, six weeks (p0.05). Measures of strength improved between each time point (all p |
| Databáze: | OpenAIRE |
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